Depakote Er

Migraine, Acute Coryza, Behcet Syndrome + 4 more

Treatment

20 Active Studies for Depakote Er

What is Depakote Er

Valproic acid

The Generic name of this drug

Treatment Summary

Valproic acid, also known as valproate, is a type of fatty acid derivative and anti-seizure medication. It was first introduced in 1881 and used as an industrial and pharmaceutical solvent. In the 1960s, it was discovered to have anticonvulsant properties. Valproic acid was approved by the FDA in 1978 and is now used to treat seizures, mania, and migraines. In recent years, it has also been studied for its anti-cancer effects and is being tested in clinical trials for various types of cancer.

Depakene

is the brand name

image of different drug pills on a surface

Depakote Er Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Depakene

Valproic acid

1978

481

Effectiveness

How Depakote Er Affects Patients

Valproate is used to treat complex partial seizures and migraine headaches, as well as bipolar mania. It is thought to work by increasing inhibition in the brain and protecting it from damage. However, this drug can also cause liver and birth defects. Research has shown that it may help with HIV treatment when taken with other medications, but further studies are needed. The FDA warns that HIV can become active again when taking this drug.

How Depakote Er works in the body

Valproate works in multiple ways to treat epilepsy, migraine headaches and bipolar disorder. It increases GABA activity in the brain, which is an inhibitory neurotransmitter, and suppresses sodium channels, which also helps reduce nerve firing. Valproate also affects the extracellular signal-related kinase pathway, resulting in increased expression of proteins and genes that can promote neuron growth and survival. It also reduces fatty acid metabolism, which can change membrane fluidity, and inhibits histone deacetylase, which can help relax DNA and increase gene expression. All of these effects work together to reduce nerve firing, promote neuron growth, and protect

When to interrupt dosage

The portion of Depakote Er is dependent on the diagnosed affliction, including Seizures, Seizure, Absence and Complex Partial Seizures. The dosage is contingent upon the technique of delivery (e.g. Injection, solution - Intravenous or Capsule, delayed release) outlined in the following table.

Condition

Dosage

Administration

Mental Depression

, 250.0 mg, 125.0 mg, 500.0 mg, 250.0 mg/mL, 100.0 mg/mL, 50.0 mg/mL, 500.0 mg/mL

, Oral, Tablet, extended release, Tablet, extended release - Oral, Capsule - Oral, Capsule, Tablet, delayed release - Oral, Tablet, delayed release, Capsule, coated pellets - Oral, Capsule, coated pellets, Injection, Injection - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral, Solution, Solution - Oral, Capsule, delayed release, Capsule, Delayed Release - Oral, Capsule, Delayed Release, Syrup - Oral, Liquid, Liquid - Intravenous, Tablet, film coated, Tablet, film coated - Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, delayed release particles, Tablet, delayed release particles - Oral, Tablet - Oral, Tablet, Intravenous, Injection, solution, Injection, solution - Intravenous, Capsule, delayed release - Oral, Syrup

Seizures

, 250.0 mg, 125.0 mg, 500.0 mg, 250.0 mg/mL, 100.0 mg/mL, 50.0 mg/mL, 500.0 mg/mL

, Oral, Tablet, extended release, Tablet, extended release - Oral, Capsule - Oral, Capsule, Tablet, delayed release - Oral, Tablet, delayed release, Capsule, coated pellets - Oral, Capsule, coated pellets, Injection, Injection - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral, Solution, Solution - Oral, Capsule, delayed release, Capsule, Delayed Release - Oral, Capsule, Delayed Release, Syrup - Oral, Liquid, Liquid - Intravenous, Tablet, film coated, Tablet, film coated - Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, delayed release particles, Tablet, delayed release particles - Oral, Tablet - Oral, Tablet, Intravenous, Injection, solution, Injection, solution - Intravenous, Capsule, delayed release - Oral, Syrup

Seizures

, 250.0 mg, 125.0 mg, 500.0 mg, 250.0 mg/mL, 100.0 mg/mL, 50.0 mg/mL, 500.0 mg/mL

