Sodium Valproate Flashcards
1
Q
MoA
A
Voltage-gated Na+ channels
Inhibitor
Inhibit inactivation of inhibitory NT GABA and block its reuptake into neurones
Inhibition of AP transmission both pre- + post-synaptically
Increased levels of GABA in brain and interruption of seizure activity
2
Q
Indications
A
Epilepsy
Acute Mania
Maintenance treatment for Bipolar Disorder
3
Q
ADR
A
Valproate SEs Appetite increase and weight gain Liver failure Pancreatitis Reversible hair loss Oedema Ataxia Tertaogenicity, Tremor, Thrombocytopenia Encephalopathy ( confusion as elevated ammonia )
4
Q
Prescribing Advice
A
Avoid in Obesity + Pregnancy
Check FBC at baseline
X Hepatic disease