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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
  • severe sleepiness or confusion

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

    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.

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.

  • 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.

  • Phenobarbital

    Valproate raises phenobarbital levels and drowsiness.