, Oral, Tablet, extended release, Tablet, extended release - Oral, Capsule - Oral, Capsule, Tablet, delayed release - Oral, Tablet, delayed release, Capsule, coated pellets - Oral, Capsule, coated pellets, Injection, Injection - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral, Solution, Solution - Oral, Capsule, delayed release, Capsule, Delayed Release - Oral, Capsule, Delayed Release, Syrup - Oral, Liquid, Liquid - Intravenous, Tablet, film coated, Tablet, film coated - Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, delayed release particles, Tablet, delayed release particles - Oral, Tablet - Oral, Tablet, Intravenous, Injection, solution, Injection, solution - Intravenous, Capsule, delayed release - Oral, Syrup

Migraine

, 250.0 mg, 125.0 mg, 500.0 mg, 250.0 mg/mL, 100.0 mg/mL, 50.0 mg/mL, 500.0 mg/mL

, Oral, Tablet, extended release, Tablet, extended release - Oral, Capsule - Oral, Capsule, Tablet, delayed release - Oral, Tablet, delayed release, Capsule, coated pellets - Oral, Capsule, coated pellets, Injection, Injection - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral, Solution, Solution - Oral, Capsule, delayed release, Capsule, Delayed Release - Oral, Capsule, Delayed Release, Syrup - Oral, Liquid, Liquid - Intravenous, Tablet, film coated, Tablet, film coated - Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, delayed release particles, Tablet, delayed release particles - Oral, Tablet - Oral, Tablet, Intravenous, Injection, solution, Injection, solution - Intravenous, Capsule, delayed release - Oral, Syrup

Acute Coryza

, 250.0 mg, 125.0 mg, 500.0 mg, 250.0 mg/mL, 100.0 mg/mL, 50.0 mg/mL, 500.0 mg/mL

, Oral, Tablet, extended release, Tablet, extended release - Oral, Capsule - Oral, Capsule, Tablet, delayed release - Oral, Tablet, delayed release, Capsule, coated pellets - Oral, Capsule, coated pellets, Injection, Injection - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral, Solution, Solution - Oral, Capsule, delayed release, Capsule, Delayed Release - Oral, Capsule, Delayed Release, Syrup - Oral, Liquid, Liquid - Intravenous, Tablet, film coated, Tablet, film coated - Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, delayed release particles, Tablet, delayed release particles - Oral, Tablet - Oral, Tablet, Intravenous, Injection, solution, Injection, solution - Intravenous, Capsule, delayed release - Oral, Syrup

Behcet Syndrome

, 250.0 mg, 125.0 mg, 500.0 mg, 250.0 mg/mL, 100.0 mg/mL, 50.0 mg/mL, 500.0 mg/mL

, Oral, Tablet, extended release, Tablet, extended release - Oral, Capsule - Oral, Capsule, Tablet, delayed release - Oral, Tablet, delayed release, Capsule, coated pellets - Oral, Capsule, coated pellets, Injection, Injection - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral, Solution, Solution - Oral, Capsule, delayed release, Capsule, Delayed Release - Oral, Capsule, Delayed Release, Syrup - Oral, Liquid, Liquid - Intravenous, Tablet, film coated, Tablet, film coated - Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, delayed release particles, Tablet, delayed release particles - Oral, Tablet - Oral, Tablet, Intravenous, Injection, solution, Injection, solution - Intravenous, Capsule, delayed release - Oral, Syrup

Epilepsy

, 250.0 mg, 125.0 mg, 500.0 mg, 250.0 mg/mL, 100.0 mg/mL, 50.0 mg/mL, 500.0 mg/mL

, Oral, Tablet, extended release, Tablet, extended release - Oral, Capsule - Oral, Capsule, Tablet, delayed release - Oral, Tablet, delayed release, Capsule, coated pellets - Oral, Capsule, coated pellets, Injection, Injection - Intravenous, Capsule, liquid filled, Capsule, liquid filled - Oral, Solution, Solution - Oral, Capsule, delayed release, Capsule, Delayed Release - Oral, Capsule, Delayed Release, Syrup - Oral, Liquid, Liquid - Intravenous, Tablet, film coated, Tablet, film coated - Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, delayed release particles, Tablet, delayed release particles - Oral, Tablet - Oral, Tablet, Intravenous, Injection, solution, Injection, solution - Intravenous, Capsule, delayed release - Oral, Syrup

Warnings

Depakote Er Contraindications

Condition

Risk Level

Notes

Mitochondrial Diseases

Do Not Combine

Liver Failure

Do Not Combine

Disease

Do Not Combine

Liver Diseases

Do Not Combine

Enzymes

Do Not Combine

There are 20 known major drug interactions with Depakote Er.

