Prague Med. Rep. 2017, 118, 105-109

https://doi.org/10.14712/23362936.2017.11

Meropenem-induced Valproic Acid Elimination: A Case Report of Clinically Relevant Drug Interaction

Martin Šíma1, Jan Hartinger1, Jan Rulíšek2, Robert Šachl1,2, Ondřej Slanař1

1Institute of Pharmacology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic
2Department of Anesthesiology and Intensive Care, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic

Received April 24, 2017
Accepted August 28, 2017

We present two case reports of drug interaction between valproic acid and meropenem. In comparison with expected population-kinetic based serum levels, we observed 90.8 and 93.5% decrease in valproic acid serum levels during concomitant administration with meropenem. If carbapenems need to be administered to valproic acid treated patient, other anticonvulsant addition seems to be the appropriate as most probably the valproic acid dose escalation would not be sufficient to achieve therapeutic serum concentration.

Funding

This study was supported by the Charles University Project Progress Q25 and a grant No. SVV 260373.

References

14 live references