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Valproate, Serum/Plasma — Mass Concentration

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

A blood test that measures the amount of valproate, a medicine used to treat seizures, mood disorders, and migraine.

Quick summary

["This test helps determine whether your valproate dose is appropriate and whether you may be experiencing side effects or inadequate seizure control."]

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

Key facts at a glance

LOINC
4086-5
Short code
Valproate SerPl-mCnc
Synonyms
Valproate SerPl-mCnc
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?

A valproate blood test measures the concentration of valproate, also called valproic acid, in your blood. Your clinician may order it to guide dosing or check for possible medication toxicity.

Why might I need this test?

The test may be used to assess seizure control, especially when seizures continue or side effects occur. It can also help evaluate whether another medicine is affecting valproate levels or whether medication adherence is appropriate.

How is the test performed?

A blood sample is collected from a vein and sent to a laboratory for analysis. The result is usually interpreted together with your symptoms, dose, other medicines, and kidney or liver function.

How do I prepare for the test?

Take valproate exactly as prescribed and have the blood drawn at the time your clinician requests, often near a dose. Fasting is usually not required, but tell the laboratory and your clinician about all medicines and supplements you use. Do not stop valproate suddenly without medical advice.

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 level may contribute to breakthrough seizures or other symptoms of inadequate treatment, although missed doses or drug interactions can also cause this. A high level may increase the risk of side effects such as nausea, tremor, drowsiness, confusion, or liver injury. Results should be interpreted by a clinician because timing after a dose and individual patient factors can affect the concentration.

Short name

Valproate level

Frequently asked questions

Is fasting required for a valproate blood test?
Fasting is usually not required, but your clinician may specify timing. The sample is often collected at a consistent point relative to your doses.
Why did my clinician order a valproate level?
Your clinician may be checking whether the medicine is controlling your symptoms, whether the dose should be adjusted, or whether side effects could be related to valproate.
Can another medicine change my valproate level?
Yes. Some medicines can increase or decrease valproate levels, so it is important to share your complete medication and supplement list with your clinician.
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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