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FDA Drug Safety Communication:

Valproate Sodium and related products (valproic acid and divalproex sodium): Risk of Birth Defects


Audience: Neuropsychiatric and Obstetrical healthcare professionals

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[Posted 12/03/2009] The FDA notified health care professionals and patients about the increased risk of neural tube defects and other major birth defects, such as craniofacial defects and cardiovascular malformations, in babies exposed to valproate sodium and related products (valproic acid and divalproex sodium) during pregnancy. Healthcare practitioners should inform women of childbearing potential about these risks, and consider alternative therapies, especially if using valproate to treat migraines or other conditions not usually considered life-threatening.


Women of childbearing potential should only use valproate if it is essential to manage their medical condition. Those who are not actively planning a pregnancy should use effective contraception, as birth defect risks are particularly high during the first trimester, before many women know they are pregnant. A valproate Medication Guide, provided with each outpatient prescription, will explain the benefits and risks of valproate and encourage patients to discuss options with their healthcare professional.

Pregnant women using valproate or other AEDs should be encouraged to enroll in the North American Antiepileptic Drug (NAAED) Pregnancy Registry (1-888-233-2334; www.aedpregnancyregistry.org).

[12/03/2009 - Information for Healthcare Professionals - FDA]


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While Sullo & Sullo, LLP has posted the aforementioned material from the United States Food & Drug Administration for you to view, this information is NOT constantly updated, and could be out of date. For the latest updates and information on this particular topic, you are strongly urged to visit the link posted below:


http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHuman MedicalProducts/ucm192788.htm


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