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valproate Side Effects

Also known as: Depakote, Depakene

Analysis of 19,772 adverse event reports submitted to the FDA from 2001 to 2025.

Total Reports

19,772

Death-Related

1,782

9.0% of reports

Hospitalizations

8,459

42.8% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INEFFECTIVE
1,403
DRUG INTERACTION
1,185
OFF LABEL USE
1,081
FOETAL EXPOSURE DURING PREGNANCY
1,043
SOMNOLENCE
950
EPILEPSY
813
TOXICITY TO VARIOUS AGENTS
757
SEIZURE
754
PYREXIA
738
CONVULSION
612
VOMITING
598
NEUTROPENIA
521
DIARRHOEA
520
WEIGHT INCREASED
502
CONDITION AGGRAVATED
500
NAUSEA
498
FATIGUE
489
ANXIETY
472
OVERDOSE
465
CONFUSIONAL STATE
454

Who Reports Side Effects

Gender Distribution

Female 8,291 (47%)
Male 9,279 (53%)
Unknown 76

Age Distribution

0-17 2,653 (19%)
18-44 4,890 (36%)
45-64 3,900 (28%)
65-74 1,373 (10%)
75+ 937 (7%)

Reporting Trend by Year

2001 2025

Reactions in Death Reports

Top reactions reported in 1,782 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 237
SEPSIS 104
PNEUMONIA 101
CARDIAC ARREST 97
PYREXIA 88
TOXICITY TO VARIOUS AGENTS 87
DRUG INTERACTION 82
FOETAL EXPOSURE DURING PREGNANCY 82
OFF LABEL USE 80
MALAISE 73
VOMITING 71
STATUS EPILEPTICUS 67
CONVULSION 66
DIARRHOEA 66
DRUG INEFFECTIVE 64
COMPLETED SUICIDE 62
OVERDOSE 53
NAUSEA 51
CARDIO-RESPIRATORY ARREST 50
SUDDEN DEATH 50

Reactions in Hospitalization Reports

Top reactions in 8,459 reports where hospitalization was an outcome.

Reaction Reports
DRUG INEFFECTIVE 650
DRUG INTERACTION 595
PYREXIA 542
SOMNOLENCE 489
OFF LABEL USE 472
TOXICITY TO VARIOUS AGENTS 394
VOMITING 345
SUICIDE ATTEMPT 308
PNEUMONIA 304
EPILEPSY 297
SEIZURE 278
CONFUSIONAL STATE 277
OVERDOSE 272
DIARRHOEA 266
FALL 258
MALAISE 258
CONVULSION 257
WEIGHT INCREASED 256
THROMBOCYTOPENIA 245
HYPOTENSION 241

Nearby — Related Medications

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What the FAERS Data Reveals About valproate Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 19,772 voluntary reports linked to valproate and its brand equivalents (Depakote, Depakene), spanning 2001 through 2025. Of those, 1,782 (9.0%) listed death as an outcome and 8,459 (42.8%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 47% were female and 53% male; age distribution skews toward 18-44, with 4,890 reports in that bracket. The single most reported reaction is drug ineffective with 1,403 submissions, followed by drug interaction and off label use.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.