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Valproate Concentration Test

Published: August 9, 2026Updated: August 17, 2026

A blood test that measures the concentration of valproate, also called valproic acid, an anticonvulsant used for several neurologic and psychiatric conditions.

Quick summary

["The result helps your clinician determine whether your valproate dose may need adjustment or whether toxicity is possible."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
54058-3
Short code
HEDIS 2009-13 MPM-E Valproate
Synonyms
HEDIS 2009-13 MPM-E Valproate
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
44
Ref high
147
Critical range
— – 151 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84075
SNOMED
27550007
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This test measures the amount of valproate, also known as valproic acid, in your blood. Valproate is a medicine used to control seizures and may also be prescribed for bipolar disorder or migraine prevention.

Why might I need this test?

Your clinician may order this test to check whether your valproate level is appropriate for your treatment. It may be checked when your symptoms change, after a dose adjustment, when starting or stopping interacting medicines, or if signs of medication toxicity appear.

How is the test performed?

A blood sample is collected, usually by a vein in your arm, and sent to a laboratory for analysis. The laboratory reports the measured valproate concentration for your clinician to interpret.

How do I prepare for the test?

Follow your clinician's instructions about when to take valproate and when the blood sample will be collected. Because timing can affect the result, do not change your dose or skip doses unless your clinician tells you to do so.

Reference range

Adult: 44-147 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A low valproate concentration may suggest that the prescribed dose is not providing adequate exposure, although missed doses and timing of the blood draw can also affect the result. A high concentration may increase the risk of side effects or toxicity, including excessive sleepiness, confusion, tremor, or liver-related problems. Results should be interpreted by your clinician using the laboratory's reference interval, your dose, timing, symptoms, and other medications.

Short name

Valproate

Frequently asked questions

What does a valproate concentration test measure?
It measures the amount of valproate, also called valproic acid, in your blood. Your clinician uses the result to assess treatment exposure and the possibility of side effects.
Does the time of my last dose affect the result?
Yes. Valproate levels can change over time, so the blood sample should be collected at the time specified by your clinician. Do not adjust or skip doses on your own before the test.
What if my valproate result is outside the laboratory's range?
An out-of-range result does not by itself establish toxicity or treatment failure. Your clinician will consider the result along with your symptoms, dose, medication timing, other medicines, and relevant laboratory tests before making any changes.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy