Test Code VPA Valproic Acid (Depakote) Level
Additional Codes
| EPIC | LAB4220 |
Synonyms
- Divalproex
- Valproate
- Dipropylacetic acid
Clinical Significance
Valproic acid (VPA; 2‑propylpentanoic acid; Depakene) is a relatively new anticonvulsant medication which is used chiefly for the treatment of primary and secondary generalized seizures but is also effective against absence seizures. It is particularly effective in myoclonus and is the drug of choice in photosensitive epilepsy. Although VPA is used in conjunction with other anti‑epileptic medications, more recent studies have shown benefits of converting treatment to monotherapy with VPA. Also, a growing body of evidence suggests that VPA is useful in the treatment of affective disorders; in particular, lithium‑insensitive bipolar disorders.
Source: Roche Cobas VALP2 Method Sheet Version 5.0 2023-02
Methodology
Homogeneous enzyme immunoassay (Roche Cobase c503)
Sample Type
| Preferred Sample Type | |
|---|---|
| Light green top - Plasma | |
| Acceptable Sample Type(s) | |
|---|---|
| Dark green top - Plasma | |
| Yellow top - Serum | |
| Red top - Serum | |
Centrifuge: Yes
Specimen Minimum Volume
55 uL with insert cup
Specimen Stability
| Temperature | Time |
|---|---|
| Ambient (20-25°C) | 2 days |
| Refrigerated (8°C) (store) | 7 days |
| Frozen (-20°C) | 3 months |
Separate plasma or serum from cells within 2 hours.
NOTE: Stability limits only valid for capped specimens.
Reference Ranges
| Therapeutic Range |
|---|
| 50.0 - 100.0 ug/mL |
| Critical Value |
|---|
| >150.0 ug/mL |
| Technical Range |
|---|
| 2.8 - 150.0 ug/mL |
Rejection Criteria
| Hemolysis | Index >500 |
|---|---|
| Icterus | Index >30 |
| Lipemia | Index >500, ultracentrifuge |
Availability
| Performed | STAT |
|---|---|
| 24/7 | Yes |
Performing Laboratory
MultiCare Yakima Memorial Hospital Laboratory
Lab Department
Chemistry
CPT Code
80164
LOINC
4086-5 Valproate [Mass/Vol]