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List of adverse effects of valproic acid
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    List of adverse effects of valproic acid

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    List of adverse effects of valproic acid by frequency:

    Very common (>10%)

    • Nausea
    • Vomiting
    • Diarrhea
    • Headache
    • Low platelet count (dose-related)
    • Tremor (dose-related)
    • Hair loss (usually temporary)
    • Drowsiness
    • Dizziness
    • Hyperandrogenism in females
    • Seeing double
    • Indigestion
    • Lazy eye
    • Infection
    • Tinnitus
    • Elevated aminotransferase concentrations (dose-related; indicative of liver injury)

    Common (1-10%)

    • High blood levels of ammonia without symptoms

    Uncommon (0.1-1%)

    Rare (<0.1% frequency)

    • Liver failure
    • Pancreatitis (these two usually occur in first 6 months and can be fatal)
    • Leukopenia (low white blood cell count)
    • Neutropenia (low neutrophil count)
    • Pure red cell aplasia
    • Agranulocytosis
    • Extrapyramidal syndrome (including parkinsonism, may be reversible)
    • Brain problems due to high ammonia levels
    • Low body temperature
    • Hypersensitivity reactions including multi-organ hypersensitivity syndrome
    • Eosinophilic pleural effusion
    • Bone fractures (reduced BMD with long-term use)

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