IQ in children who were exposed. What should I tell my healthcare provider before taking Depakote or Depakene? The maximum time interval between doses should not exceed 12 hours. Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take. cheapest symbicort purchase shopping usa
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your or local waste disposal company. Your doctor will prescribe the right amount for you. Do not use another person's nitroglycerin. When do I use quick-acting nitroglycerin? In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy.
Paul Thompson, MD, UCLA, Laboratory of Neuroimaging NIMH media file. IQ scores following in utero exposure. Manic Syndrome Scale MSS and the Behavior and Ideation Scale BIS. Depakote tablets are administered orally. Long-acting forms of nitroglycerin are used to prevent angina from happening. They are not used to stop sudden symptoms of angina. These long-acting forms include pills, tablets, ointment, and skin patches. This topic does not cover these long-acting forms of nitroglycerin.
Depakote ER extended-release tablets may increase the ammonia levels in your blood. Contact your doctor right away if you experience unexplained sluggishness and vomiting or mental changes. Mock CM, Schwetschenau KH 2012. "Levocarnitine for valproic-acid-induced hyperammonemic encephalopathy". Am J Health Syst Pharm. Like other antiepileptic drugs, Depakote or Depakene may cause suicidal thoughts or actions in a very small number of people, about 1 in 500. Depakote or Depakene, until you talk with your doctor.
Nervous System: Abnormal Gait, Agitation, Catatonic Reaction, Dysarthria, Hallucinations, Hypertonia, Hypokinesia, Psychosis, Reflexes Increased, Sleep Disorder, Tardive Dyskinesia, Tremor. Days 7, 14, and 21, respectively. Figure 4. These rates were significantly different. CMV infected patients clinically. The increased risk of suicidal thoughts or behavior with AEDs was observed as early as one week after starting drug treatment with AEDs and persisted for the duration of treatment assessed. Because most trials included in the analysis did not extend beyond 24 weeks, the risk of suicidal thoughts or behavior beyond 24 weeks could not be assessed. Digestive System: Anorexia, constipation, dry mouth, flatulence, gastrointestinal disorder unspecified and stomatitis. Depakote ER divalproex sodium extended-release tablets are administered orally, and must be swallowed whole. Gill D, Derry S, Wiffen PJ, Moore RA 2011. PDF. Cochrane Database Syst Rev 10: CD009183. Windorfer A Jr, Sauer W, Gadeke R. Elevation of diphenylhydantoin and primidone serum concentration by addition of dipropylacetate, a new anticonvulsant drug. Severe allergic reactions rash; hives; itching; difficulty breathing or swallowing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; abnormal thinking; change in menstrual period; changes in behavior; chest pain; confusion; dark, tarry, or bloody stools; difficulty speaking; difficulty urinating or other urination problems; extreme tiredness; fainting; fast or irregular heartbeat; hallucinations; hearing loss; involuntary movements of the arms and legs; involuntary movements or chewing movements of the face, jaw, mouth, or tongue; joint pain; lack of energy; loss of coordination; memory loss; new or worsening mental or mood changes eg, aggressiveness, agitation, anxiety, depression, exaggerated feeling of well-being, hostility, impulsiveness, inability to sit still, irritability, panic attacks, restlessness; new or worsening seizures; nosebleed; pounding in the chest; red, swollen, blistered, or peeling skin; ringing in the ears; severe or persistent nausea, vomiting, or stomach pain; shortness of breath; suicidal thoughts or actions; swelling of the arms or legs; swollen lymph nodes; symptoms of infection eg, fever, chills, sore throat; symptoms of liver problems eg, dark urine, loss of appetite, pale stools, severe stomach pain, yellowing of the skin or eyes; tremor; unusual bleeding or bruising; unusual weakness; vision changes or blurred vision. Depakote group see Figure 4. These rates were significantly different. Use Depakote delayed-release tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions. SGOT increase, and SGPT increase.
