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. 2024 Mar 5;38(4):492–497. doi: 10.1177/02692163241234597

Table 2.

Subcutaneous sodium valproate efficacy and tolerability.

Study Efficacy of subcutaneous valproate Tolerability of subcutaneous valproate
(a) Indication
(b) Quantitative/Qualitative Results
(a) Nature of adverse events / side effects
(b) Frequency of events
Cran et al. 2018 (a) Seizure control
(b) Results are not specifically presented for valproate subset.
- Seizures were controlled in 69% of patients with initial doses prescribed.
- 46% died within a week of parenteral anticonvulsant prescription.
- 92% died but did not state how long after treatment
(a–b) N/A
O’Connor et al. 2017 (a) Seizure control
(b) Overall, 100% of patients had resolution of seizures eventually.
- 5 out of 7 (71.4%) patients were seizure free initially.
- In the remaining 2 patients, seizure activity resolved with an increased dosage
(a) No adverse events or local reaction in all 7 patients
(b) N/A
Davis et al. 2018 (a) Neuropathic pain management
(b) 5/6 (83.3%) patients experienced clinically significant improved pain control within 48 h.
- 2/2 (100%) patients’ allodynia resolved (1 of whom had severe residual nociceptive pain due to rapidly progressive disease).
- 2/6 (33.3%) patients required an increase in opioid dose
(a) No complications attributable to this treatment
(b) N/A
Kondasinghe et al. 2022 (a) Seizure control (83%) and pain management (17%)
(b) Effectively controlled seizures in 83% of patients.
(a) Variable
- Skin erythema at infusion site
(b) 1/6 patient
Pouchoulin et al. 2014 (a-b) Not specified (a) Reported adverse reactions included pain and induration. Abscesses and necrosis only with discontinuous administration a
(b) More local adverse effects with discontinuous administration (65 instances) as opposed to continuous administration (16 instances), no instances of abscess or necrosis with continuous infusions. a
a

Note that the tolerability is not specifically reported for subcutaneous valproate in this study.