Drug

D0126 | Valproic Acid

Molecular Formula C8H16O2
Molecular Weight 144.21
Structure
State solid
Clearance 0.56 L/hr/m<sup>2</sup>[label] Pediatric patients between 3 months and 10 years of age have 50% higher clearances by weight. Pediatric patients 10 years of age or older approximate adult values.[FDA Label]
Volume of distribution 11 L/1.73m<sup>2</sup>.[label]
Route of elimination Most drug is eliminated through hepatic metabolism, about 30-50%.[label] The other major contributing pathway is mitochondrial beta-oxidation, about 40%. Other oxidative pathways make up an additional 15-20%. Less than 3% is excreted unchanged in the urine.
Protein binding Protein binding is linear at low concentrations, 10% bound at 4 mcg/mL, but becomes non-linear at higher concentrations, increasing up to 18.5% bound at 135 mcg/mL.[label] This may be due to binding at separate high and low affinity sites on albumin proteins.[A178066] Binding is expected to decrease in the elderly and patients with hepatic dysfunction.
Half life 13-19 hours.[label] The half-life in neonates ranges from 10-67 hours while the half-life in pediatric patients under 2 months of age ranges from 7-13 hours.
Absorption The intravenous and oral forms of valproic acid are expected to produce the same AUC, Cmax, and Cmin at steady-state.[label] The oral delayed-release tablet formulation has a Tmax of 4 hours. Differences in absorption rate are expected from other formulations but are not considered to be clinically important in the context of chronic therapy beyond impacting frequency of dosing. Differences in absorption may create earlier Tmax or higher Cmax values on initiation of therapy and may be affected differently by meals.[L6196] The extended release tablet formulation had Tmax increase from 4 hours to 8 hours when taken with food. In comparison, the sprinkle capsule formulation had Tmax increase from 3.3 hours to 4.8 hours. Bioavailability is reported to be approximately 90% with all oral formulations with enteric-coated forms possibly reaching 100%.[A178066]
Trade names Depakote, Epilim, Convulex
Description Antiepileptics; fatty acid derivative; branched short-chain fatty acid (SCFA) made from valeric acid; broad spectrum of anticonvulsant activity

N

N03AG01 Valproic acid


[N03AG] Fatty acid derivatives


[N03A] ANTIEPILEPTICS


[N03] ANTIEPILEPTICS


[N] Nervous system


Toxicity Dose Time Species Model Method Action Positive criterion Reference
MEMBRANE POTENTIAL 267.2 µM 30 mins mouse liver mitochondria Rh123 fluorescence (excitation 485 nm, emission 535 nm) are recorded using a fluorescence multi-well plate reader (mCICCP (20 µM) treatments was considered as the 100% baseline for ΔΨm loss) decrease EC20 36
RESPIRATION > 400 µM 60 mins mouse liver mitochondria Oxygen consumption was monitored with 50nM MitoXpress ( an oxygen-sensitive phosphorescent dye) using a spectrofluorimeter (Tecan Infinite 200; λExcitation 380nm; λEmission 650nm). Rotenone (2µM) was used as 100% baseline for complex I inhibition. decrease EC20 36
RESPIRATION 44.9 µM 60 mins mouse liver mitochondria Oxygen consumption was monitored with 50nM MitoXpress ( an oxygen-sensitive phosphorescent dye) using a spectrofluorimeter (Tecan Infinite 200; λExcitation 380nm; λEmission 650nm). Oligomycin A (1µM) was used as 100% baseline for complex II inhibition. decrease EC20 36
MITOCHONDRIAL FATTY ACID BETA OXIDATION affect 227
TRANSPORT OF PYRUVATE 0.5–2 mM 3min rat inverted submitochondrial vesicles (ISMV) from rat liver isolated mitochondria The rate of the radiolabeled substrate [1-14C]-pyruvate uptake by ISMV was measured in the presence or absence of an inwardly directed proton gradient. inhibitor 279
SWELLING > 800 µM 30 mins mouse liver mitochondria swelling assay: Absorbance at 545 nm using a fluorescence multi-well plate reader (CaCl2 (50 µM) was considered as the 100% baseline for the swelling ) increase EC20 36
ROS PRODUCTION increase 197

