Sodium Valproate

Description

Sodium Valproate is an anticonvulsant that is used to control seizures and migraine headaches. Take this medicine at the same time regularly. Do not take this medicine if you have are suffering from impaired liver function.

Side effects

Major & minor side effects for Sodium Valproate

  • Nausea or Vomiting
  • Diarrhea
  • Shakiness in the legs, arms, hands, or feet
  • Blurred vision
  • Dizziness
  • Weight gain
  • Body pain
  • Skin rash
  • Sneezing
  • Dry or scaly skin

Uses of Sodium Valproate

What is it prescribed for?

  • Epilepsy
  • Mania
  • Migraine Prophylaxis
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Concerns

Commonly asked questions

  • Onset of action
    The peak effect of this medicine can be observed in 2 hours.
  • Duration of effect
    The effect of this medicine lasts for an average duration of 24 hours.
  • Safe with alcohol?
    Consumption of alcohol with this medicine is not recommended as it increases the risk of side effects like dizziness, difficulty in concentration. Do not perform activities that require mental alertness like driving or operating machinery.
  • Is it habit forming?
    No habit forming tendency has been reported
  • Usage in pregnancy?
    This medicine is not recommended for pregnant women.
  • Usage while breast-feeding?
    This medicine is recommended only if clearly needed when no safer alternative is available. Monitoring of undesired effects like discoloration of eyes and skin is necessary.

Allergy

Do not take this medicine if you have a known allergy to Sodium Valproate.

Liver disease

Do not take if you have any liver injury or a family history of liver injury.

Urea cycle disorders

Do not use in patients with urea cycle disorder (high ammonium levels in the blood) or family history of urea cycle disorder.

Mitochondrial disorders

Do not use in patients and in children who are suspected to have the mitochondrial disorder (POLG e.g Alpers-Huttenlocher Syndrome).
Warnings for special population

Pregnancy

This medicine is not recommended for pregnant women.

Breast-feeding

This medicine is recommended only if clearly needed when no safer alternative is available. Monitoring of undesired effects like discoloration of eyes and skin is necessary.
General warnings

Pancreatitis

Sodium Valproate may cause Pancreatitis which is a serious life-threatening reaction. Discontinue the medicine if Pancreatitis is detected and an alternate medicine should be considered.

Bleeding disorder

Use with caution in patients with the bleeding disorder as it may cause Thrombocytopenia. Make necessary dosage adjustments or discontinue the medicine if this condition is identified.

Pediatric use

Sodium Valproate is not recommended in children less than 2 years of age due to the increased risk of liver injury.

Impaired liver function

This medicine is not recommended in patients with liver injury or a family history of liver injury.

Impaired kidney function

Use with caution in the patients with the kidney injury. Suitable dose adjustments are to be made based on the clinical condition.

Missed Dose

If you miss a dose of Sodium Valproate, take the missed dose as soon as you remember. If it’s almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

Use of Anticonvulsants with alcohol will increase the central nervous system and respiratory system depression.

Instructions

Consumption of alcohol with this medicine is not recommended as it increases the risk of side effects like dizziness, difficulty in concentration. Do not perform activities that require mental alertness like driving or operating machinery.
Interaction with Medicine

Lamotrigine

Metoclopramide

Warfarin

Ethinyl Estradiol

Imipenem

Disease interactions

Depression

Sodium Valproate should be given with caution in the patients with depression and suicidal thoughts. Frequent monitoring of depression symptoms is necessary. Dose adjustments are to be made based on the outcomes in the patient.

Liver Disease

Sodium Valproate is not recommended in patients with liver injury or a family history of liver injury. This risk is more in children less than 2 years of age. Liver function tests are to be performed before starting the treatment. Discontinue the medicine if any abnormality is identified.
Food interactions
Information not available.
Lab interactions
Information not available.
Take Sodium Valproate with or without food. Do not take in larger amounts than advised. Consult the doctor if you experience any undesirable effects. Do not stop taking the medicine without consulting your doctor as it may cause seizures.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works
It works by binding to the receptors in the brain and inhibits the excitation of brain cells.
Legal Status

Approved

Approved

Approved

Approved

Classification

Category

Anticonvulsants

Schedule

Schedule H

[Internet]. 2017 [cited 9 April 2017]. Available from:

https://www.medicines.org.uk/emc/medicine/26124

Valproic Acid: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 9 April 2017]. Available from:

https://medlineplus.gov/druginfo/meds/a682412.html

DailyMed - valproate sodium injection [Internet]. Dailymed.nlm.nih.gov. 2017 [cited 9 April 2017]. Available from:

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=7a687b2f-246d-4736-a20c-92421c263268#section-8.1

Prescribing medicines in pregnancy database [Internet]. Therapeutic Goods Administration (TGA). 2017 [cited 9 April 2017]. Available from:

https://www.tga.gov.au/prescribing-medicines-pregnancy-database#searchname

[Internet]. Toxnet.nlm.nih.gov. 2017 [cited 9 April 2017]. Available from:

https://toxnet.nlm.nih.gov/cgi-bin/sis/search2

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Information on this page was last updated on 16 Nov 2017

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