L Carnitine as an off label use for VALPROIC ACID TOXICITY HOW AND WHY? Valproic acid may interrupt fatty acid metabolism, impairing mitochondrial function and ultimately urea metabolism, leading to Raghad Altelly Mitochondrial targets in hyperammonemia: Addressing urea cycle function to improve drug therapies ScienceDirect L Carnitine in the Treatment of Psychiatric and Neurological Manifestations: A Systematic Review A Deficiency of CarnitineAcylcarnitine Translocase in the Inner Mitochondrial Membrane New England Journal of Medicine Carnitine: Genetic Variants Affecting Mitochondrial Energy and Health
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l-carnitine and ammonia levels Reversible weakness and encephalopathy while on long-term valproate treatment due to carnitine deficiency