Patients with Valproic acid (VPA) toxicity develop all of the following EXCEPT? (select one) A) hyponatremia B) hyperosmolality C) hypocalcemia D) anion gap acidosis E) elevated osmolal gap Answer: A Knowing how Effects of l carnitine supplementation in patients with childhood onset epilepsy prescribed valproate Epilepsy & Behavior Managing valproic acid toxicity related hyperammonaemia: an unpredicted course BMJ Case Reports What are the symptoms of valproic acid toxicity? What are the signs of toxicity in a patient taking Depakote (valproate)? Carnitine in the treatment of valproic acid induced toxicity