Preview

Medical alphabet

Advanced search

Valproic acid: first experience of use in psychomotor agitation in patients with psychotic disorders

https://doi.org/10.33667/2078-5631-2026-17-28-32

Abstract

This work demonstrates the potential of using valproic acid in psychiatric patients to relieve psychomotor agitation that develops outside nosological boundaries. Considering psychomotor agitation as a transnosological condition caused by weakness of inhibitory processes in the brain, valproic acid, by potentiating the non-selective action of the inhibitory neurotransmitter, does not produce dissociative effects on brain function. Based on 18 clinical cases (patients with various psychiatric diagnoses) in which intravenous administration of valproic acid led to relief of psychomotor agitation symptoms, it was shown that the drug can be used as a nonspecific/universal agent for managing psychomotor

agitation without causing pathomorphosis of the clinical picture of the disease.

About the Authors

V. L. Kozlovskii
V. M. Bekhterev National Medical Research Center of Psychiatry and Neurology; City Psychiatric Hospital No. 6 (Inpatient Unit with Outpatient Dept)»
Russian Federation

Kozlovskii Vladimir L., Dr Med Sci (habil.), leading researcher, clinical pharmacologist

St. Petersburg



N. V. Semenova
V. M. Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation

Semenova Natalia V., Dr Med Sci (habil.), deputy director for Organizational and Methodological Work

St. Petersburg



M. Yu. Popov
V. M. Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation

Popov Mikhail Yu., Dr Med Sci (habil.), chief researcher

St. Petersburg



D. N. Kosterin
V. M. Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation

Kosterin Dmitry N., PhD Med Sci, researcher

St. Petersburg



O. V. Lepik
V. M. Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation

Lepik Olga V., junior researcher

St. Petersburg



A. Yu. Goncharenko
V. M. Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation

Goncharenko Andrey Yu., Dr Med Sci (habil.), leading researcher

St. Petersburg



S. V. Lyashkovskaya
V. M. Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation

Lyashkovskaya Svetlana V., PhD Med Sci, researcher

St. Petersburg

 



A. S. Zabrodina
City Psychiatric Hospital No. 6 (Inpatient Unit with Outpatient Dept)»
Russian Federation

Zabrodina Alina S., psychiatrist

St. Petersburg



References

1. Kozlovskii V. L., Zabrodina A. S. Valproic Acid: Historical Background and Prospects of Use in Emergency Psychiatric Practice. Meditsinskiy alfavit [Medical Alphabet]. 2025; 2: 52–55. (In Russ.).

2. Kryzhanovsky G. N. Determinant Structures in Nervous System Pathology. Published by Meditsina, Moscow, 1980. 359 p. (In Russ.).

3. Kholin A. A. The Use of Injectable Valproate Forms in Status Epilepticus in Adults and Children. Journal of Pediatric Neurology. 2014; 9 (3): 23–29. (In Russ.).

4. Badalyan O. L., Savenkov A. A. Modern concept of using injectable valproates (Convulex) in status epilepticus. Consilium Medicum. 2019; 21 (2): 97–100. (In Russ.). DOI: 10.26442/20751753.2019.2.190316

5. Perucca E. Pharmacological and therapeutic properties of valproate: a summary after 35 years of clinical experience. CNS Drugs. 2002: 16 (10): 695–724.

6. Zona C, Avoli M. Effects induced by the antiepileptic drug valproic acid upon the ionic currents recorded in rat neocortical neurons in cell culture. Exp Brain Res. 1990; 81 (2): 313–7. DOI: 10.1007/BF00228121. PMID: 2168843

7. Grunze HC. The effectiveness of anticonvulsants in psychiatric disorders. Dialogues Clin Neurosci. 2008; 10 (1): 77–89. DOI: 10.31887/DCNS.2008.10.1/hcrgrunze. PMID: 18472486.

8. Fedotov D. D., Kostyukova E. G., Mosolov S. N. Differentiated Prognosis of the Effectiveness of Preventive Therapy with Lamotrigine, Valproate, and Topiramate in Patients with Frequent Relapses of Bipolar Affective Disorder Type I and Type II. Social and Clinical Psychiatry. 2014; 24 (3): 77–83. (In Russ.).

9. Zaccara G, Messori A, Moroni F. Clinical pharmacokinetics of valproic acid-1988.Clin Pharmacokinet. 1988 Dec; 15 (6): 367–89. DOI: 10.2165/00003088-198815060-00002


Review

For citations:


Kozlovskii V.L., Semenova N.V., Popov M.Yu., Kosterin D.N., Lepik O.V., Goncharenko A.Yu., Lyashkovskaya S.V., Zabrodina A.S. Valproic acid: first experience of use in psychomotor agitation in patients with psychotic disorders. Medical alphabet. 2026;(17):28-32. (In Russ.) https://doi.org/10.33667/2078-5631-2026-17-28-32

Views: 12

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)