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Elsevier Science

Ann Emerg Med. 1989 Aug;18(8):889-91. doi: 10.1016/s0196-0644(89)80220-3.

Central nervous system manifestations of a valproic acid overdose responsive to naloxone.

Annals of emergency medicine

G Alberto, T Erickson, R Popiel, M Narayanan, D Hryhorczuk

Affiliations

  1. Department of Emergency Medicine, Cook County Hospital, Chicago, Illinois 60612.

PMID: 2502939 DOI: 10.1016/s0196-0644(89)80220-3

Abstract

We report the case of a 22-year-old man who presented with a depressed level of consciousness after ingesting valproic acid. He responded to IV naloxone; over a nine-hour period, his serum valproic acid level decreased from 180.4 to 59.2 micrograms/ml with multiple-dose charcoal therapy. We recommend the use of both agents in the treatment of valproic acid overdose.

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