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====DEPAKOTE (divalproex sodium) tablet, delayed release====
====DEPAKOTE (divalproex sodium) tablet, delayed release====


'''  [[Divalproex sodium capsule/solution indications and usage|Indications and Usage]]'''
'''  [[Divalproex sodium indications and usage|Indications and Usage]]'''
'''| [[Divalproex sodium capsule/solution dosage and administration|Dosage and Administration]]'''
'''| [[Divalproex sodium dosage and administration|Dosage and Administration]]'''
'''| [[Divalproex sodium capsule/solution dosage forms and strengths|Dosage Forms and Strengths]]'''
'''| [[Divalproex sodium dosage forms and strengths|Dosage Forms and Strengths]]'''
'''| [[Divalproex sodium capsule/solution contraindications|Contraindications]]'''
'''| [[Divalproex sodium contraindications|Contraindications]]'''
'''| [[Divalproex sodium capsule/solution warnings and precautions|Warnings and Precautions]]'''
'''| [[Divalproex sodium warnings and precautions|Warnings and Precautions]]'''
'''| [[Divalproex sodium capsule/solution adverse reactions|Adverse Reactions]]'''
'''| [[Divalproex sodium adverse reactions|Adverse Reactions]]'''
'''| [[Divalproex sodium capsule/solution drug interactions|Drug Interactions]]'''
'''| [[Divalproex sodium drug interactions|Drug Interactions]]'''
'''| [[Divalproex sodium capsule/solution use in specific populations|Use in Specific Populations]]'''
'''| [[Divalproex sodium use in specific populations|Use in Specific Populations]]'''
'''| [[Divalproex sodium capsule/solution overdosage|Overdosage]]'''
'''| [[Divalproex sodium overdosage|Overdosage]]'''
'''| [[Divalproex sodium capsule/solution description|Description]]'''
'''| [[Divalproex sodium description|Description]]'''
'''| [[Divalproex sodium capsule/solution clinical pharmacology|Clinical Pharmacology]]'''
'''| [[Divalproex sodium clinical pharmacology|Clinical Pharmacology]]'''
'''| [[Divalproex sodium capsule/solution nonclinical toxicology|Nonclinical Toxicology]]'''
'''| [[Divalproex sodium nonclinical toxicology|Nonclinical Toxicology]]'''
'''| [[Divalproex sodium capsule/solution clinical studies|Clinical Studies]]'''
'''| [[Divalproex sodium clinical studies|Clinical Studies]]'''
'''| [[Divalproex sodium capsule/solution how supplied storage and handling|How Supplied/Storage and Handling]]'''
'''| [[Divalproex sodium how supplied storage and handling|How Supplied/Storage and Handling]]'''
'''| [[Divalproex sodium capsule/solution patient counseling information|Patient Counseling Information]]'''
'''| [[Divalproex sodium patient counseling information|Patient Counseling Information]]'''
'''| [[Divalproex sodium capsule/solution labels and packages|Labels and Packages]]'''
'''| [[Divalproex sodium labels and packages|Labels and Packages]]'''


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Revision as of 11:55, 7 February 2014

Divalproex sodium
DEPAKOTE® FDA Package Insert
Indications and Usage
Dosage and Administration
Dosage Forms and Strengths
Contraindications
Warnings and Precautions
Adverse Reactions
Drug Interactions
Use in Specific Populations
Overdosage
Description
Clinical Pharmacology
Nonclinical Toxicology
Clinical Studies
How Supplied/Storage and Handling
Patient Counseling Information
Labels and Packages
Clinical Trials on Divalproex sodium
ClinicalTrials.gov

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

For patient information about Valproic acid, click here.

Synonyms / Brand Names: Depakote®, Depakote ER®, Depakote Sprinkles®

Overview

Valproic acid (VPA, Valproate), an acidic chemical compound, has found clinical use as an anticonvulsant and mood-stabilizing drug, primarily in the treatment of epilepsy, bipolar disorder, and, less commonly, major depression. It is also used to treat migraine headaches. 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.[1]

FDA Package Insert

DEPAKOTE (divalproex sodium) tablet, delayed release

Indications and Usage | Dosage and Administration | Dosage Forms and Strengths | Contraindications | Warnings and Precautions | Adverse Reactions | Drug Interactions | Use in Specific Populations | Overdosage | Description | Clinical Pharmacology | Nonclinical Toxicology | Clinical Studies | How Supplied/Storage and Handling | Patient Counseling Information | Labels and Packages

Mechanism of Action

Valproate is believed to affect the function of the neurotransmitter GABA in the human brain, making it an alternative to lithium salts 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.[2]

Valproic acid also blocks voltage-gated sodium channels and T-type calcium channels. These mechanisms make valproic acid a broad-spectrum anticonvulsant drug.

Valproic acid is an inhibitor of the enzyme histone deacetylase 1 (HDAC1), hence it is a histone deacetylase inhibitor.

References

  1. PMID 22318143 (PMID 22318143)
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  2. PMID 17514356 (PMID 17514356)
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