Valproic
acid and its derivatives are used solely
or in combination with other anticonvulsants
to prevent seizures and migraines. Valproates
are effective against the manic phase of
bipolar disorder. A fatty acid with anticonvulsant properties used in the treatment of epilepsy.
The mechanisms of its therapeutic actions are not well understood. It may act by
increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the
properties of voltage dependent sodium channels.
Wikipedia
Linking:http://en.wikipedia.org/wiki/Sodium_valproate
http://www.merck.com/ Special Alerts-Valproic Acid and Derivatives: Risk of Birth Defects -
December 2009 The U.S. Food and Drug Administration (FDA) has issued a
reminder to healthcare professionals and patients about the increased risk of
neural tube defects (1 in 20 babies born exposed to valproic acid and
derivatives compared to ~1 in 1500 not exposed), as well as, other major birth
defects (eg, craniofacial defects, cardiovascular malformation), especially with
exposure during the first 12 weeks of pregnancy. Information from the North
American Antiepileptic Drug Pregnancy Registry notes a fourfold increase in
congenital malformations with exposure to valproic acid monotherapy during the
1st trimester of pregnancy when compared to monotherapy with other antiepileptic
drugs (AED)..........
http://www.ncbi.nlm.nih.gov/ .........Valproate mechanism-The mechanism by which valproate
exerts its therapeutic effect is not well understood. Several hypotheses have
been proposed concerning the mechanism of action in epilepsy and bipolar
disorder. The most well studied and understood mechanism of valproate is its
ability to potentiate or mimic the effects of the inhibitory neurotransmitter,
gamma-aminobutyric acid (GABA) (Loscher 2002; Casey et al 2003; Salloum et al 2005). Indirectly, this
potentiation of GABA has been hypothesized to produce inhibitory effects on
central dopamine (Casey et al 2002; Loscher 2002). Some of the other and less
well understood mechanisms involve the inhibition of neuronal excitability and a
resultant anti-kindling effect (Loscher 2002). One specific area of study has
focused on the inhibition of protein kinase C epsilon (PKC-epsilon) (Brunello 2004; Toth 2005). PKC-epsilon has been linked to
the stimulation of intracellular calcium release and an increase in cortical
excitation and instability. Valproate has also exhibited effects producing the
blockade of voltage-dependent sodium channels (Loscher 2002; Owens and Nemeroff 2003). Another proposed mechanism, though
controversial, is one likening valproate to lithium as a potential inhibitor of
inositol synthesis through inhibition of myo-inositol-1phosphate (MIP) (Harwood and Agam 2003; Shaltiel et al 2004; Harwood 2005). It is not well understood if
valproate inhibits MIP directly, but it has been shown to deplete inositol (Harwood and Agam 2003; Shaltiel et al 2004; Harwood 2005).........
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