Common Depakote Er Drug Interactions

Drug Name

Risk Level

Description

Abemaciclib

Major

The metabolism of Abemaciclib can be decreased when combined with Valproic acid.

Acalabrutinib

Major

The metabolism of Acalabrutinib can be decreased when combined with Valproic acid.

Alectinib

Major

The metabolism of Alectinib can be decreased when combined with Valproic acid.

Aminophylline

Major

The metabolism of Aminophylline can be decreased when combined with Valproic acid.

Amiodarone

Major

The metabolism of Amiodarone can be decreased when combined with Valproic acid.

Depakote Er Toxicity & Overdose Risk

The toxic dose of valproate in mice is 1098 mg/kg and in rats is 670 mg/kg. Overdosing on valproate can cause drowsiness, an abnormal heartbeat, deep unconsciousness, and high sodium levels in the blood. In severe cases, this can be fatal, but some patients have been known to survive with valproate levels as high as 2120 mcg/mL. Hemodialysis can be used to remove the unbound fraction of the drug from the blood. Pregnant women should be wary of taking valproate, as it has been linked to increased

image of a doctor in a lab doing drug, clinical research

Depakote Er Novel Uses: Which Conditions Have a Clinical Trial Featuring Depakote Er?

At present, 65 active studies are investigating the potential of Depakote Er in providing relief from Migraine, Complex Partial Seizures and Acute Coryza.

Condition

Clinical Trials

Trial Phases

Migraine

47 Actively Recruiting

Phase 4, Not Applicable, Phase 1, Phase 3, Phase 2, Early Phase 1

Seizures

0 Actively Recruiting

Seizures

0 Actively Recruiting

Acute Coryza

0 Actively Recruiting

Behcet Syndrome

1 Actively Recruiting

Not Applicable

Epilepsy

0 Actively Recruiting

Mental Depression

2 Actively Recruiting

Phase 2, Not Applicable

Depakote Er Reviews: What are patients saying about Depakote Er?

5

Patient Review

3/21/2016

Depakote Er for Tonic-Clonic Epilepsy

I've been seizure-free for over a decade thanks to this medication. I had tried several other treatments before this one, but none of them were effective. The only downside is that I gained some weight (10-15 pounds) when I started taking it.

5

Patient Review

7/12/2017

Depakote Er for Migraine Prevention

Before taking this medication, I was getting headaches every day. Now, I don't get them at all! It does make me a bit drowsy during the day, but that's nothing compared to constant headaches.

5

Patient Review

10/10/2018

Depakote Er for Migraine Prevention

I had been struggling with migraines for years before finding this medication. It's been a total game-changer for me and I'm so grateful.

5

Patient Review

10/30/2014

Depakote Er for Petit Mal Seizures

My wife has been taking Depakote for 2 1/2 years. Three 500 mg. tablets nightly. The severe tremors that manifested in her left hand have all but disappeared.

5

Patient Review

9/6/2016

Depakote Er for Migraine Prevention

Depakote is the only migraine preventative that has worked for me. I don't like the weight gain, but it's a small price to pay compared to having headaches every day.

4.3

Patient Review

7/13/2014

Depakote Er for Convulsive Seizures

I took this medication as part of a cocktail for my bipolar depression, which can last for years. I did see some benefits, like weight loss and increased organization, but I didn't feel like it was truly helping me so I moved on to Latuda.

4.3

Patient Review

8/29/2014

Depakote Er for Epileptic Seizure

Short-term memory loss and decreased energy levels are common side effects.

4

Patient Review

3/24/2014

Depakote Er for Bipolar Depression

I don't recommend this medication. It's dangerous and the FDA should reconsider its place on the market.