How can I watch for early symptoms of suicidal thoughts and actions? Metabolic and Nutritional Disorders: Hypoproteinemia, Peripheral Edema. Overdosage with valproate may result in somnolence, heart block, deep coma, and hypernatremia. Generic Depakote termed divalproex sodium is available under several other names. Nervous System: Anxiety, confusion, abnormal gait, paresthesia, hypertonia, incoordination, abnormal dreams, personality disorder. Matsuoka M, Igisu H 1993. "Comparison of the effects of L-carnitine, D-carnitine and acetyl-L-carnitine on the neurotoxicity of ammonia". Biochem. Pharmacol. For colistimethate injection, consult the product instructions and your for storage details. ceftin
Children under the age of two years are at a considerably increased risk of developing fatal hepatotoxicity, especially those on multiple anticonvulsants, those with congenital metabolic disorders, those with severe seizure disorders accompanied by mental retardation, and those with organic brain disease. When Depakote ER is used in this patient group, it should be used with extreme caution and as a sole agent. The benefits of therapy should be weighed against the risks. The incidence of fatal hepatotoxicity decreases considerably in progressively older patient groups. Your doctor will advise you when to use your nitroglycerin. Skin and Appendages: Rash, pruritus, dry skin. Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? When Depakote ER is used in this patient group, it should be used with extreme caution and as a sole agent. The benefits of therapy should be weighed against the risks. Above the age of 2 years, experience in epilepsy has indicated that the incidence of fatal hepatotoxicity decreases considerably in progressively older patient groups. Nitroglycerin can get old. And when it is old, it may not work. If your nitroglycerin supply is past its expiration date, get a new prescription as soon as possible. Keep your nitroglycerin in the container it came in and tightly closed. Do not open your sublingual nitroglycerin until you need a dose. Replace your tablets every 3 to 6 months. A nitroglycerin spray may last up to 2 years before it expires. Depakote delayed-release tablets may interfere with certain lab tests, including thyroid function. Be sure your doctor and lab personnel know you are taking Depakote delayed-release tablets. Ornoy A 2009. "Valproic acid in pregnancy: how much are we endangering the embryo and fetus? There are published case reports of fatal hepatic failure in offspring of women who used valproate during pregnancy. The concomitant use of valproate and clonazepam may induce absence status in patients with a history of absence type seizures. Women who are pregnant must not take Depakote or Depakene to prevent migraine headaches. No. 2, and iron oxide. Severe and sometimes fatal pancreas problems pancreatitis have occurred with the use of Depakote ER extended-release tablets. This has been reported shortly after starting treatment as well as after several years of use. Seek immediate medical attention if you notice any stomach pain, nausea, vomiting, or loss of appetite. ranolazine hashimoto australia ranolazine
Check the labels on all your medicines such as allergy or cough-and-cold products because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely. Valproate should only be used to treat pregnant women with epilepsy or bipolar disorder if other medications have failed to control their symptoms or are otherwise unacceptable. National Alliance on Mental Illness NAMI: "Schizophrenia in Children and Adolescents. Routy JP, Tremblay CL, Angel JB, Trottier B, Rouleau D, Baril JG, Harris M, Trottier S, Singer J, Chomont N, Sékaly RP, Boulassel MR 2012. "Valproic acid in association with highly active antiretroviral therapy for reducing systemic HIV-1 reservoirs: results from a multicentre randomized clinical study". HIV Med. Depakote-treated patients and for which the incidence was greater than in the placebo group, in the placebo-controlled trial of adjunctive therapy for treatment of complex partial seizures. Since patients were also treated with other antiepilepsy drugs, it is not possible, in most cases, to determine whether the following adverse reactions can be ascribed to Depakote alone, or the combination of Depakote and other antiepilepsy drugs. Depakote is contraindicated in patients with known urea cycle disorders UCD. Hyperammonemic encephalopathy, sometimes fatal, has been reported following initiation of valproate therapy in patients with urea cycle disorders, a group of uncommon genetic abnormalities, particularly ornithine transcarbamylase deficiency. Prior to the initiation of Depakote therapy, evaluation for UCD should be considered in the following patients: 1 those with a history of unexplained encephalopathy or coma, encephalopathy associated with a protein load, pregnancy-related or postpartum encephalopathy, unexplained mental retardation, or history of elevated plasma ammonia or glutamine; 2 those with cyclical vomiting and lethargy, episodic extreme irritability, ataxia, low