Sodium Valproate Oral liquid 200 mg/5 mL (p)

1. Description / Prescription

  • Generic Name: Sodium Valproate
  • Formulation: Oral Liquid / Syrup
  • Strength: 200 mg per 5 mL
  • Route: Oral
  • Prescription Required: ✔️ Yes
  • Indications:
    • Management of epilepsy (all types of seizures)
    • Mood stabilization in bipolar disorder (off-label in children or adults unable to swallow tablets)
    • Sometimes used for migraine prophylaxis

2. Nature of the Medicine

  • Class: Anticonvulsant / Antiepileptic
  • Type: Pediatric and adult-use liquid formulation
  • Mechanism of Action:
    • Increases GABA levels in the brain (inhibitory neurotransmitter)
    • Stabilizes overactive neurons and suppresses seizure activity
    • Also modulates sodium and calcium channels to regulate nerve transmission

3. Advantages

  • Easier to swallow, especially for:
    • Children
    • Elderly
    • Patients with swallowing difficulties
  • Allows precise dosing adjustment (e.g., by body weight in children)
  • Faster onset of action than tablets in some cases
  • Can be dosed multiple times daily or adjusted easily

4. Common Packaging

  • Bottle Size: Usually 100 mL or 200 mL
  • Concentration: 200 mg per 5 mL
  • Measuring Device: Supplied with a measuring cup or oral syringe
  • Labeling Note: May be written as:
    • “Sodium Valproate Oral Solution 200 mg/5 mL”
    • Or “Valproic Acid equivalent” (based on the brand)

5. Storage Conditions

  • Store below 25°C
  • Do not freeze
  • Shake well before use
  • Keep tightly closed and out of reach of children
  • Use within 30–60 days after opening (check label)

6. Patient Advice

  • Take with food or milk to reduce stomach irritation
  • Use the measuring device provided — do not use a kitchen spoon
  • Shake the bottle well before each dose
  • Maintain regular dosing times each day
  • Do not stop the medication abruptly without medical advice
  • Avoid alcohol and sedative medications unless approved
  • Inform your doctor if:
    • You feel unusually tired, confused, or unwell
    • You notice signs of liver or pancreas problems (e.g., abdominal pain, vomiting, jaundice)

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