Lancashire and South Cumbria
Formulary
 
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4 Central nervous system
04-02-03 Valproic acid

Sodium valproate
Formulary

Mood stabiliser (unlicensed indication)

In November 2023, due to known significant risk of serious harm to a baby after exposure to valproate the MHRA has stipulated that new regulatory measures will be put in place in January 2024 for oral valproate medicines as follows:

  • Valproate must not be initiated in patients male or female under the age of 55 years, unless two specialists independently consider and document that there is no other effective or tolerated treatment and any use of valproate in women of childbearing potential should be in accordance with the Pregnancy Prevention Programme.
  • At their next annual review females of childbearing potential will require the signature of a second specialist if valproate is to be continued

 

National Patient Safety Alert:  Valproate: organisations to prepare for new regulatory measures for oversight of prescribing to new patients and existing female patients

 https://assets.publishing.service.gov.uk/media/6565ddf162180b0012ce82fd/NatPSA-2023-013-MHRA.pdf

MHRA Drug Safety Update - Valproate medicines (Epilim▼, Depakote▼): contraindicated in women and girls of childbearing potential unless conditions of Pregnancy Prevention Programme are met 

https://www.gov.uk/drug-safety-update/valproate-medicines-epilim-depakote-contraindicated-in-women-and-girls-of-childbearing-potential-unless-conditions-of-pregnancy-prevention-programme-are-met?utm_source=eshot&utm_medium=email&utm_campaign=DSUApril2018Split2

 

Link  MHRA: Antiepileptic drugs in pregnancy: updated advice following comprehensive safety review
Link  MHRA: Antiepileptics: risk of suicidal thoughts and behaviour
Link  MHRA: Full pack dispensing of valproate-containing medicines
Link  MHRA: Valproate use in men: as a precaution, men and their partners should use effective contraception

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Valproic Acid
Formulary

E/C tablets 250mg, 500mg

Manic episodes associated with bipolar disorder.

In November 2023, due to known significant risk of serious harm to a baby after exposure to valproate the MHRA has stipulated that new regulatory measures will be put in place in January 2024 for oral valproate medicines as follows:

  • Valproate must not be initiated in patients male or female under the age of 55 years, unless two specialists independently consider and document that there is no other effective or tolerated treatment and any use of valproate in women of childbearing potential should be in accordance with the Pregnancy Prevention Programme.
  • At their next annual review females of childbearing potential will require the signature of a second specialist if valproate is to be continued

 

National Patient Safety Alert: Valproate: organisations to prepare for new regulatory measures for oversight of prescribing to new patients and existing female patients 

https://assets.publishing.service.gov.uk/media/6565ddf162180b0012ce82fd/NatPSA-2023-013-MHRA.pdf

MHRA Drug Safety Update - Valproate medicines (Epilim▼, Depakote▼): contraindicated in women and girls of childbearing potential unless conditions of Pregnancy Prevention Programme are met

 https://www.gov.uk/drug-safety-update/valproate-medicines-epilim-depakote-contraindicated-in-women-and-girls-of-childbearing-potential-unless-conditions-of-pregnancy-prevention-programme-are-met?utm_source=eshot&utm_medium=email&utm_campaign=DSUApril2018Split2

 

Link  MHRA: Antiepileptic drugs in pregnancy: updated advice following comprehensive safety review
Link  MHRA: Antiepileptic drugs: updated advice on switching between different manufacturers’ products
Link  MHRA: Antiepileptics: risk of suicidal thoughts and behaviour
Link  MHRA: Valproate use in men: as a precaution, men and their partners should use effective contraception

Amber 0 View adult BNF  View SPC online  View childrens BNF