title: Chronic valproic acid intoxication: reversal by naloxone.
abstract: A 76-year-old woman being treated with sodium valproate for bipolar depression presented with a 4-day history of acute confusion and tremulousness. She had apnoeic episodes, a reduced conscious level and generalised myoclonic movements. Her plasma valproate concentration was 848 μmol/litre (normal range 300-600 μmol/litre). Administration of naloxone 0.8 mg led to rapid clinical improvement. Naloxone may be useful in reversing the features of chronic valproate toxicity.
authors.affiliation: Scottish Poisons Information Bureau, Royal Infirmary Edinburgh, 51 Little France Crescent, Edinburgh, UK.
authors.forename: H K R
authors.initials: HK
authors.lastname: Thanacoody