Doctor insights on:
Yes: Alopecia (loss of hair) due to medications will reverse with stopping the insulting agent (the medication which caused it) The question is what to do if you need those medications to balance your moods, and function more adequately. Please consult with your prescriber to switch those mood stabilizers to another type, and use hair products to stimulate the growth and health of your scalp. ...Read more
Valproic acid was the first product followed by valproex sodium (depakote, far less toxic). A drug approved by fda to treat migraine and/or epilepsy, and often used in psychiatry in addition. Very potent and valuable agent in view of broad spectrum benefits, but side effects and ...Read more
Absolutely: For many patients, valroate has lots of side-effects, esp. Weight gain as well as others. Lithium, which is an element, is indicated for bipolar disorder. Other medications are carbamazapine (tegretol) and the medications in the class called second generation antipsychotics. A common problem with many medications can be weight gain issues. I always try to avoid this with my patients. ...Read more
Timing: A valproic acid trough level, which is what should be measured, needs to be drawn ten to twelve hours after the last dose. Btw-the therapeutic range for levels is 50-100 for seizures, but it is 75-125 for mood stabilization. Other labs which should be drawn with the level are a CBC (blood count), and ast/alt (liver enzymes). ...Read more
Depakote: Valproic acid was the first product followed by valproex sodium (depakote, far less toxic). A drug approved by fda to treat migraine and/or epilepsy, and often used in psychiatry in addition. Very potent and valuable agent in view of broad spectrum benefits, but side effects and pregnancy risks very real. ...Read more
Considerable: Although Depakote and lithium are both prescribed and are effective for the treatment of bipolar d/o, they do differ. Depakote is actually an anticonvulsant medication prescribed for seizures, while lithium is not. The latter is basically a mineral and considered a mood stabilizing medication. Lithium is metabolized through the kidneys, while Depakote is through the liver. ...Read more
Medication effect: This is common question, most psych meds get quickly into your 'system' or blood and brain, but the effects are usually delayed often several weeks. Side effects occur when blood levels peak in a few days, but benefits can take weeks. So be patient. ...Read more
Categorically NO: If the valproate is for seizure control, I would definitely not recommend you take orlistat. Valproate is a prescription and should be given for a definite purpose. Orlistat is going to move things throug the bowel faster, inhibit fat absorption and can case mal-absorption of fat soluable vitamins in the diet. You end up pooping oil. If you do this, you should be under strict care of your doc. ...Read more
Not important: There is a technical chemical distinction between them, but no important difference for patients. ...Read more
Side effects?: Valproic acid is mainly used for the treatment of seizure disorders, bipolar depression or prevention of migraine headaches most important side effects are weight gain, occasional hair loss and ovarian cysts. It rarely causes fetal abnormalities (related to the development of the neural tube)in pregnancy. ...Read more
STOP!!: What is the point in asking so many unhelpful questions and crowding the reply section when IF you really want to know the answer you can get it on the internet This service is for people who genuinely want reasonable answers not available elsewhere! ...Read more
Depakote: Not sure why u would be taking the same medication twice? . Also, make sure your blood level is therapeutic. ...Read more
Valproic acid at low doses causing greater mental adverse side effects, and greater physical side effects at higher dosages?
Dose related: Both mental and physical side effects with valproic acid are usually dose related (higher the higher the dose). However, you might notice that the effectiveness (reduction in mental symptoms) is also dose related. What you are thinking of as adverse mental side effects might be untreated psychiatric symptoms. Part of what makes psychiatry interesting! :-). ...Read more
Very effective: Valproic Acid is a standard antiseizure medication, particularly used for primary generalized seizures and certain seizure syndromes. ...Read more
Yes: Depakote passes through breast milk in humans. Although the full risks of taking Depakote during breastfeeding are unknown, most documented cases suggest there is little risk to breastfed infants. Many pediatricians consider Depakote to be safe during breastfeeding. Still, if your doctor recommends taking Depakote while breastfeeding, be sure to watch for any side effects. ...Read more
Is 500mg valproic acid daily too low of a dose to even be therapeutic for a adult, to treat epilepsy?
Absolutely!: I rarely prescribe valproate as an initial anti-epileptic agent anymore (though I did years ago) since there are so many aeds (antiepileptic drugs) that just as well or better without causing so many side-effects. Tremor is one of the chief offenders. Tremor can occur even at "sub-therapeutic" blood levels. ...Read more
I am taking valproic acid and lamnet for seizures since last 3 yrs. Is there any long term side effect? Which meds should I avoid taking with these?
