Depakote hyperammonemia
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By Rajnish Mago, MD (bio) Valproate (divalproex; brand name Depakote) can be associated with an increase in serum ammonia (hyperammonemia). This can occur with carbamazepine as well. [Optional to read: The mechanism of valproate-induced hyperammonemia is not clear.
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(Depakote) at steady state was only evaluated in an every 6 hour regimen hyperammonemia after IV Depacon cannot be provided. Hyperammonemia with
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by E Rota 2024VPA, as a therapeutic agent, is commercially available as Depakote, Depakote hyperammonemia, rhabdomyolysis, hyperandrogenism, pancreatitis, as well
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If treatment with these antibiotics cannot be avoided, close monitoring of Depakote In case of valproate overdose resulting in hyperammonemia, carnitine can
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Dosing for Epilepsy Depakote, Depakote ER Depakote Sprinkle Capsules Hyperammonemia has been associated with valproate; it may be present despite normal
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By Rajnish Mago, MD (bio) Valproate (divalproex; brand name Depakote) can be associated with an increase in serum ammonia (hyperammonemia). This can occur with carbamazepine as well. [Optional to read: The mechanism of valproate-induced hyperammonemia is not clear.
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by E Rota 2024VPA, as a therapeutic agent, is commercially available as Depakote, Depakote hyperammonemia, rhabdomyolysis, hyperandrogenism, pancreatitis, as well
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Negative Side Effects of Depakote Hyperammonemia Hypothermia Thrombocytopenia Allergic Reactions Suicidal Ideations Pancreatitis Birth
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Asymptomatic hyperammonemia is generally a common side effect with valproic acid/ depakote/ VPA and that there are no specific recommendations for screening
Comments
That initial evaluation (if 'positive' for danger/problems) would then lead to a 72-hour hold (effectively 3 business days as an inpatient - worst time to get put on a 72-hour hold is the Wednesday before Thanksgiving) and then that doc (if s/he sees a problem) can then petition mental health court for commitment. So from my perspective going to a 30-day stay skips a couple of steps, but not all states work the same way.
In a way, your characters are taking this too well. A husband reacting to the CP report by his daycare provider usually doesn't calm down that fast. Likewise a mother hearing that her daughter had been committed. As a psych nurse I would love to see such acceptance and support for my patients.
And on that note - depakote is a pretty good choice, given the likely diagnosis.
The story touched a special place in my heart because I myself am a sufferer of Bi-Polar Syndrome or Manic- Depressive Syndrome, whichever you prefer. The disease is an absolute bitch to deal with, and in my case is further aggravated by a seizure disorder. Fortunately, my medication (Depakote) does a fairly good job handling the mood swings and stops the seizures outright, albeit with a few side effects. Obviously, I first had to wonder if either you or a loved one or acquaintance had the disease.
As I've stated before in comments on other stories, reconciliation IS an alternative in some cases. If a partner is a serial cheater or the cheating was done in a particularly hurtful way with little or no remorse, then only a fool would reconcile. There are circumstances where it happens, the guilty party admits their guilt, and never does it again. While a marriage that endures this is never the same, the relationship can be salvaged. I regrettably transgressed and my wife saw fit to forgive me and stay with me. We will celebrate our Silver Anniversary soon, and no, I have not reoffended.
A well written story with believable characters. Four stars!