Target Dose Time Species Model Method Action Positive criterion Reference
NADH:ubiquinone reductase > 400 µM 60 mins mouse liver mitochondria Oxygen consumption was monitored with 50nM MitoXpress ( an oxygen-sensitive phosphorescent dye) using a spectrofluorimeter (Tecan Infinite 200; λExcitation 380nm; λEmission 650nm). Rotenone (2µM) was used as 100% baseline for complex I inhibition. inhibit EC20 36
Succinate dehydrogenase 44.9 µM 60 mins mouse liver mitochondria Oxygen consumption was monitored with 50nM MitoXpress ( an oxygen-sensitive phosphorescent dye) using a spectrofluorimeter (Tecan Infinite 200; λExcitation 380nm; λEmission 650nm). Oligomycin A (1µM) was used as 100% baseline for complex II inhibition. inhibit EC20 36
carnitine palmitoyltransferases I inhibit 227
Mitochondrial pyruvate carrier 1 0.5–2 mM 3min rat inverted submitochondrial vesicles (ISMV) from rat liver isolated mitochondria The rate of the radiolabeled substrate [1-14C]-pyruvate uptake by ISMV was measured in the presence or absence of an inwardly directed proton gradient. inhibit 279
Cytochrome c > 800 µM 30 mins mouse liver mitochondria Cytochrome c release was evaluated using ELISA kit ( 20 µg/ml Alamethicin was used as 100% baseline) release EC20 36

Pictogram Signal Statements Precautionary Statement Codes
Danger

Aggregated GHS information provided by 280 companies from 17 notifications to the ECHA C&L Inventory. Each notification may be associated with multiple companies.


H302 (100%): Harmful if swallowed [Warning Acute toxicity, oral]


H315 (96.43%): Causes skin irritation [Warning Skin corrosion/irritation]


H318 (60.71%): Causes serious eye damage [Danger Serious eye damage/eye irritation]


H319 (35.71%): Causes serious eye irritation [Warning Serious eye damage/eye irritation]


H335 (14.29%): May cause respiratory irritation [Warning Specific target organ toxicity, single exposure


Respiratory tract irritation]


H360 (84.64%): May damage fertility or the unborn child [Danger Reproductive toxicity]


Information may vary between notifications depending on impurities, additives, and other factors. The percentage value in parenthesis indicates the notified classification ratio from companies that provide hazard codes. Only hazard codes with percentage values above 10% are shown.


P201, P202, P261, P264, P270, P271, P280, P281, P301+P312, P302+P352, P304+P340, P305+P351+P338, P308+P313, P310, P312, P321, P330, P332+P313, P337+P313, P362, P403+P233, P405, and P501; (The corresponding statement to each P-code can be found at the GHS Classification page.)
Danger

H302: Harmful if swallowed [Warning Acute toxicity, oral]


H336: May cause drowsiness or dizziness [Warning Specific target organ toxicity, single exposure


Narcotic effects]


H360: May damage fertility or the unborn child [Danger Reproductive toxicity]


H362: May cause harm to breast-fed children [Reproductive toxicity, effects on or via lactation]


H370: Causes damage to organs [Danger Specific target organ toxicity, single exposure]


H372: Causes damage to organs through prolonged or repeated exposure [Danger Specific target organ toxicity, repeated exposure]


P201, P202, P260, P261, P263, P264, P270, P271, P281, P301+P312, P304+P340, P307+P311, P308+P313, P312, P314, P321, P330, P403+P233, P405, and P501; (The corresponding statement to each P-code can be found at the GHS Classification page.)

  • Acquired immunodeficiency syndrome

  • Aggression

  • Agitation

  • Amino acid metabolism disorder

  • Autoimmune disorder

  • Bipolar disorder

  • Complex partial seizures

  • Decreased interest

  • Dehydration

  • Delusion of grandeur

  • Depressed mood

  • Drug interaction

  • Epilepsy

  • Fasting

  • Flight of ideas

  • Headache

  • Hepatic enzyme increased

  • Hepatic function abnormal

  • Hostility

  • Hyperammonaemia

  • Hyperammonaemic encephalopathy

  • Hyperglycaemia

  • Hyperkinesia

  • Irritability

  • Lennox-Gastaut syndrome

  • Loss of consciousness

  • Major depression

  • Migraine

  • Myoclonic epilepsy

  • Nonketotic hyperglycinaemia

  • Partial seizures

  • Petit mal epilepsy

  • Pregnancy

  • Pressure of speech

  • Psychotic disorder

  • Somnolence

  • Status epilepticus

  • Systemic lupus erythematosus

  • Thrombocytopenia

  • Urinary tract infection

  • Coagulopathy (0.07)

