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Valproate

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Generic Name

Valproate, divalproex sodium

Brand Name

Depakene, Depacon, Depakote, Depakote ER, Depakote Sprinkles, and Stavzor

Class

Anticonvulsants, mood stabilizer, migraine prophylaxis

Proposed Mechanism(s) of Action

While the certain mechanism is unknown, it is believed to block voltage-sensitive sodium channels and to increase brain concentrations of GABA.

Indication

Acute mania, complex partial seizure disorder, simple and complex absence seizures, and migraine prophylaxis

Off-Label Use

Maintenance treatment of bipolar disorder, bipolar depression, psychosis, or schizophrenia

Side Effects

Serious

Polycystic ovaries, hepatoxicity (can be fatal), pancreatitis (can be fatal), and history of inducing suicidal ideation

Common

Sedation, tremor, headache, abdominal pain, diarrhea, decreased appetite, vomiting, constipation, weight gain, hyperandrogenism, hyperinsulinemia, problems controlling lipid level, and diminished bone mineral density

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References and Readings

  • Physicians’ desk reference (71st ed.) (2017). Montvale: Thomson PDR.

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  • Stahl, S. M. (2007). Essential psychopharmacology: The prescriber’s guide (2nd ed.). New York: Cambridge University Press.

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Correspondence to Efrain Antonio Gonzalez .

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© 2018 Springer International Publishing AG, part of Springer Nature

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Courtney, J.C., Gonzalez, E.A. (2018). Valproate. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, Cham. https://doi.org/10.1007/978-3-319-57111-9_1721

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