Valproic acid

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Valproic acid
Black Box Warning
Adult Indications & Dosage
Pediatric Indications & Dosage
Contraindications
Warnings & Precautions
Adverse Reactions
Drug Interactions
Use in Specific Populations
Administration & Monitoring
Overdosage
Pharmacology
Clinical Studies
How Supplied
Images
Patient Counseling Information
Precautions with Alcohol
Brand Names
Look-Alike Names

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Pratik Bahekar, MBBS [2]

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Black Box Warning

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See full prescribing information for complete Boxed Warning.
Condition Name: (Content)

Overview

Valproic acid is a anticonvulsant drug that is FDA approved for the {{{indicationType}}} of absence seizure, Simple and complex, complex partial epileptic seizur, manic, bipolar I disorder, migraine; Prophylaxis. There is a Black Box Warning for this drug as shown here. Common adverse reactions include peripheral edema,alopecia, rash, increased appetite, weight increased, abdominal pain, constipation, diarrhea, indigestion, loss of appetite, nausea, vomiting, ecchymosis, sthenia, backache, amnesia, ataxia, dizziness, headache, insomnia, somnolence, tremor, amblyopia, blurred vision, diplopia, nystagmus, tinnitus, depression, disturbance in thinking, feeling nervous, mood swings, bronchitis, dyspnea, pharyngitis, respiratory tract infection, rhinitis, fever, influenza.

Adult Indications and Dosage

FDA-Labeled Indications and Dosage (Adult)

  • Absence seizure, Simple and complex
  • Complex partial epileptic seizure
  • Manic bipolar I disorder
  • Migraine; Prophylaxis

Off-Label Use and Dosage (Adult)

Guideline-Supported Use

There is limited information about Off-Label Guideline-Supported Use of Valproic acid in adult patients.

Non–Guideline-Supported Use

  • Alcohol hallucinosis
  • Bipolar disorder
  • Myelodysplastic syndrome
  • Myoclonic seizure


There is limited information about Off-Label Non–Guideline-Supported Use of Valproic acid in adult patients.

Pediatric Indications and Dosage

FDA-Labeled Indications and Dosage (Pediatric)

There is limited information regarding Valproic acid FDA-Labeled Indications and Dosage (Pediatric) in the drug label.

Off-Label Use and Dosage (Pediatric)

Guideline-Supported Use

There is limited information about Off-Label Guideline-Supported Use of Valproic acid in pediatric patients.

Non–Guideline-Supported Use

There is limited information about Off-Label Non–Guideline-Supported Use of Valproic acid in pediatric patients.

Contraindications

There is limited information regarding Valproic acid Contraindications in the drug label.

Warnings

TITLE
See full prescribing information for complete Boxed Warning.
Condition Name: (Content)

There is limited information regarding Valproic acid Warnings' in the drug label.

Adverse Reactions

Clinical Trials Experience

There is limited information regarding Valproic acid Clinical Trials Experience in the drug label.

Postmarketing Experience

There is limited information regarding Valproic acid Postmarketing Experience in the drug label.

Drug Interactions

There is limited information regarding Valproic acid Drug Interactions in the drug label.

Use in Specific Populations

Pregnancy

Pregnancy Category (FDA): There is no FDA guidance on usage of Valproic acid in women who are pregnant.
Pregnancy Category (AUS): There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Valproic acid in women who are pregnant.

Labor and Delivery

There is no FDA guidance on use of Valproic acid during labor and delivery.

Nursing Mothers

There is no FDA guidance on the use of Valproic acid in women who are nursing.

Pediatric Use

There is no FDA guidance on the use of Valproic acid in pediatric settings.

Geriatic Use

There is no FDA guidance on the use of Valproic acid in geriatric settings.

Gender

There is no FDA guidance on the use of Valproic acid with respect to specific gender populations.

Race

There is no FDA guidance on the use of Valproic acid with respect to specific racial populations.

Renal Impairment

There is no FDA guidance on the use of Valproic acid in patients with renal impairment.

Hepatic Impairment

There is no FDA guidance on the use of Valproic acid in patients with hepatic impairment.

Females of Reproductive Potential and Males

There is no FDA guidance on the use of Valproic acid in women of reproductive potentials and males.

Immunocompromised Patients

There is no FDA guidance one the use of Valproic acid in patients who are immunocompromised.

Administration and Monitoring

Administration

There is limited information regarding Valproic acid Administration in the drug label.

Monitoring

There is limited information regarding Valproic acid Monitoring in the drug label.

IV Compatibility

There is limited information regarding the compatibility of Valproic acid and IV administrations.

Overdosage

There is limited information regarding Valproic acid overdosage. If you suspect drug poisoning or overdose, please contact the National Poison Help hotline (1-800-222-1222) immediately.

Pharmacology

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Valproic acid
Systematic (IUPAC) name
2-Propylpentanoic acid
Identifiers
CAS number 99-66-1
ATC code N03AG01
PubChem 3121
DrugBank DB00313
Chemical data
Formula Template:OrganicBox atomTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox 
Mol. mass 144.211 g/mol
SMILES eMolecules & PubChem
Synonyms 2-Propylvaleric acid
Pharmacokinetic data
Bioavailability Rapid absorption
Protein binding 80-90%[1]
Metabolism Hepaticglucuronide conjugation 30–50%, mitochondrial β-oxidation over 40%
Half life 9–16 hours[1]
Excretion Urine (30-50%)[1]
Therapeutic considerations
Licence data

US

Pregnancy cat.

D(AU) X(US)

Legal status

Prescription Only (S4)(AU) ?(CA) POM(UK) [[Prescription drug|Template:Unicode-only]](US)

Routes Oral, intravenous

Mechanism of Action

There is limited information regarding Valproic acid Mechanism of Action in the drug label.

Structure

There is limited information regarding Valproic acid Structure in the drug label.

Pharmacodynamics

There is limited information regarding Valproic acid Pharmacodynamics in the drug label.

Pharmacokinetics

There is limited information regarding Valproic acid Pharmacokinetics in the drug label.

Nonclinical Toxicology

There is limited information regarding Valproic acid Nonclinical Toxicology in the drug label.

Clinical Studies

There is limited information regarding Valproic acid Clinical Studies in the drug label.

How Supplied

There is limited information regarding Valproic acid How Supplied in the drug label.

Storage

There is limited information regarding Valproic acid Storage in the drug label.

Images

Drug Images

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Package and Label Display Panel

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Patient Counseling Information

There is limited information regarding Valproic acid Patient Counseling Information in the drug label.

Precautions with Alcohol

Alcohol-Valproic acid interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.

Brand Names

There is limited information regarding Valproic acid Brand Names in the drug label.

Look-Alike Drug Names

There is limited information regarding Valproic acid Look-Alike Drug Names in the drug label.

Drug Shortage Status

Price

References

The contents of this FDA label are provided by the National Library of Medicine.

  1. 1.0 1.1 1.2 "Depakene, Stavzor (valproic acid) dosing, indications, interactions, adverse effects, and more". Medscape Reference. WebMD. Retrieved 13 February 2014.