Prevalence of vitamin A deficiency. Vitamin A deficiency (VAD) is a lack of vitamin A in humans. It is common in poorer countries but rarely seen in more developed countries. Nyctalopia (night blindness) is one of the first signs of VAD.revalence of vitamin A deficiency. Vitamin A deficiency (VAD) is a lack of vitamin A in humans. It is common in poorer countries but rarely seen in more developed countries. Nyctalopia (night blindness) is one of the first signs of VAD.
Both lithium and valproate have been reported to increase rat CSF GABA levels. Regarding valproate, animal studies reported that it enhances GABA levels, GABA synaptic release, GAD activity, neuronal GABA responsiveness, and inhibits GABA-T in several brain regions.
Protein binding of valproate is reduced in the elderly, in patients with chronic hepatic diseases, in patients with renal impairment, and in the presence of other drugs (e.g., aspirin). Conversely, valproate may displace certain protein-bound drugs (e.g., phenytoin, carbamazepine, warfarin, and tolbutamide) (see DRUG INTERACTIONS) for more detailed information on the pharmacokinetic interactions of valproate with other drugs).