Reported Reactions

Drugs › Anti-epileptic agent

Brand name · Divalproex sodium

Depakote: adverse event reports filed with FDA

14,219 reports list it as a suspect or interacting product, 2004–2026. Class: Anti-epileptic agent. Also reported as Depakote Er, Depakote Tablets.

14,219
reports as suspect product
0.1% of all reports · about 632 a year
297
reports, 12 months to June 2026
324 in the 12 months before
65.4%
marked serious by the reporter
78.1% across the class
4.2%
record death among outcomes, as reported
596 reports · not verified by FDA

14,219 adverse event reports received by FDA list the brand name Depakote (divalproex sodium) as a suspect or interacting product, from January 2004 to June 2026. A further 23,521 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 297 reports listed it, close to the 324 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 632 reports a year and 0.1% of the 20,646,523 reports in the database, and 5.3% of the reports for the anti-epileptic agent class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded seizure (6.2%), pain (6.1%) and drug ineffective (6.1%). A report can list several reactions, so shares add to more than 100%; 1,672 different terms appear across these reports. Seizure is recorded in 6.2% of these reports, about the same share as in the median anti-epileptic agent drug (6.9%).

65.4% of the reports are marked serious by the reporter (78.1% across the class); 4.2% record death among the outcomes and 29.1% record hospitalisation, as reported. 43.3% of the reports came from consumers, and the largest patient age group is 45 to 64 (15.9%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

061122Jul 2021: 46Aug 2021: 104Sep 2021: 44Oct 2021: 86Nov 2021: 71Dec 2021: 412022Jan 2022: 44Feb 2022: 32Mar 2022: 81Apr 2022: 29May 2022: 33Jun 2022: 28Jul 2022: 35Aug 2022: 122Sep 2022: 25Oct 2022: 31Nov 2022: 40Dec 2022: 412023Jan 2023: 42Feb 2023: 25Mar 2023: 25Apr 2023: 31May 2023: 50Jun 2023: 42Jul 2023: 53Aug 2023: 33Sep 2023: 37Oct 2023: 45Nov 2023: 35Dec 2023: 222024Jan 2024: 19Feb 2024: 38Mar 2024: 21Apr 2024: 19May 2024: 26Jun 2024: 41Jul 2024: 33Aug 2024: 20Sep 2024: 16Oct 2024: 25Nov 2024: 18Dec 2024: 272025Jan 2025: 25Feb 2025: 36Mar 2025: 25Apr 2025: 17May 2025: 35Jun 2025: 47Jul 2025: 24Aug 2025: 16Sep 2025: 23Oct 2025: 22Nov 2025: 28Dec 2025: 342026Jan 2026: 24Feb 2026: 15Mar 2026: 27Apr 2026: 24May 2026: 27Jun 2026: 33

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

05541,1082004: 27020042005: 3592006: 3752007: 30720072008: 9882009: 1,1082010: 80520102011: 7832012: 7992013: 89520132014: 8012015: 9252016: 91320162017: 7952018: 6232019: 63120192020: 5192021: 5572022: 54120222023: 4402024: 3032025: 33220252026: 150

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Depakote reports recording the termmedian drug in anti-epileptic agent

  1. Seizurea fit or convulsion6.2%886
  2. Painpain, site not specified6.1%874
  3. Drug ineffectivethe medicine did not work as expected6.1%869
  4. Weight increasedweight gain5.8%819
  5. Tremorshaking5.1%732
  6. Somnolencedrowsiness4.9%695
  7. Foetal exposure during pregnancythe unborn baby was exposed to the medicine4.8%683
  8. Convulsion4.7%670
  9. Emotional distressemotional distress4.5%645
  10. Anxietyanxiety4%562
  11. Anhedonia3.9%551
  12. Deformity3.8%547
  13. Alopeciahair loss3.7%532
  14. Physical disability3.7%524
  15. Drug interactionan interaction between medicines3.4%481
  16. Falla fall3.4%479
  17. Fatiguetiredness3.3%466
  18. Nauseafeeling sick3.2%458
  19. Injurya physical injury3.2%450
  20. Vomitingbeing sick3.1%440
  21. Dizzinesslight-headedness or unsteadiness3.1%438
  22. Headachehead pain3%430
  23. Off label useused for a purpose or in a way not on the label3%425
  24. Insomniadifficulty sleeping2.9%419
  25. Depressionlow mood2.9%409
  26. Spina bifida2.8%405
  27. Drug hypersensitivityan allergic-type reaction to a medicine2.8%392
  28. Confusional stateconfusion2.7%384
  29. Feeling abnormalfeeling odd or not right2.7%378
  30. Diarrhoealoose or frequent stools2.3%328

