TY - JOUR PY - 1988// TI - An apparent fatal valproic acid poisoning JO - Journal of analytical toxicology A1 - Lokan, R. J. A1 - Dinan, A. C. SP - 35 EP - 37 VL - 12 IS - 1 N2 - While extensive data on therapeutic concentrations of valproic acid in plasma exist, data on toxic or fatal levels are very limited and superficial, interpretation of isolated blood levels obtained post-mortem is therefore a difficult task. A case of sudden death is described here. The circumstances are known and strongly indicate a fatal, suicidal poisoning by valproic acid at a dose of 56.4 g. Valproic acid was quantified in tissues by gas chromatography, and its identity confirmed by gas chromatography/mass spectrometry. The tissue concentrations found post-mortem were as follows: blood 720 mg/L; liver 800 mg/kg; stomach contents 1700 mg. Phenobarbitone and propoxyphene were also present at therapeutic concentrations. This data should provide a useful reference for interpretive purposes.

Language: en

LA - en SN - 0146-4760 UR - http://dx.doi.org/ ID - ref1 ER -