In this case, what statement best describes the purpose of follow-up visits after starting divalproex?

In this case, what statement best describes the purpose of follow-up visits after starting divalproex?

• A. Liver function tests are monitored at follow-up visits.
• B. No follow-up visits are necessary after discharge.
• C. Liver function tests are reviewed only if symptoms appear.
• D. Follow-up focuses only on blood pressure.

Answer: (A)

Starting divalproex carries a real risk of liver injury, which can develop early and sometimes without obvious symptoms. Because of this, follow-up visits are used to regularly check liver function tests (such as AST/ALT and bilirubin) so any early signs of hepatotoxicity can be detected and management adjusted promptly. This approach protects the patient by catching problems before they become serious. Waiting for symptoms would miss subclinical injury, and focusing only on blood pressure or having no follow-up wouldn’t address the drug’s potential liver toxicity.

Starting divalproex carries a real risk of liver injury, which can develop early and sometimes without obvious symptoms. Because of this, follow-up visits are used to regularly check liver function tests (such as AST/ALT and bilirubin) so any early signs of hepatotoxicity can be detected and management adjusted promptly. This approach protects the patient by catching problems before they become serious. Waiting for symptoms would miss subclinical injury, and focusing only on blood pressure or having no follow-up wouldn’t address the drug’s potential liver toxicity.