BUN, or protein avoidance; 3 those with a family history of UCD or a family history of unexplained infant deaths particularly males; 4 those with other signs or symptoms of UCD. Some of the side effects that can occur with divalproex sodium may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. Carbapenem antibiotics for example, ertapenem, imipenem, meropenem; this is not a complete list may reduce serum valproate concentrations to subtherapeutic levels, resulting in loss of seizure control. Serum valproate concentrations should be monitored frequently after initiating carbapenem therapy. Ask your health care provider any questions you may have about how to use Depakote delayed-release tablets. Pay attention to any changes, especially sudden changes in mood, behaviors, thoughts, or feelings. The following list provides information about the potential for an influence of several commonly prescribed medications on valproate pharmacokinetics. The list is not exhaustive nor could it be, since new interactions are continuously being reported. Due to a decrease in unbound clearance of valproate and possibly a greater sensitivity to somnolence in the elderly, the starting dose should be reduced in these patients. Dosage should be increased more slowly and with regular monitoring for fluid and nutritional intake, dehydration, somnolence, and other adverse reactions. Dose reductions or discontinuation of valproate should be considered in patients with decreased food or fluid intake and in patients with excessive somnolence. abilify bought
Depakote ER every day as prescribed. Avoid exposure to sunlight or tanning beds. Divalproex sodium can make you sunburn more easily. Wear protective clothing and use sunscreen SPF 30 or higher when you are outdoors. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. Depakote ER is an extended-release product intended for once-a-day oral administration. Depakote ER tablets should be swallowed whole and should not be crushed or chewed. Antiepilepsy drugs should not be abruptly discontinued in patients in whom the drug is administered to prevent major seizures because of the strong possibility of precipitating status epilepticus with attendant hypoxia and threat to life. Metabolic and Nutritional Disorders: Peripheral edema, SGOT increase, and SGPT increase. Depakote Sprinkle Capsules may be swallowed whole, or they may be opened and the contents may be sprinkled on a small amount of soft food, such as applesauce or pudding. See the Administration Guide at the end of this Medication Guide for detailed instructions on how to use Depakote Sprinkle Capsules. Administration of a single oral 50 mg dose of amitriptyline to 15 normal volunteers 10 males and 5 females who received valproate 500 mg BID resulted in a 21% decrease in plasma clearance of amitriptyline and a 34% decrease in the net clearance of nortriptyline. Rare postmarketing reports of concurrent use of valproate and amitriptyline resulting in an increased amitriptyline level have been received. Concurrent use of valproate and amitriptyline has rarely been associated with toxicity. Monitoring of amitriptyline levels should be considered for patients taking valproate concomitantly with amitriptyline. Urogenital System: Cystitis, Urinary Tract Infection, Menstrual Disorder, Vaginitis. BID revealed no significant changes in valproate trough plasma levels. Older adults may be more sensitive to the side effects of this drug, especially drowsiness, dizziness, unsteadiness, or tremor. Drowsiness, dizziness, unsteadiness can increase the risk of falling. Hyperammonemic encephalopathy, sometimes fatal, has been reported following initiation of valproate therapy in patients with urea cycle disorders, a group of uncommon genetic abnormalities, particularly ornithine transcarbamylase deficiency. Prior to the initiation of Depakote ER therapy, evaluation for UCD should be considered in the following patients: 1 those with a history of unexplained encephalopathy or coma, encephalopathy associated with a protein load, pregnancy-related or postpartum encephalopathy, unexplained mental retardation, or history of elevated plasma ammonia or glutamine; 2 those with cyclical vomiting and lethargy, episodic extreme irritability, ataxia, low BUN, or protein avoidance; 3 those with a family history of UCD or a family history of unexplained infant deaths particularly males; 4 those with other signs or symptoms of UCD. Depakote to placebo. Ninety patients completed the 8-week maintenance period. Drug dose titration, using 250 mg tablets, was individualized at the investigator's discretion. Respiratory System: Hiccup, Rhinitis. Experience employing dosing regimens from once-a-day to four-times-a-day, as well as studies in primate epilepsy models involving constant rate infusion, indicate that total daily systemic bioavailability extent of absorption is the primary determinant of seizure control and that differences in the ratios of plasma peak to trough concentrations between valproate formulations are inconsequential from a practical clinical standpoint.
