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Vol. 26 - Num. 103

Clinical Reviews in Digestive Diseases

But what is this? Is valproic acid a potential culprit? 

Gabriela Labjakováa, Miguel Díez Románb, Iván Carabaño Aguadoc

aServicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.
bServicio de Radiodiagnóstico. Hospital Universitario 12 de Octubre. Madrid. España.
cSección de Gastroenterología, Hepatología y Nutrición Pediátrica. Servicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.

Correspondence: G Labjaková. E-mail: gabriela.labjakova@gmail.com

Reference of this article: Labjaková G, Díez Román M, Carabaño Aguado I. But what is this? Is valproic acid a potential culprit?  . Rev Pediatr Aten Primaria. 2024;26:307-10. . https://doi.org/10.60147/c1bc667b

Published in Internet: 27-09-2024 - Visits: 1299

Abstract

Acute pancreatitis in children can result from a wide variety of etiologies, one of them being drug toxicity. Although the list of medications associated with acute pancreatitis is extensive, the literature provides stronger evidence for drugs such as 6-mercaptopurine, azathioprine, angiotensin-converting enzyme (ACE) inhibitors, metronidazole, asparaginase, acetaminophen and valproic acid.

Valproic acid is a drug frequently used in pediatrics. Although most side effects associated with its use are benign, it may also be linked to severe adverse reactions. The most commonly reported include hepatotoxicity, teratogenicity, and acute pancreatitis. Valproic acid-induced acute pancreatitis is thought to occur due to an idiosyncratic reaction, which is independent of drug levels in the blood and can happen at any time during treatment.

Keywords

Acute pancreatitis Adverse event Valproic acid

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