Valproate sodium: Difference between revisions

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{{Valproate sodium}}
{{Main|Valproate}}
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'''''For patient information about Valproate sodium, click [[Valproic Acid (patient information)|here]].'''''
{{SB}} Depacon<sup>®</sup>
==Overview==
'''Valproic acid''' ('''VPA, Valproate'''), an [[acid]]ic [[chemical compound]], has found clinical use as an [[anticonvulsant]] and [[mood stabilizer|mood-stabilizing]] [[medication|drug]], primarily in the treatment of [[epilepsy]], [[bipolar disorder]], and, less commonly, [[major depressive disorder|major depression]]. It is also used to treat [[migraine headache|migraine]] [[headache]]s. VPA is a liquid at room temperature, but it can be reacted with a base such as sodium hydroxide to form the salt [[sodium valproate]], which is a solid. The acid, salt, or a mixture of the two ([[valproate semisodium]]) are marketed under the various brand names Depakote, Depakote ER, Depakene, Depakine, Depakine Crono (extended release in Spain), Depacon, Dépakine, Valparin, and Stavzor.
Approved uses of the various formulations vary by country; e.g., valproate semisodium is used as a mood stabilizer and also in the US as an anticonvulsant.
VPA is a [[histone deacetylase inhibitor]] and is under investigation for treatment of HIV and  various cancers.<ref>{{cite pmid|22318143}}</ref>
==FDA Package Insert==
'''  [[Valproate sodium indications and usage|Indications and Usage]]'''
'''| [[Valproate sodium dosage and administration|Dosage and Administration]]'''
'''| [[Valproate sodium dosage forms and strengths|Dosage Forms and Strengths]]'''
'''| [[Valproate sodium contraindications|Contraindications]]'''
'''| [[Valproate sodium warnings and precautions|Warnings and Precautions]]'''
'''| [[Valproate sodium adverse reactions|Adverse Reactions]]'''
'''| [[Valproate sodium drug interactions|Drug Interactions]]'''
'''| [[Valproate sodium use in specific populations|Use in Specific Populations]]'''
'''| [[Valproate sodium overdosage|Overdosage]]'''
'''| [[Valproate sodium description|Description]]'''
'''| [[Valproate sodium clinical pharmacology|Clinical Pharmacology]]'''
'''| [[Valproate sodium nonclinical toxicology|Nonclinical Toxicology]]'''
'''| [[Valproate sodium clinical studies|Clinical Studies]]'''
'''| [[Valproate sodium how supplied storage and handling|How Supplied/Storage and Handling]]'''
'''| [[Valproate sodium patient counseling information|Patient Counseling Information]]'''
'''| [[Valproate sodium labels and packages|Labels and Packages]]'''
{|
| [[File:Valproate sodium warnings.png|800px|thumb]]
|}
==Mechanism of Action==
Valproate is believed to affect the function of the [[neurotransmitter]] [[GABA]] in the human brain, making it an alternative to [[Lithium pharmacology|lithium salt]]s in treatment of bipolar disorder. Its mechanism of action includes enhanced neurotransmission of GABA (by inhibiting [[GABA transaminase]], which breaks down GABA). However, several other mechanisms of action in neuropsychiatric disorders have been proposed for valproic acid in recent years.<ref>{{cite pmid|17514356}}</ref>
Valproic acid also blocks [[voltage-gated sodium channel]]s and [[T-type calcium channels]]. These mechanisms make valproic acid a broad-spectrum anticonvulsant drug.
Valproic acid is an [[Enzyme inhibitor|inhibitor]] of the [[enzyme]] [[histone deacetylase 1]] (HDAC1), hence it is a [[histone deacetylase inhibitor]].
==References==
{{Reflist|2}}
[[Category:Antimigraine drugs]]
[[Category:Anticonvulsants]]

Revision as of 14:11, 10 March 2015