Skip to main content

What the FDA labels say about taking them together

Divalproex and propofol

Divalproex's FDA label of March 31, 2026 names propofol in its drug interactions section; the propofol label PlainMeds reads does not name divalproex. The divalproex label: “… clinically effective dose Dosage adjustment of amitriptyline/nortriptyline, propofol, warfarin, and zidovudine may be necessary if used concomitantly with Depakote Topiramate:”

Check it at the source: the divalproex FDA label on DailyMed (effective March 31, 2026, AbbVie Inc.); the propofol FDA label on DailyMed (effective September 11, 2025, Fresenius Kabi USA, LLC).

What does the divalproex label say about propofol?

Divalproex label, drug interactions

Monitoring of valproate concentrations is recommended ( 7.1 ) Co-administration of valproate can affect the pharmacokinetics of other drugs (e.g., diazepam, ethosuximide, lamotrigine, phenytoin) by inhibiting their metabolism or protein binding displacement ( 7.2 ) Patients stabilized on rufinamide should begin valproate therapy at a low dose, and titrate to clinically effective dose ( 7.2 ) Dosage adjustment of amitriptyline/nortriptyline, propofol, warfarin, and zidovudine may be necessary if used concomitantly with Depakote ( 7.2 ) Topiramate:

Source: FDA drug label (Depakote), AbbVie Inc., effective March 31, 2026 (SPL set 08a65cf4-7749-4ceb-6895-8f4805e2b01f), via openFDA; the full label on DailyMed

What does the propofol label say about divalproex?

Propofol's label (effective September 11, 2025) does not name divalproex in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Diprivan), Fresenius Kabi USA, LLC, effective September 11, 2025 (SPL set e3105799-a4b6-f3f4-e6e2-b2b29bbdb538), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

44Divalproex generic labelers
13Propofol generic labelers
DivalproexPropofol
Labeled forBipolar disorder, Migraine, Seizures and epilepsyn/a
Boxed warningYesNo
Pharmacy cost (NADAC)$0.194 per tablet 500 mg tablet$0.171 per mL 200 mg/20 mL vial
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?