Depakote Er
Migraine, Acute Coryza, Behcet Syndrome + 4 more
Treatment
20 Active Studies for Depakote Er
Treatment for
Migraine
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
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
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
5
Patient Review
7/12/2017
Depakote Er for Migraine Prevention
5
Patient Review
10/10/2018
Depakote Er for Migraine Prevention
5
Patient Review
10/30/2014
Depakote Er for Petit Mal Seizures
5
Patient Review
9/6/2016
Depakote Er for Migraine Prevention
4.3
Patient Review
7/13/2014
Depakote Er for Convulsive Seizures
4.3
Patient Review
8/29/2014
Depakote Er for Epileptic Seizure
4
Patient Review
3/24/2014
Depakote Er for Bipolar Depression
4
Patient Review
8/30/2014
Depakote Er for Seizures with Breaks in Consciousness & Other Symptoms
3.7
Patient Review
7/16/2014
Depakote Er for Bipolar Depression
3.7
Patient Review
11/7/2017
Depakote Er for Bipolar Depression
2.3
Patient Review
6/3/2014
Depakote Er for Bipolar Depression
2
Patient Review
4/6/2020
Depakote Er for Epileptic Seizure
1
Patient Review
10/1/2016
Depakote Er for Bipolar Depression
1
Patient Review
3/23/2014
Depakote Er for Bipolar I Disorder with Most Recent Episode Mixed
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