Valproic acid (Depakene).
Blood urea nitrogen of 60 mg/dl.
Total bilirubin of 1.5 mg/dl.
Alkaline phosphatase of 120 IU/L.
Direct bilirubin of 0.3 mg/dl.
Valproic acid decreases phenobarbital metabolism.
Valproic acid increases phenobarbital metabolism.
There is no interaction between the two.
Increase the dosage of the two medications.
“I need to take the medication before meals”.
“I need to take the medication at bedtime”.
“I need to avoid drinking coffee”.
“I will not chew or crush long acting form of the medications”.
“This medication causes a blurring of vision”.
“This medication will cause a decrease platelet and white blood cell count in my blood”.
“I’ll have my physician to lower my dosage once I started to feel okay”.
“Drinking grapefruit can decrease the side effects with this medication”.