Valproic Acid Induced Hyperammonemia in a Long Time Treated Patient

Table 2

Lactulose and carnitine administration and corresponding ammonia and valproic acid levels.

Admission day number	41	51	54	57	60	65
Ammonia (µmol/L)	94	225	163	46	49	27
Valproic acid level (μg/mL)	92	117	24	66	70	21
Lactulose administered (grams)	20 grams × 1 dose	20 grams q12h × 10 days
Carnitine administered (mg)		990 milligrams q8h × 10 days