Meropenem-induced Valproic Acid Elimination: A Case Report of Clinically Relevant Drug Interaction

We present two case reports of drug interaction between valproic acid and meropenem. In comparison with expected population-kinetic based serum levels, we observed 90.8 and 93.5% decrease in valproic acid serum levels during concomitant administration with meropenem. If carbapenems need to be admini...

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Bibliographic Details
Main Authors: Martin Šíma, Jan Hartinger, Jan Rulíšek, Robert Šachl, Ondřej Slanař
Format: Article
Language:English
Published: Karolinum Press 2017-09-01
Series:Prague Medical Report
Subjects:
Online Access:https://pmr.lf1.cuni.cz/118/2/0105/
Description
Summary:We present two case reports of drug interaction between valproic acid and meropenem. In comparison with expected population-kinetic based serum levels, we observed 90.8 and 93.5% decrease in valproic acid serum levels during concomitant administration with meropenem. If carbapenems need to be administered to valproic acid treated patient, other anticonvulsant addition seems to be the appropriate as most probably the valproic acid dose escalation would not be sufficient to achieve therapeutic serum concentration.
ISSN:1214-6994
2336-2936