Dosage and Administration
Starting Dose: Common starting dose is 200 mg once daily, typically taken in the evening to minimize side effects like drowsiness.
Dose Adjustment: The dose may be gradually increased, depending on the clinical response and tolerability, typically ranging from 400 mg to 2000 mg daily (divided into 1-2 doses).
Administration: Take the tablet whole, with or without food. Do not chew or crush the tablet to maintain its controlled-release properties.
Precautions
Liver Function: Liver toxicity is a potential risk, particularly during the first few months of treatment. Regular monitoring of liver function (via blood tests) is recommended. Discontinue use if signs of liver damage (yellowing of skin/eyes, dark urine) appear.
Pancreatitis: Pancreatitis (inflammation of the pancreas) is a rare but serious side effect. Symptoms such as severe abdominal pain, nausea, or vomiting require immediate medical attention.
Pregnancy: Valproic acid is associated with birth defects, including neural tube defects (e.g., spina bifida). It should be used during pregnancy only if no safer alternatives are available, and effective contraception should be used during treatment.
Blood Disorders: Regular monitoring for low platelet count (thrombocytopenia), low white blood cells (leukopenia), and other blood disorders is essential during treatment.
CNS Effects: Drowsiness, sedation, dizziness, and cognitive impairment can occur. Use caution when performing tasks requiring mental alertness, such as driving or operating heavy machinery.