Check with your neurologist and check what other meds you are taking.
I'm proud of you for being so careful. ...Read more
M an epileptic patient. I used to take 3 med. Lamictal50mg, topamax100mg, depakene (valproic acid)1500mg twice a day. My new doc changed depakene (valproic acid) to tegretol250mg. Its ok?
Epilepsy: Yes it's ok if it ultimately helps improve seizure control and you tolerate it well. ...Read more
Depakote & period: Not likely, but please consult your Ob/Gyn. If Pregnancy test positive. ...Read more
No: Can use while breastfeeding. If you are on this medication then you probably have a seizure disorder or bipolar disease. There is a risk of congenital defects but some women need to stay on this type of medication or else their original problem may worsen which would also be detrimental to the baby. You should start taking 1 gram of Folic Acid a day before you get pregnant while on this. ...Read more
I take Epilim Chrono 500mg which isn't actually equal Depakote ER. (500mg Epilim = 333mg sodium valproate + 145 mg valproic acid), so when to test?
The idea is this medication is supposed to generate a steady state level after about 3 days. Peak and trough levels matter if you are looking for toxicity or sub-therapeutic levels with medications with a short half life. Also Depakote has a very wide therapeutic level (50-100)
Consider obtaining a Vit D level (which is often low) and checking ammonia after being on this medication a while. ...Read more
This is as safe as eating fish while on these- probably safer, as a good fish oil has been purified of mercury, pcb's etc.
Research studies show that adding fish oil to anti-depressants like zoloft (sertraline) often result in additional benefits (though some studies disagree). Fish oil is quite safe. See http://www. Drweil. Com/drw/u/qaa400988/fish-oil-for-depression. Html. ...Read more
Currently on topamax (topiramate) as a mood stabilizer and it's not working for my bipolar type 2. I've already been on lithium, valproic acid. Any new ideas?
Yes: You have not been through all mood-stabilizing possibilities. If you're not working with a psychiatrist to manage these medications, please do so. Tegretol and Lamictal are 2 other options to consider. Also seroquel -- and latuda, (lurasidone) especially if you're very bothered with bipolar depression. Take care. ...Read more
While on valproic acid (depakene), is it safer to use acetaminophen (tylenol) or ibuprofen (motrin)?
Check With Your MD: One should always check with their physician if they have specific questions regarding their medical care. In general, both Acetaminophen and Ibuprofen are safe to take with valproic acid. Taking more than 4000mg of Acetaminophen is not recommended due to liver toxicity. Patients taking valproic acid should have their liver function evaluated regularly by a simple blood test. ...Read more
While taking valproic acid (depakene), is it safer to take acetaminophen (tylenol) or ibuprofen (motrin)?
Depakote: Either one, not to exceed recommended dose. ...Read more
Chronic migraine... neurologist prescribed valproic acid, proponolol, flunarizine... these med make me v v sleepy whole day... cant go to work. Can I just try flunarizine?
Discuss with Doctor:
We can not advice you to stop any drug prescribed by your doctor. I suggest you discuss your concern about being drowsy with your doctor. Actually Flunarizine is what causes drowsiness as well as Valproic Acid and propranolol.All these drugs are used as preventive meds to prevent migraine attacks
Discuss your concern with your doctor and follow his/her advice ...Read more
I have gained 40 kg while taking lamictal, seroquel (quetiapine) and valproic acid for my bipolar disorder, how can I lose that weight? Thanks
My 11yr. Old is on valproic acid for seizure disorder, she is also on I'm amoxacillin. She has a bad cough can I give her cough medicine?
See below: Professionally, I do not recommend cough suppressants except as a last resort for cough that has persisted to the point of not sleeping for multiple nights. Cough is protective and keeps your airways open as well as clearing mucous and other fluid from your lungs. Keeping the cough reflex is important. However, if the trigger of the cough is mucous drainage, using Mucinex (guaifenesin) and a sudafed can help. ...Read more
My 5 yr son is under treatment with valproic acid due to febrile seizures. Dosage is 440mg/day and he weights 26kg. Is this dose correct?
Reasonable dose: This seems like a reasonable dose. This is on the low end of the scale. However you can go quite a bit higher. Ultimately, you need to weigh the risk of the medicine versus the benefit of preventing seizures. Please be sure you follow up to your doctor. ...Read more
Taking valproic acid 250mg twice a day & fluoxetine 10mg once a day. Left arm feels heavy & hand shakes but right doesnt. What could it be?
Get checked out: Weakness as you describe could be in related to the meds. Get it checked out to make sure it is not serious ...Read more