4

Patient Review

8/30/2014

Depakote Er for Seizures with Breaks in Consciousness & Other Symptoms

This medication has effectively reduced the frequency of my seizures.

3.7

Patient Review

7/16/2014

Depakote Er for Bipolar Depression

This drug has significantly decreased the frequency of my seizures and migraines, but I have experienced some negative side effects like weight gain and difficulty sleeping. Additionally, heat now makes me nauseous where it never did before.

3.7

Patient Review

11/7/2017

Depakote Er for Bipolar Depression

I've had to deal with depression on and off for many years. This medication has really helped me, but I get a lot of unpleasant side effects from it like stomach problems, crossed eyes, severe hand tremor, weight gain, unsteadiness, etc. So it's a tough decision whether to take the drug or not because either way I'm not living my best life.

2.3

Patient Review

6/3/2014

Depakote Er for Bipolar Depression

I didn't experience any side effects from this treatment, but I was also taking other drugs simultaneously.

2

Patient Review

4/6/2020

Depakote Er for Epileptic Seizure

While this treatment may work for some, it unfortunately caused more seizures that were also more frequent and severe. I also lost weight and experienced kidney stones as well as drastic changes in my sleep habits. This made me easily angered and often lashing out without any memory of what happened afterwards.

1

Patient Review

10/1/2016

Depakote Er for Bipolar Depression

I would not recommend going off this medication cold turkey. I ended up in the emergency room as a result of coming off it too quickly. The doctor said it would be out of my system within 24 hours, but that was clearly not the case.

1

Patient Review

3/23/2014

Depakote Er for Bipolar I Disorder with Most Recent Episode Mixed

image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about depakote er

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is Depakote ER used for?

"This medication is used to treat seizure disorders, to restore the balance of certain natural substances (neurotransmitters) in the brain, and to prevent migraine headaches."

Answered by AI

How does Depakote ER make you feel?

"Some people may experience negative side effects such as agitation, irritability, or abnormal behavior after taking divalproex sodium. Additionally, some people may have an increased risk for suicide or depression. If you experience any of these side effects, you should tell your doctor immediately."

Answered by AI

Does Depakote ER make you sleepy?

"B: Depakote may cause drowsiness, nausea, abdominal pain, diarrhea, vomiting, low platelet count, tremors, tiredness, and hair loss."

Answered by AI

What is the difference between Depakote DR and ER?

"Depakote is available as delayed-release tablets (DR) or DR sprinkle capsules. You will take Depakote more than once per day with these forms. Depakote ER is available as extended-release tablets that you will take once per day. You can take all forms of the drug with or without food."

Answered by AI

Clinical Trials for Depakote Er

Image of Arizona State University in Phoenix, United States.

App-based Breathing Program for Migraine

18+
All Sexes
Phoenix, AZ

Migraine is one of the most common neurological disorders, characterized by recurrent headaches, sensitivity to light and movement, nausea, and autonomic dysregulation. Although mind-body interventions like biofeedback have shown their efficacy, they remain underutilized due to barriers such as transportation, time constraints, lack of awareness, stigma, and cost. A targeted approach to enhancing HRV is HRV biofeedback (HRVB), a technique using visual or auditory feedback to help people regulate HRV through slow-paced breathing and positive emotional regulation to promote ANS balance and emotional resilience. Investigators will conduct a remotely delivered pilot RCT of an 8-week, 10 min/day, novel app-based HRVB intervention compared to a sham control intervention (matching intervention time and attention with no biofeedback component) in adult with chronic migraine. Investigators hypothesize data collected from the study will: a) support the feasibility and acceptability of the remotely delivered app-based HRVB intervention among adults with chronic migraine, and b) provide insights into refining the intervention by examining patterns of change in migraine and psychological outcomes from pre- to post-intervention.

Waitlist Available
Online Trial

Arizona State University

Image of Johns Hopkins Medicine in Baltimore, United States.

