Davis's Drug Guide

VALPROATES

Pharmacokinetics

Absorption: Well absorbed following oral administration; divalproex is enteric-coated, and absorption is delayed. ER form produces lower blood levels. IV administration results in complete bioavailability

Distribution: Rapidly distributed into plasma and extracellular water. Cross blood-brain barrier and placenta; enters breast milk

Protein Binding: 80–90%, decreased in neonates, elderly, renal impairment, or chronic hepatic disease

Metabolism and Excretion: Mostly metabolized by the liver; minimal amounts excreted unchanged in urine

Half-life: Adults: 9–16 hr

TIME/ACTION PROFILE (onset = anticonvulsant effect; peak = blood levels)

ROUTEONSETPEAKDURATION
PO—liquid2–4 days15–120 min6–24 hr
PO—capsules2–4 days1–4 hr6–24 hr
PO—delayed-release products2–4 days3–5 hr12–24 hr
PO—extended-release products2–4 days7–14 hr24 hr
IV2–4 daysend of infusion6–24 hr



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