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doi: 10.1136/bjsm.26.4.267

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At Bhumibol Adulyadej Hospital, directorate of medical service, Royal Thai Air Force, a tertiary training hospital in Thailand, DDAVP is only used when serum sodium tends to increase beyond the limited range (reactive) or in cases of overcorrection (rescue)

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Patients remain unaware that oral and topical combinations demonstrate better safety and sustainability according to systematic reviews

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It usually occurs during the first 6 months of VPA therapy and is commonly but not always preceded by minor elevations in transaminases

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