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Valproate (Depakote?)
Date: 05/16/2007
 
Author: Joshua Alexander, MD

COMMON USES:
Used to treat complex partial seizures
Used to treat absence (staring spell) seizures

HOW IT'S SUPPLIED:
Tablets (comes in 125 milligram, 250 milligram, and 500 milligram sizes)
Sprinkle Capsules (125 milligrams)
Extended Release (comes in 250- and 500-milligram tablets)

HOW IT WORKS:
While it is not known exactly how this medicine works, scientists believe that it increases the brain?s level of GABA, a calming chemical (neurotransmitter) which makes seizures less likely to happen.

THINGS TO DISCUSS WITH YOUR DOCTOR:

* Can be taken with or without food.

* Sprinkle Capsules work best for children who have trouble swallowing pills.

* Possible side effects include nausea, vomiting, stomach pain, diarrhea, weight gain, sleepiness, headache, tremor, rash, or decreased appetite.

* Can also cause blood platelet cells to run low (thrombocytopenia), and hair to fall out (alopecia).

* May cause liver and pancreas problems.

* Should NOT be given to a child with liver problems or urea cycle disorders.

* Blood tests to check liver enzymes and platelet cells should be done before starting this medicine and at regular intervals after starting.

* Taking other seizure medicines like Phenytoin (Dilantin?), Carbamazepine (Tegretol?) or Phenobarbital may lower blood levels of Depakote?.

* May cause spina bifida and other neural tube defects if taken by a pregnant woman.

* Sometimes used to treat Manic Depression (Bipolar Disorder).

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