Valproic Acid Is an Effective Anti-Emetic Treatment in Alexander Disease
April 2023
in “
Neurology
”
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Studysummary This study examined treatments for emesis in young Alexander disease patients, finding that 95% responded positively to valproic acid, which was more effective than anti-reflux medications or cyproheptadine, though some adverse effects require monitoring.
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The study investigated the effectiveness of valproic acid (VPA) as an anti-emetic treatment in Alexander disease (AxD) by reviewing medical records of 34 patients under 21 years old. The results showed that 95% of patients treated with VPA experienced a clinically meaningful decrease in emesis, significantly higher than the response rates for anti-reflux medications (48%) and cyproheptadine (32%). Despite some adverse effects like bone fractures, hyperammonemia, and mild hair loss, VPA was generally well tolerated. The findings suggest that VPA is a highly effective treatment for emesis in AxD patients, though monitoring for side effects is necessary.