Divalproex sodium dissociates to the valproate ion in the gastrointestinal tract. The mechanisms by which valproate exerts its therapeutic effects have not been established. It has been suggested that its activity in epilepsy is related to increased brain concentrations of gamma-aminobutyric acid GABA. Jodi Abbott, MD, assistant professor of obstetrics, gynecology and reproductive biology at Harvard Medical School, and an ob-gyn at Beth Israel-Deaconess Medical Center in Boston. The following adverse reactions occurred in at least 5% of Depakote-treated patients and at an equal or greater incidence for placebo than for Depakote: flu syndrome and pharyngitis. Red No. 40, glycerin, methylparaben, propylparaben, sorbitol, sucrose, water, and natural and artificial flavors. Baselt, Disposition of Toxic Drugs and Chemicals in Man, 8th edition, Biomedical Publications, Foster City, CA, 2008, pp. 1622-1626. While is usually associated with altered physical characteristics this is not always the case. Discontinuations for somnolence were also significantly higher than with placebo. In some patients with somnolence approximately one-half there was associated reduced nutritional intake and weight loss. There was a trend for the patients who experienced these events to have a lower baseline albumin concentration, lower valproate clearance, and a higher BUN. In elderly patients, dosage should be increased more slowly and with regular monitoring for fluid and nutritional intake, dehydration, somnolence, and other adverse reactions. Sztajnkrycer MD 2002. "Valproic acid toxicity: overview and management". J. Toxicol. Clin. Toxicol. Reidenberg P, Glue P, Banfield CR, Colucci RD, Meehan JW, Radwanski E, Mojavarian P, Lin CC, Nezamis J, Guillaume M, et al. Effects of felbamate on the pharmacokinetics of phenobarbital. Lamictal lamotrigine US prscribing information. This medication may rarely cause a severe intestinal condition -associated due to a type of resistant bacteria. This condition may occur during treatment or weeks to months after treatment has stopped. Do not use anti- products or pain if you have any of the following symptoms because these products may make them worse. Aptiom eslicarbazepine US prescribing information. Sunovian Pharmaceuticals Inc. November, 2013. allegra where to order canada
Body as a Whole: Chest pain. Some young people have thoughts about suicide when first taking divalproex sodium. Your doctor will need to check your progress at regular visits while you are using this medicine. Your family or other caregivers should also be alert to changes in your mood or symptoms. This information should not be used to decide whether or not to take Depakote delayed-release tablets or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Depakote delayed-release tablets. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Depakote delayed-release tablets. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using Depakote delayed-release tablets. Taking this medicine with other drugs that make you sleepy can worsen this effect. Ask your doctor before taking gabapentin with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures. Also, tell your doctor about other drugs, vitamins, and you take. when you are taking an epilepsy medication. Food and Drug Administration FDA has issued a warning on anticonvulsants and the risk of and thoughts. The FDA does not recommend that people stop using these medicines. In six patients who were seropositive for HIV, the clearance of zidovudine 100 mg q8h was decreased by 38% after administration of valproate 250 or 500 mg q8h; the half-life of zidovudine was unaffected. If you experience a rash of any kind, contact your doctor immediately. Your doctor may need to adjust the dose of your lamotrigine or valproic acid. This rash is more common in children. generic evista purchase shopping usa evista
