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Sodium Valproate

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Molecule Summary

Uses
Epilepsy (fits)
Therapy
Anti-Epileptic
Side Effects
Headache, dizziness, nausea, vomiting, stomach pain
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Molecule Description

Sodium Valproate (or valproic acid) is used in dealing with epilepsy (fits). It should be taken as directed by the doctor and in correct doses and for the exact duration as prescribed. Sodium Valproate should be taken with or after food, as directed by your doctor. Pregnant women must not take Sodium Valproate as it may harm the unborn baby. Side effects like headache, nausea, vomiting, shakiness, sleepiness, and skin rashes may occur while on treatment with Sodium Valproate. Most of these are temporary but if you feel the side effects persist or your condition worsens, you should contact your doctor immediately. Before using this medicine, inform the doctor if you are pregnant, planning a pregnancy or are breastfeeding and about your detailed medical history.

Uses

Sodium Valproate is used in dealing with epilepsy (fits or seizures).

Contraindications

When should one not use Sodium Valproate

  • If you are allergic to Sodium Valproate or any other ingredients of Sodium Valproate.
  • If you or any of your family members have a history of liver problems.
  • If you are suffering from a condition called urea cycle disorder.
  • If you have porphyria (a rare inherited metabolic disorder).
  • If you are suffering from a mitochondrial disorder (a genetic disorder).
  • If you are pregnant or think you may be pregnant.

Side effects

Common side effects of this drug are:

  • Headache, dizziness
  • Nausea, vomiting
  • Stomach pain, diarrhoea, indigestion
  • Tremor (shakiness)
  • Tiredness, weakness
  • Sleepiness
  • Confusion, aggression, agitation, altered attention
  • Hallucinations, anxiety
  • Weight gain
  • Anaemia
  • Skin rashes, swelling, hair loss
  • Menstrual cramps
  • Double vision
  • Blood disorders like low platelet count

Precautions and Warnings

Pregnancy

Pregnancy

Sodium Valproate must not be taken during pregnancy as it is unsafe and may cause harm to the unborn baby. If you get pregnant or think you may be pregnant while on treatment with this medicine, immediately contact your doctor. For women of childbearing age, you should discuss with your physician about the importance of birth control methods and potential hazards to the unborn baby as it may cause some serious birth defects.

Breast Feeding

Breast Feeding

Sodium Valproate passes into breast milk, thus a decision should be made to either discontinue breastfeeding or treatment with Sodium Valproate after assessing the benefits over risks.

Driving

Driving

You should avoid or be cautious while driving a vehicle or operating heavy machinery as Sodium Valproate may make you feel dizzy and sleepy.

Alcohol

Alcohol

You should avoid consuming alcohol while taking Sodium Valproate, as it may worsen the side effects of this medicine.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You have suicidal thoughts, unusual changes in your mood or behaviour, worsening depression. Immediately contact your doctor.
  • Your convulsions have worsened.
  • You have diabetes.
  • You have gained a lot of weight.
  • You have problems with your liver or kidneys. You are suffering from problems in the pancreas like swelling or inflammation.
  • You are suffering from a brain disease or any other metabolic condition that is affecting your brain.
  • You suffer from a condition known as urea cycle disorder.
  • You are suffering from a long-term autoimmune disease called systemic lupus erythematosus (SLE).
  • You suffer from any mitochondrial disorder.
  • You notice any serious allergic reaction or unwanted side effects after taking Sodium Valproate. Please contact your doctor or visit a nearby hospital immediately.

Mode of Action

How Does It Work?

Fits (or seizures) are caused due to increased, uninterrupted signals or activity in the brain. Sodium Valproate works by reducing this increased activity and restoring certain natural substances in the brain.

Interactions

Interactions with other medicines

  • Sodium Valproate may interact with other medicines, discuss with your doctor about all the medicines, supplements or herbal preparations you are taking. Also, you should inform your doctor if you have a planned surgery or any vaccination scheduled.
  • Concomitant use of Sodium Valproate along with medicines like aspirin (pain killers), phenobarbital, carbamazepine (used in fits) may enhance your chances of having side effects.
  • Use of medicines like warfarin (blood thinners), zidovudine (used in HIV infection), temozolomide (used in cancer), selegiline, diazepam, quetiapine (used to treat your mental health), propofol (used for anaesthesia) along with Sodium Valproate may increase their effects.
  • Concomitant use along with medicines like chloroquine (used in malaria), cimetidine (used in stomach ulcers), ritonavir (used in HIV infection), rifampicin, meropenem (antibiotics), cholestyramine (used to lower cholesterol) may alter the way this medicine works.

Interactions with food items

Sodium Valproate should be taken with or after having your meal, as directed by your doctor.

Dosage

Overdose

Symptoms of overdose may be a headache, nausea, vomiting, dizziness, muscle weakness, lack of consciousness, breathing problems, fits, confusion, memory loss and unusual behaviour. Seek urgent medical help if you feel you have taken Sodium Valproate in excess.

Missed a Dose

In case you have missed any dose of Sodium Valproate, take it as soon as you remember it. If it is almost time for the next dose, then skip the missed dose. Avoid taking a double dose to compensate for the missed dose.

Frequently Asked Questions (FAQs)

The dose and duration of Sodium Valproate will depend on your body's response to treatment. Follow your doctor's instructions and do not stop taking this medicine on your own.

Headache, dizziness, nausea, vomiting and stomach pain are a few side effects of Sodium Valproate. However, these symptoms are usually mild and resolve on your own. Also, it is not important that everyone experience the same.

The active ingredient of this medicine is sodium valproate (or valproic acid), which is used in dealing with epilepsy (fits).

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