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Valproic acid is fully ionized into valproate at the physiologic pH of the human body, and valproate is the active form of the drug. Sodium valproate is the sodium salt of valproic acid. Divalproex sodium is a coordination complex composed of equal parts of valproic acid and sodium valproate. [110]
Liver failure; Pancreatitis (these two usually occur in first 6 months and can be fatal); Leukopenia (low white blood cell count); Neutropenia (low neutrophil count); Pure red cell aplasia
Transient and/or dose-related hair loss; Dysmenorrhea; Haemorrhage (bleeding) Weight gain [c] Uncommon (0.01-0.1% frequency) Pancreatitis (sometimes lethal) Coma [a]
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Depakote (valproic acid/sodium valproate) – an antiepileptic and mood stabilizer used to treat bipolar disorder, neuropathic pain and others; sometimes called an antimanic medication. Depakene is the trade name for the same drug prepared without sodium. Desyrel – an atypical antidepressant used to treat depression and insomnia
A 2005 study found rates of autism among children exposed to sodium valproate before birth in the cohort studied were 8.9%. [15] The normal incidence for autism in the general population in 2018 was estimated at 1 in 44 (2.3%). [16]
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