  • Sleep disorder (0.04)

  • Abdominal pain

  • Affect lability

  • Alopecia

  • Amblyopia

  • Amnesia

  • Asthenia

  • Ataxia

  • Back pain

  • Body temperature increased

  • Bronchitis

  • Constipation

  • Decreased appetite

  • Depression

  • Dermatitis

  • Diarrhoea

  • Diplopia

  • Dizziness

  • Dyspepsia

  • Dyspnoea

  • Ecchymosis

  • Fatigue

  • Gastrointestinal pain

  • Headache

  • Increased appetite

  • Infection

  • Influenza

  • Injury

  • Insomnia

  • Mental disability

  • Mood swings

  • Muscle twitching

  • Nausea

  • Nervousness

  • Nystagmus

  • Oedema peripheral

  • Pain

  • Paraesthesia

  • Pharyngitis

  • Rash

  • Rhinitis

  • Somnolence

  • Tension

  • Thinking abnormal

  • Thrombocytopenia

  • Tinnitus

  • Tremor

  • Vision blurred

  • Vomiting

  • Weight decreased

  • Weight increased

  • (S)-2-propyl-4-pentanoate (n-C3H7)2CHCOOH 2 -propylpentanoic acid
    2 PP (base) 2,2-di-n-propylacetic acid 2-PROPYL-PENTANOIC ACID
    2-Propylpentanoic acid 2-Propylpentanoic acid sodium salt 2-Propylpentanoic acid, 99%
    2-PropylpentanoicAcid 2-Propylvaleric acid 2-n-Propyl-n-valeric acid
    2-propyl-Pentanoate 33433-82-8 4-Heptanecarboxylic acid
    614OI1Z5WI 6400-EP1441224A2 6400-EP2272537A2
    6400-EP2272827A1 6400-EP2275420A1 6400-EP2280008A2
    6400-EP2298764A1 6400-EP2298765A1 6400-EP2308867A2
    6400-EP2308870A2 6400-EP2311494A1 6400-EP2311840A1
    6400-EP2314585A1 6400-EP2374790A1 791-EP2306789A1
    99-66-1 A-44090 A19450
    AB0009719 AB00698315-06 ACMC-209sdq
    ACT05281 AI3-10500 AK128830
    AKOS009156895 ANW-41052 APO-divalproex
    AS-11354 Abbott 44090 Acetic acid, dipropyl-
    Acide valproique Acide valproique [INN-French] Acido valproico
    Acido valproico [INN-Spanish] Acidum valproicum Acidum valproicum [INN-Latin]
    Alti-Valproic Apo-valproic Apo-valproic syrup
    Avugane BDBM50003616 BIDD:GT0858
    BRN 1750447 Baceca C07185
    CAS-99-66-1 CCG-221127 CHEBI:39867
    CHEMBL109 CPD000499581 CS-1765
    CTK3J3389 Certified Reference Material Convulex
    Convulex (Salt/Mix) Convulsofin D00399
    DB00313 DOM-divalproex DOM-valproic acid E.C.
    DSSTox_CID_3733 DSSTox_GSID_23733 DSSTox_RID_77171
    DTXSID6023733 Depacon (Salt/Mix) Depakene
    Depakene (TN) Depakin Depakin chrono
    Depakine Depakine chrono Depakote (TM)
    Depakote CP Deproic Di-n-propylacetic acid
    Di-n-propylessigsaeure Di-n-propylessigsaure Di-n-propylessigsaure [German]
    Dipropyl Acetate Dipropylacetate Dipropylacetic acid
    DivK1c_000273 Divalproex (Salt/Mix) Dom-Valproic
    Dom-valproate Dom-valproic acid Dom-valproic acid syrup
    EC 202-777-3 EINECS 202-777-3 Epical (TM)
    Epiject I.V. Epilim Epilim (Salt/Mix)
    Epival er Erganyl Ergenyl
    Eurekene (Salt/Mix) F2191-0115 FT-0609289
    G2M-777 GTPL7009 Gen-divalproex
    HMS2089J06 HMS2231E06 HMS3259C18
    HMS3370C21 HMS3715B15 HSDB 3582