Top 30 of 1,672 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 23 drugs in the anti-epileptic agent class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death4.2%596
Life-threatening4.4%623
Hospitalisation (initial or prolonged)29.1%4,138
Disability3.8%539
Congenital anomaly6%849
Other serious40.3%5,730
Not serious34.6%4,917

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 269,757 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.5%74
2 to 112.2%313
12 to 172.6%370
18 to 4415.9%2,255
45 to 6415.9%2,262
65 to 744.4%626
75 and over2.8%394
Age not given55.7%7,925

Patient sex

Female45.4%6,458
Male42.5%6,038
Not given12.1%1,723

Who reported

Physician21.9%3,121
Pharmacist7.3%1,036
Other health professional16.3%2,324
Lawyer5.6%796
Consumer or non-health professional43.3%6,160
Not given5.5%782

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 71.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Bipolar disorder1,91213.4%
Convulsion8175.7%
Epilepsy7355.2%
Maternal exposure timing unspecified6334.5%
Seizure4583.2%
Drug exposure during pregnancy2241.6%

The indication field is filled in by the reporter and is often blank; shares are of all 14,219 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Depakote reports
Risperdal6694.7%
Abilify6334.5%
Seroquel5884.1%
Risperidone5553.9%
Keppra5003.5%
Lamictal4993.5%
Zyprexa4072.9%
Olanzapine3942.8%
Clonazepam3102.2%

Other products listed in reports where Depakote is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureDepakoteAnti-epileptic agentAll reports
Reports as suspect product14,219269,75720,646,523
Share of that pool—5.3%0.1%
Reports, latest 12 months297—1,332,454
Marked serious65.4%78.1%57.4%
Death recorded among outcomes, per 1,000 reports4212691
Hospitalisation recorded, per 1,000 reports291314213
Consumer-filed share43.3%30.1%45.8%
Top term, share of reportsSeizure 6.2%median 6.9%0.5%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the anti-epileptic agent class

DrugName typeReportsLatest 12 monthsMarked serious
Gabapentingeneric74,3164,44768.7%
Lamotriginegeneric44,5202,80688%
Lamictalbrand32,36899665.4%
Valproic acidgeneric21,1771,03196.7%
Phenytoingeneric12,61846492.9%
Valproate sodiumgeneric11,58870897.5%
Sabrilbrand10,90913963.5%
Oxcarbazepinegeneric8,07871587.7%
Dilantinbrand8,0117871.7%
Trileptalbrand7,66415785.7%
Zonisamidegeneric4,88536387.3%
Divalproex sodiumgeneric4,07139982.4%
Vigabatringeneric3,66426380.6%
Phenytoin sodiumgeneric2,9746884.4%
Primidonegeneric1,76910477.3%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Depakote reports

How many adverse event reports has FDA received for Depakote?

14,219 reports list Depakote as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 297 of them arrived in the latest 12 months. Another 23,521 list it only as a concomitant medication.

What reactions are recorded in Depakote reports?

seizure (6.2%), pain (6.1%), drug ineffective (6.1%), weight increased (5.8%) and tremor (5.1%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Depakote was responsible.

How serious are the reports?

65.4% are marked serious by the reporter. Among the outcomes recorded, 4.2% of reports include death and 29.1% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (43.3%), physician (21.9%) and other health professional (16.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Depakote rising?

297 reports in the 12 months to June 2026, close to the 324 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Depakote was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Depakote?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Depakote as a suspect or interacting product; reports listing it only as a concomitant medication (23,521) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.