Effectiveness and Adverse Drug Reaction Mechanisms Associated With Valproic Acid Use: A Cross-Sectional Prospective Study in Indonesia

    Vitarani Dwi Ananda Ningrum, Irine Dyah Widyastuti, Rizaldy Taslim Pinzon, Rochmy Istikharah, Natalya Hakim, Rochmy Istikharah, Natalya Hakim, Naning Ni’mawati
    TLDR Valproic acid is effective but often causes side effects like weight gain and hair loss, so personalized treatment is needed.
    This study investigated the clinical response and adverse drug reactions (ADRs) associated with valproic acid (VPA) in 87 outpatients from two Indonesian hospitals. It found that 96.6% of patients showed the expected clinical response to VPA, with no significant factors affecting its effectiveness. However, more than half of the patients experienced ADRs, such as weight gain, hair loss, and hepatotoxicity. The study suggests that while VPA effectively controls disorders, an individualized approach is necessary to minimize ADRs, particularly for high-risk patients.
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