Embolization for Migraine

18 - 80
All Sexes
Baltimore, MD

This study is to test the safety and feasibility of a procedure called embolization of the middle meningeal arteries (MMA), using a product called Onyx. Embolization creates a plug in the arteries. MMA embolization with Onyx is not approved for use in patients with migraines, but is currently used in patients with subdural hematomas. The FDA is allowing the use of Onyx in this study. It is thought that by using Onyx to block the middle meningeal arteries, the amount of migraine-causing substances which are released into the brain's bloodstream will be reduced. The company that manufactures Onyx, Medtronic, is providing the supplies for this study. Participants will be in the study for about 8 months after enrolling, including 6 months of follow up after the procedure. The participants will be asked to complete a daily headache diary and continue the participant's regular migraine medications. Participants will also have several clinic visits and be asked to provide blood samples for research.

Waitlist Available
Has No Placebo

Johns Hopkins Medicine

Risheng Xu, MD, PhD

Medtronic

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Image of University of Minnesota in Minneapolis, United States.

Visual Adaptation for Visual Snow

18 - 60
All Sexes
Minneapolis, MN

The goal of this study is to learn more about the brain pathways and activity involved in creating Visual Snow Syndrome (VSS). The main questions it aims to answer are: * Does VSS arise from spontaneous activity in brain pathways? * Where in the brain does the activity contributing to VSS arise? * How does brain activity contribute to VSS? Participants will: 1. Undergo assessments and questionnaires to understand visual and mental symptoms, cognitive, and sensory function. 2. Make visual judgements based on images presented to them both inside and outside a magnetic resonance imaging (MRI) machine. 3. Undergo scanning of their brain while inside of an MRI machine.

Recruiting
Paid Trial

University of Minnesota

Michael-Paul Schallmo, Ph.D.

Image of HCA Florida north florida Hospital in Gainesville, United States.

Bupivacaine Injection for Headache

18+
All Sexes
Gainesville, FL

Headache is a frequent chief complaint among patients presenting to the Emergency Department (ED), accounting for 2.1 million visits annually in the United States. Often, individuals resort to ED care only after over-the-counter or home remedies have failed, leading to the predominant use of intravenous (IV) medications in the ED, including NSAIDs, triptans, neuroleptics, antiepileptics, and dopaminergic antagonists. Unfortunately, these pharmacologic treatments frequently induce side effects such as cognitive impairment, extrapyramidal reactions, and the potential for medication dependency. In the ED, patients frequently require concurrent administration of multiple systemic medications to achieve satisfactory pain relief, thereby elevating the risk associated with medication use. Despite these medication regimens, a significant portion of patients continue to experience inadequate pain relief. Consequently, the search for an optimal headache therapy-characterized by rapid and effective pain relief, long lasting results, minimal side effects, and allows for rapid ED patient turnover-continues to be a popular area of research in emergency medicine. The investigators plan to evaluate the use of 0.5% bupivacaine cervical IM injection at the c6-7 location for the treatment of non traumatic headaches using a non-inferiority design, randomized, prospective, open-label, controlled trial comparing it to physicians choice of intravenous medications in treatment of headache in the Emergency Department at North Florida Hospital.

Phase 3
Waitlist Available

HCA Florida north florida Hospital

Robyn Hoelle, MD

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We made a collection of clinical trials featuring Depakote Er, we think they might fit your search criteria.
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Image of Brigham and Women's Hospital in Boston, United States.

Cocoa Extract for Migraine

18+
All Sexes
Boston, MA

The goal of this clinical trial is to assess the feasibility of recruitment and adherence to a high-dose cocoa extract supplement in individuals diagnosed with episodic migraine. The main questions it aims to answer are: * Will we be able to enroll 114 participants during the recruitment period? * Will participants take study pills daily during the pill-taking period? Researchers will compare two doses of cocoa extract to placebo to determine the acceptability of higher doses of cocoa extract supplementation in this patient population. Participants will be asked to: * Provide two urine samples * Complete daily questionnaires * Take four study pills a day for 12 weeks

Recruiting
Dietary Supplement

Brigham and Women's Hospital

Pamela M Rist, ScD

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We made a collection of clinical trials featuring Depakote Er, we think they might fit your search criteria.
Go to Trials