SODIUM VALPROATE

Background and Date of Approval

Sodium valproate is an anticonvulsant drug developed by the U.S. Food And Drug Administration and initially approved in 1996 for treating epilepsy.

Uses

Sodium valproate is used to treat epilepsy, including various seizure types and epilepsy syndromes. Epilepsy is a neurological disorder caused by recurrent and unpredictable seizures. Seizures are episodes of abnormal electrical activity in the brain that can lead to a wide range of symptoms, including loss of consciousness, muscle spasms, convulsions, altered sensations, or changes in behavior. It can also be prescribed for neurological conditions like bipolar disorder and migraines.

How is it administered?

Sodium valproate will be given to you by a doctor or other healthcare professional. It will be given as an intravenous injection (into a vein). It can also be given as an infusion through a drip into a vein. Your healthcare provider will decide the dose, route of administration, and duration of the treatment based on your health condition and other factors. Do not self-administer the medicine.

Side Effects

The side effects known to occur commonly during the treatment with Sodium valproate are diarrhea, stomach pain, nausea, vomiting, feeling dizzy or fainting, hearing problems, hair loss, changes in women’s periods, breast enlargement, swelling of feet and legs, weight gain, agitation, tingling or numbness in hands and feet, muscle pain and weakness. Some serious side effects include severe blistering rash, liver problems, blood clotting problems, mood changes, memory loss, and lack of concentration.

Warnings

Do not use Sodium valproate if you are allergic to Sodium valproate or any of the other ingredients of this medicine. Individuals with a rare condition called porphyria, which affects the breakdown of components of red blood cells, have a history of severe liver problems, urea cycle disorder, or mitochondrial disorder, such as Alpers-Huttenlocher syndrome. This medication should be avoided.

Precautions

Before initiating the treatment, notify your physician if you have diabetes, kidney problems, brain disease, systemic lupus erythematosus, or a carnitine palmitoyltransferase type II deficiency. In these cases, discussing your medical history and conditions with your physician is necessary to ensure the safe and effective use of this injection. If you are a woman who can become pregnant and are taking Sodium Valproate, use an effective method of birth control throughout your entire treatment with this medication.

Word of Advice

Alcohol can interact with Sodium valproate and potentially increase side effects like drowsiness. It's usually recommended to limit or avoid alcohol consumption while on this medication. Maintain a balanced diet and regular eating schedule. This medicine can affect appetite or cause weight gain, so it's important to discuss any dietary concerns with your doctor or a registered dietitian.

References

Desitin Arzneimittel GmbH, Electronic medicines compendium (EMC), [Revised on Dec 2021] [ Accessed on 02 Sep 2023], https://www.medicines.org.uk/emc/files/pil.293.pdf Hospira, Inc, US Food and Drug Administration, [Revised on July 2013] [ Accessed on 02 Sep 2023], https://www.accessdata.fda.gov/drugsatfda_docs/label/2013/020593s026lbl.pdf

Frequently Asked Questions

What is the actual mechanism of action of sodium valproate?

Sodium valproate works by increasing the levels of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain. GABA helps to calm nerve activity and reduce the likelihood of seizures or mood swings.

Can Sodium valproate be used in children?

Sodium valproate can be prescribed to children, but the dosage and safety considerations may differ from those in adults. It should only be used in children under the supervision of a pediatrician or neurologist.

Can I drink alcohol while taking Sodium valproate?

It's advisable to avoid alcohol while taking Sodium valproate, as alcohol can increase the risk of side effects such as drowsiness and liver problems.

Is Sodium valproate safe during pregnancy?

Sodium valproate is generally not recommended during pregnancy unless there are no other effective treatment options available. Pregnant women should discuss alternative treatment options with their physicians.

What are the common side effects of Sodium valproate?

The common side effects of Sodium valproate may include drowsiness, dizziness, weight gain, nausea, and hair thinning. However, side effects can vary from person to person.

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Written By: P. Thirumal Reddy

Reviewed By: Dr. Tejashwin Adiga