Use effective birth control while using divalproex sodium, and tell your doctor right away if you become pregnant. Tell your doctor if you start or stop using hormonal contraception that contains estrogen birth control pills, injections, implants, skin patches, and vaginal rings. Estrogen can interact with divalproex sodium and make it less effective in preventing seizures. The incidence of treatment-emergent events has been ascertained based on combined data from two three week placebo-controlled clinical trials of Depakote ER in the treatment of manic episodes associated with bipolar disorder. McKee PJ, Blacklaw J, Forrest G, Gillham RA, Walker SM, Connelly D, Brodie MJ. A double-blind, placebo-controlled interaction study between oxcarbazepine and carbamazepine, sodium valproate and phenytoin in epileptic patients. Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use Depakote or Depakene for a condition for which it was not prescribed. Do not give Depakote or Depakene to other people, even if they have the same symptoms that you have. It may harm them. Do not save for future use. Banner Pharmacaps, Inc. and AbbVie Inc, approved by the FDA. Medication Guide: Depakote ER, Depakote, Depakene. Retrieved November 15th 2015. Depakote delayed-release tablets are to be used only by the patient for whom it is prescribed. Do not share it with other people. Graves NM, Holmes GB, Fuerst RH, Leppik IE. Effect of felbamate on phenytoin and carbamazepine serum concentrations. If you are using colistimethate as an inhalation, store the unmixed vials at room temperature. Stopping Depakote or Depakene suddenly can cause serious problems. Serious. These medicines may interact and cause very harmful effects. Depakote tablets are intended for oral administration. Depakote tablets should be swallowed whole and should not be crushed or chewed. Depakote ER extended-release tablets comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Depakote ER extended-release tablets refilled. amlodipine
Counsel patients, their caregivers, and families that AEDs, including Depakote, may increase the risk of suicidal thoughts and behavior and to be alert for the emergence or worsening of symptoms of depression, any unusual changes in mood or behavior, or the emergence of suicidal thoughts, behavior, or thoughts about self-harm. Also i know a girl who is on 60 mgs of methadone and she also takes lithium with no methadone withdrawls. I know for sure it because you were on a very high dose of methadone then dropped down to 60 mgs methadone way to fast. Methadone has suxh a long freakin Half-Life that it takes an unbelievable amount of time to tapper off of. And still you will have really bad withdrawls! Depakote tablets are for oral administration. This information is generalized and not intended as specific medical advice. Sit or lie down to take your nitroglycerin. If you are driving, pull over and park the car. Two of the pediatric studies were double-blinded placebo-controlled trials to evaluate the efficacy of Depakote ER for the indications of mania 150 patients aged 10 to 17 years, 76 of whom were on Depakote ER and migraine 304 patients aged 12 to 17 years, 231 of whom were on Depakote ER. Efficacy was not established for either the treatment of migraine or the treatment of mania.
As with other valproate products, doses of Depakote ER should be individualized and dose adjustment may be necessary. If a patient requires smaller dose adjustments than that available with Depakote ER, Depakote should be used instead. During the placebo controlled pediatric mania trial, one 1 in twenty 20 adolescents 5% treated with valproate developed increased plasma ammonia levels compared to no 0 patients treated with placebo. Study 1: The first study enrolled adult patients who met DSM-III-R criteria for bipolar disorder and who were hospitalized for acute mania. In addition, they had a history of failing to respond to or not tolerating previous lithium carbonate treatment. Double-blind placebo-controlled trials have been negative. Because this medication can be potentially harmful to the fetus, valproate should be considered for women of childbearing potential only after the risks have been discussed. usine du prometrium
As hard as it was to spend a long stretch stretched out, she'd do it again to give her child every chance, she says. CBZ to epileptic patients. The following table presents the findings for all patients randomized who had at least one post-randomization assessment. You may also feel a burning sensation under your tongue. Depakote divalproex sodium US prescribing information. AbbVie Inc. February, 2016. Over the age of 10 years, children have pharmacokinetic parameters that approximate those of adults. The variability in free fraction limits the clinical usefulness of monitoring total serum valproic acid concentration. Interpretation of valproic acid concentrations in children should include consideration of factors that affect hepatic metabolism and protein binding. Monti B, Polazzi E, Contestabile A 2009. PDF. Curr Mol Pharmacol. In most cases, symptoms and signs abated with discontinuation of either drug. This adverse reaction is not due to a pharmacokinetic interaction. Patients with inborn errors of metabolism or reduced hepatic mitochondrial activity may be at an increased risk for hyperammonemia with or without encephalopathy. Although not studied, an interaction of topiramate and valproate may exacerbate existing defects or unmask deficiencies in susceptible persons. ukok.info erythromycin
