Sodium Valproate
Sodium Valproate Information

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Sodium Valproate

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About Sodium Valproate

Sodium Valproate is anticonvulsant drug. It acts by potentiating GABA , an inhibitory neurotransmitter. Sodium Valproate is a drug of choice in all forms of epilepsy. Sodium Valproate is also used as the free acid i.e valproic acid, that was found to have an antiepileptic properties when used as a solvent in the search for other antiepileptic drug and Sodium Valproate is licensed for the acute manic attacks associated with bipolar disorders. The amides and esters of valproic acid are also active antileptic agents.

Indications

Sodium Valproate is primarily indicated in conditions like All forms of epilepsy, Generalised epilepsy with absence seizures, Prophylaxis of febrile convulsion, Prophylaxis of post traumatic epilepsy, Status epilepticus, and can also be given in adjunctive therapy as an alternative drug of choice in Alcohol withdrawal, Mania, Nelsons syndrome, Tardive dyskinesias.

Contraindication

Sodium Valproate

Side Effects

The severe or irreversible adverse effects of Sodium Valproate, which give rise to further complications include Thrombocytopenia.Sodium Valproate produces potentially life-threatening effects which include Pancreatitis, Liver damage, Extrapyrimidal symptoms, Hyperammonemia. which are responsible for the discontinuation of Sodium Valproate therapy.The signs and symptoms that are produced after the acute overdosage of Sodium Valproate include Death, Deepening coma.The symptomatic adverse reactions produced by Sodium Valproate are more or less tolerable and if they become severe, they can be treated symptomatically, these include Weight gain, Tremor, Hair loss, GI disorders, Hematological disorder, Leucopenia, bone marrow depression, nocturnal enuresis, curly hair development.

Warnings

Sodium valporate should be used with caution in patients with liver disease, bleeding disorder, history of a brain disorder or any allergy. It should be used caution while driving motor vehicles or performing tasks that require alertness. Before having surgery, including dental surgery, inform the doctor about the use of drug. This may interfere with urine ketone testing and give false positive results, if very high sugar readings (e.g.over 300) are occurring, ketones may be present in urine, contact the doctor or pharmacist. It should be used with extreme caution in children under 2 years old as serious liver problems exist.The drug is not recommended for use during pregnancy or lactation, Because it may cause some neural tube defect. Avoid use in pancreatitis,porphyria. Use with caution in HIV, lupus erythrematosus risk of weight gain associated with it.

High Risk Groups

Drug should not be given to Paediatrics, Pregnant Mothers, patients suffering from Kidney dysfunction, patients suffering from Liver Malfunction, Geriatrics, and Neonates.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.

Dosage

Sodium Valproate Dosage for Adults

Dose 1 to 2 g
Single Dose 1.5 (1.5)
Frequency 12 hourly
Route PO
Note: As maintenance dose.
Dose 600 mg
Single Dose 600 (600)
Frequency As recommended.
Route PO
Note: should be given in two divided doses. Take after food as starting dose. Increase gradually to maintenance dose.

Sodium Valproate Dosage for Neonatal

Dose 6 to 12 mg/kg
Single Dose 9 (9)
Frequency 8 hourly
Route Intravenous
Dose 6 to 12 mg/kg
Single Dose 9 (9)
Frequency 8 hourly
Route Oral

Sodium Valproate Dosage for Paedriatic

Dose 20 to 30 mg/kg
Single Dose 25 (25)
Frequency 24 hourly
Route Oral
Note: Maintenance doses , exceed upto 35mg/kg
Dose 0 to 400 mg
Single Dose 200 (200)
Frequency 24 hourly
Route Oral
Note: initial daily dose for children weighing more than 20 kg ,should be given in two divided doses
Dose 20 to 40 mg/kg
Single Dose 30 (30)
Frequency 24 hourly
Route Oral
Note: initial daily dose for children weighing less han 20 kg ,should be given in two divided doses
Dose 10 to 30 mg/kg
Single Dose 20 (20)
Frequency As recommended.
Route Slow IV
Note: over 3-5 minutes, maximum upto 2.5g,

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