cleft lip c Only | NCBDDD Cleft Lip - an overview
Description
The anticonvulsant valproic acid (Depakene) interferes with L-carnitine biosynthesis in the liver and forms with L-carnitine a valproylcarnitine ester that is excreted in the urine

doi: 10.1111/and.12685

Daily doses up to 250 mg per day appear safe in cats, and we have occasionally used doses as high as 500 mg per day in cats with no untoward effects

The scar tissue can negatively affect how the medication will work

10.1186/s13578-020-00500-5 63

Indeed, the clinical literature exhibits heterogeneity in design, dosing, duration, and outcome measures, frequent reliance on parent reported scales without uniform blinding, and underpowered samples that hinder strong inference and guideline development (Doherty et al., 2022
