Valproic Acid

Test Code
VPA


Preferred Specimen
1 mL serum


Patient Preparation
Collect as a trough just prior to next dose

Minimum Volume
0.2 mL


Other Acceptable Specimens
 Plasma collected in:
Sodium heparin (green-top) tube • Lithium heparin (green-top) tube •


Instructions
Note date and time of last dose on order


Transport Container
Original collection vial


Transport Temperature
Ambient


Specimen Stability
 Am Ambient: 2 days
Refrigerated: 7 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens other than serum or heparinized plasma


Methodology
Immunoassay (IA)

Setup Schedule
24/7


Report Available


Same Day




Reference Range
50.0-100.0 mg/L


Clinical Significance
Valproic acid is used as an anticonvulsant to treat certain types of seizures, to prevent migraine headaches and to treat various psychiatric illnesses such as bipolar disorder and aggression. Drugs that compete for protein-binding sites with valproic acid can increase the concentration of valproic acid. Therapeutic drug monitoring is useful to optimize dose. Measurement of the free concentration is useful if toxicity is suspected.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.