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Epilepsy and nerve pain

Sodium valproate

Also sold as: Epilim, Depakine

Prescription neededEpilepsy and nerve pain
Comes as:TabletSyrupInjection

Usual adult dose

Usual adult dose: start with 300 mg twice a day; the doctor raises it slowly, usually to 1 g to 2 g a day. Women and girls who could become pregnant must not take it unless the doctor says there is no other choice and they use reliable contraception.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • weight gain
  • hair loss
  • mild shaking

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • severe stomach pain with vomiting (pancreatitis)
  • yellow eyes or skin
  • unusual bleeding or bruising

Do not take it, or take care, if

  • Pregnancy, and women or girls who could become pregnant (high risk of birth defects)
  • Liver disease, or family history of serious liver disease
  • Mitochondrial disease
  • Porphyria

Interactions

Medicines that can react with this one.

Serious2 medicinesDo not take these together unless your doctor says so.
  • Lamotrigine

    Valproate doubles lamotrigine levels and raises the risk of serious rash; the lamotrigine dose must be lowered.

  • Meropenem

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category D

There is evidence of risk to the baby. Used only in serious situations when safer medicines do not work.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

severe sleepiness or confusion

Meropenem sharply lowers valproate levels and can cause seizures.

Moderate5 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Aspirin

    Aspirin raises free valproate levels and the risk of bleeding.

  • Carbamazepine

    Carbamazepine lowers valproate levels; levels should be checked.

  • Lorazepam

    Valproate raises lorazepam levels; a lower lorazepam dose may be needed.

  • Mefloquine

    Mefloquine can lower valproate levels and the seizure threshold.

  • Phenobarbital

    Valproate raises phenobarbital levels and drowsiness.

Levetiracetam
  • Lamotrigine
  • Carbamazepine
  • Check with my other medicines

    Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.