Wu S, Legido A, De Luca F. "Effects of valproic acid on longitudinal bone growth". J Child Neurol. Figure 2 presents the proportion of patients X axis whose percentage reduction from baseline in complex partial seizure rates was at least as great as that indicated on the Y axis in the adjunctive therapy study. Depakote or Depakene and each time you get a refill. These defects can begin in the first month of pregnancy, even before a woman knows she is pregnant. The results of two multicenter, randomized, double-blind, placebo-controlled clinical trials established the effectiveness of Depakote in the prophylactic treatment of migraine headache. Depakote ER extended-release tablets may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Depakote ER extended-release tablets with caution. Chateauvieux S, Morceau F, Dicato M, Diederich M 2010. PDF. J. Biomed. Biotechnol. Reproductive: Aspermia, azoospermia, decreased sperm count, decreased spermatozoa motility, male infertility, and abnormal spermatozoa morphology. Musculoskeletal: Fractures, decreased bone mineral density, osteopenia, osteoporosis, and weakness. In animal studies, offspring with prenatal exposure to valproate had structural malformations similar to those seen in humans and demonstrated neurobehavioral deficits. Depakote ER is contraindicated for prophylaxis of migraine headaches in women who are pregnant. Munster P, Marchion D, Bicaku E, Lacevic M, Kim J, Centeno B, Daud A, Neuger A, Minton S, Sullivan D 2009. PDF. Clin. Cancer Res. Known or Suspected Mitochondrial Disease. perindopril
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OR by DPT Laboratories, Ltd. Do not stop taking Depakote ER extended-release tablets suddenly, especially if you are taking Depakote ER extended-release tablets to prevent seizures. Suddenly stopping Depakote ER extended-release tablets may cause severe seizures to occur. If you need to stop Depakote ER extended-release tablets, your doctor will gradually lower your dose. Several clinical trials have confirmed its efficacy as a monotherapy, as an adjunct to and as an adjunct to hydralazine. July for my physical, so I will probably check with him. cost of isotrexin alternatives
Schizophrenia and Related Disorders Alliance of America SARDAA: "About Schizophrenia. May TW, Rambeck B, Jurgens U. Serum concentrations of lamotrigine in epileptic patients: the influence of dose and comedication. The risk of major structural abnormalities is greatest during the first trimester; however, other serious developmental effects can occur with valproate use throughout pregnancy. Lakehal F, Wurden CJ, Kalhorn TF, Levy RH. Carbamazepine and oxcarbazepine decrease phenytoin metabolism through inhibition of CYP2C19.
In that study, platelet counts returned to normal in all patients, some despite continued treatment. Valproate may also inhibit the secondary phase of platelet aggregation, although this effect is unlikely to be of clinical significance except during the concomitant use of other drugs that affect coagulation. However, altered bleeding time, ecchymosis, petechiae, bruising, hematoma formation, epistaxis, and frank hemorrhage have been reported rarely. Hypofibrinogenemia has also been observed. Days 1, 5, 10, 15, and 21, respectively. In addition, valproate can cause decreased IQ scores following in utero exposure.
Published epidemiological studies have indicated that children exposed to valproate in utero have lower IQ scores than children exposed to either another antiepileptic drug in utero or to no antiepileptic drugs in utero. Nervous System: Abnormal dreams, abnormal gait, agitation, ataxia, catatonic reaction, confusion, depression, diplopia, dysarthria, hallucinations, hypertonia, hypokinesia, insomnia, paresthesia, reflexes increased, tardive dyskinesia, thinking abnormalities, vertigo. Due to an increased risk for problems, people with certain such as Alpers-Huttenlocher syndrome should not use this medication. Children younger than 2 years who might have these disorders should not use this medication. Children older than 2 years who might have these disorders should be closely monitored during treatment with sodium. Talk to your doctor for details.