When is the best time to get a valproate level if a patient is taking Depakote DR once daily?
Answer from: at Community Practice
Levels should be obtained at steady state - which is 5 half lives. For ER formulation, figure about 5 days and it should be a trough level (immediately before the next dose).
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at Thapar Renu K Office 5 half lives to get to steady state
and lev...
The valproic acid levels are really normed for seizure disorders, not really for psychiatric. As this study shows, if you get a 12-hour post-dose level on Depakote ER, the level will be around 20% higher than IR, so you can just calculate with that correction factor. Or, you can get pretty close to ...
Getting a level just before the next scheduled dose will represent a trough, but may not be practical given lab hours and such. Getting a level 12 hours after the last dose may be more feasible and still useful, but will not reflect a true trough.
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at Private Pratice Would you recommend longer than 12 hours, for exam...
at Massachusetts General Hospital I would have patients stay consistent on their tim...
at Private Pratice Thank you so much. I didn't realize the blood leve...
5 half lives to get to steady state and lev...