    HY-10585 Heptane-4-carboxylic acid InChI=1/C8H16O2/c1-3-5-7(6-4-2)8(9)10/h7H,3-6H2,1-2H3,(H,9,10)
    KBio1_000273 KBio2_001001 KBio2_002277
    KBio2_003569 KBio2_004845 KBio2_006137
    KBio2_007413 KBio3_002626 KBio3_002757
    KBioGR_000871 KBioGR_002277 KBioSS_001001
    KBioSS_002278 KS-00000CCR KSC493G8T
    Kyselina 2-propylvalerova Kyselina 2-propylvalerova [Czech] LMFA01020291
    LS-161170 LS-2068 MCULE-7136317196
    MFCD00002672 MLS001076682 MLS001335927
    MLS001335928 MLS002415770 Med Valproic
    Mylproin Myproic Acid NC00584
    NCGC00091149-01 NCGC00091149-02 NCGC00091149-03
    NCGC00091149-04 NCGC00091149-05 NCGC00091149-06
    NCGC00091149-08 NCGC00091149-09 NCGC00162288-07
    NCGC00254365-01 NCGC00259512-01 NIJJYAXOARWZEE-UHFFFAOYSA-
    NIJJYAXOARWZEE-UHFFFAOYSA-N NINDS_000273 NSC 93819
    NSC-93819 NSC93819 Novo-Valproic
    Novo-Valproic - ECC Novo-divalproex Novo-valproic soft gel cap
    Nu-Valproic P0823 PHL-valproate
    PHL-valproic acid PHL-valproic acid E.C. PMS-Divalproex
    PMS-Valproic Acid PMS-valproate PMS-valproic acid E.C.
    Penta-Valproic Pentanoic acid, 2-propyl- Propylvaleric acid
    Q-200321 Q240642 RTR-031980
    Ratio-Valproic - ECC S(-)-4-En-valproate S-2-n-Propyl-4-pentenoate
    SAM002564230 SBB065764 SBI-0050864.P003
    SCHEMBL2275 SMR000499581 SPBio_000912
    SR-01000075242-7 STL445581 Sandoz valproic
    Savicol Sodium valproate Spectrum2_000946
    Spectrum3_001733 Spectrum4_000376 Spectrum_000521
    Stavzor Stavzor TR-031980
    TRA0085608 Tox21_111091 Tox21_111091_1
    Tox21_201963 Tox21_300603 UNII-614OI1Z5WI
    VALPROIC ACID VPA Valdisoval (Salt/Mix)
    Valeric acid, 2-propyl- Valparin (Salt/Mix) Valproate
    Valproic Acid 1.0 mg/ml in Methanol Valproic Acid, Sodium Salt (2:1) Valproic acid (USP)
    Valproic acid USP Valproic acid [USAN:BAN:INN] Valproic acid [USAN:INN:BAN]
    Valproic acid [USAN:USP:INN:BAN] Valproic acid for system suitability, European Pharmacopoeia (EP) Reference Standard Valproic acid solution, 1.0 mg/mL in methanol, ampule of 1 mL, certified reference material
    Valproic acid, European Pharmacopoeia (EP) Reference Standard Valproic acid, Pharmaceutical Secondary Standard Valproic acid, United States Pharmacopeia (USP) Reference Standard
    Valproinsaeure Valproinsaure Vupral
    WLN: QVY3 & 3 Z1511532065 ZINC3008621
    di-n-propyl acetic acid divalproex n-DPA
    n-Dipropylacetic acid

    DrugBank Name Valproic Acid
    DrugBank DB00313
    CAS Number 1069-66-5, 362049-65-8, 76584-70-8, 99-66-1, 99-67-2
    PubChem Compound 3121
    KEGG Compound ID C07185
    KEGG Drug D00399
    PubChem.Substance 46505925
    ChEBI 39867
    PharmGKB PA451846
    ChemSpider 3009
    BindingDB 50003616.0
    TTD DNC001659
    Wikipedia Valproic_Acid
    HET 2PP
    DPD 2115

    1. Caldeira da Silva et al., 2008
    2. Dykens et al. (2007)
    3. Vuda et al. (2016)
    4. Cleeter et al., 1992
    5. Chan et al. (2017)