Reported Reactions

Drugs › Anti-epileptic agent

Generic name

Valproic acid: adverse event reports filed with FDA

21,177 reports list it as a suspect or interacting product, 2004–2026. Class: Anti-epileptic agent. Also reported as Valproic Acid Syrup, Valproic Acid Oral Solution Usp, Valproic Acid /00228502/.

21,177
reports as suspect product
0.1% of all reports · about 941 a year
1,031
reports, 12 months to June 2026
1,326 in the 12 months before
96.7%
marked serious by the reporter
78.1% across the class
17.4%
record death among outcomes, as reported
3,678 reports · not verified by FDA

Between January 2004 and June 2026, 21,177 adverse event reports received by FDA list valproic acid, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (10,629) are left out of every figure here.

In the 12 months to June 2026, 1,031 reports listed it, down 22% from 1,326 in 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 941 reports a year and 0.1% of the 20,646,523 reports in the database, and 7.9% 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 drug interaction (14.8%), drug ineffective (13.8%) and toxicity to various agents (7.9%). A report can list several reactions, so shares add to more than 100%; 2,166 different terms appear across these reports. Drug interaction is recorded in 14.8% of these reports, a larger share than in the median anti-epileptic agent drug (5%).

96.7% of the reports are marked serious by the reporter (78.1% across the class); 17.4% record death among the outcomes and 40.1% record hospitalisation, as reported. 52% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (28.3%). 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

0161322Jul 2021: 185Aug 2021: 153Sep 2021: 200Oct 2021: 322Nov 2021: 160Dec 2021: 2082022Jan 2022: 173Feb 2022: 129Mar 2022: 273Apr 2022: 139May 2022: 113Jun 2022: 143Jul 2022: 117Aug 2022: 131Sep 2022: 158Oct 2022: 110Nov 2022: 115Dec 2022: 1712023Jan 2023: 135Feb 2023: 137Mar 2023: 111Apr 2023: 113May 2023: 102Jun 2023: 114Jul 2023: 138Aug 2023: 129Sep 2023: 120Oct 2023: 156Nov 2023: 149Dec 2023: 1802024Jan 2024: 152Feb 2024: 105Mar 2024: 129Apr 2024: 116May 2024: 166Jun 2024: 110Jul 2024: 124Aug 2024: 110Sep 2024: 117Oct 2024: 111Nov 2024: 91Dec 2024: 1252025Jan 2025: 114Feb 2025: 127Mar 2025: 100Apr 2025: 89May 2025: 104Jun 2025: 114Jul 2025: 103Aug 2025: 108Sep 2025: 69Oct 2025: 65Nov 2025: 88Dec 2025: 1032026Jan 2026: 88Feb 2026: 76Mar 2026: 91Apr 2026: 86May 2026: 79Jun 2026: 75

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

01,1492,2972004: 14420042005: 2242006: 2822007: 20020072008: 3662009: 3882010: 37920102011: 4902012: 7382013: 71420132014: 8482015: 7292016: 93420162017: 1,4042018: 1,4332019: 1,41920192020: 1,6972021: 2,2972022: 1,77220222023: 1,5842024: 1,4562025: 1,18420252026: 495

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Drug interactionan interaction between medicines14.8%3,126
  2. Drug ineffectivethe medicine did not work as expected13.8%2,931
  3. Toxicity to various agentspoisoning or toxic effect of one or more substances7.9%1,679
  4. Completed suicidedeath by suicide6.1%1,295
  5. Off label useused for a purpose or in a way not on the label5.9%1,245
  6. Depressionlow mood5%1,051
  7. Seizurea fit or convulsion4.5%959
  8. Foetal exposure during pregnancythe unborn baby was exposed to the medicine4.2%886
  9. Somnolencedrowsiness4%850
  10. Overdosea dose above the recommended amount3.3%696
  11. Condition aggravatedthe condition being treated got worse3.2%685
  12. Hyperammonaemia2.9%621
  13. Product use in unapproved indicationused for a purpose not on the label2.5%527
  14. Thrombocytopenialow platelets2.5%521
  15. Hypotensionlow blood pressure2.5%519
  16. Hyperammonaemic encephalopathy2.4%502
  17. Tremorshaking2.2%464
  18. Pyrexiafever2.2%458
  19. Multiple-drug resistance2.2%457
  20. Coma2.1%452
  21. Treatment failurethe treatment did not work2.1%440
  22. Drug level increaseda raised blood level of the medicine2%423
  23. Intentional overdosea deliberate overdose1.9%410
  24. Epilepsy1.9%398
  25. Fatiguetiredness1.8%386
  26. Aggressionaggressive behaviour1.8%380
  27. Deaththe patient died; cause not stated by this term1.8%374

Top 30 of 2,166 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

Death17.4%3,678
Life-threatening7.9%1,667
Hospitalisation (initial or prolonged)40.1%8,488
Disability1.7%353
Congenital anomaly5%1,068
Other serious65.9%13,961
Not serious3.3%706

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 22.5%521
2 to 119.3%1,960
12 to 174.4%940
18 to 4428.3%5,985
45 to 6421.6%4,571
65 to 745.8%1,231
75 and over3.6%756
Age not given24.6%5,213

Patient sex

Female40.3%8,539
Male45.5%9,625
Not given14.2%3,013

Who reported

Physician31.5%6,664
Pharmacist5.1%1,070
Other health professional52%11,003
Lawyer0.1%31
Consumer or non-health professional6.8%1,432
Not given4.6%977

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 28.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Epilepsy2,88313.6%
Seizure1,4056.6%
Bipolar disorder1,3136.2%
Status epilepticus6973.3%
Partial seizures4121.9%
Schizophrenia3901.8%

The indication field is filled in by the reporter and is often blank; shares are of all 21,177 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Valproic acid reports
Levetiracetam4,38220.7%
Lamotrigine2,94613.9%
Clonazepam2,85913.5%
Quetiapine2,47211.7%
Topiramate2,46911.7%
Clobazam2,0139.5%
Olanzapine1,9299.1%
Carbamazepine1,8979%
Phenytoin1,6417.7%
Risperidone1,5387.3%

Other products listed in reports where Valproic acid 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

MeasureValproic acidAnti-epileptic agentAll reports
Reports as suspect product21,177269,75720,646,523
Share of that pool—7.9%0.1%
Reports, latest 12 months1,031—1,332,454
Marked serious96.7%78.1%57.4%
Death recorded among outcomes, per 1,000 reports17412691
Hospitalisation recorded, per 1,000 reports401314213
Consumer-filed share6.8%30.1%45.8%
Top term, share of reportsDrug interaction 14.8%median 5%0.8%

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%
Depakotebrand14,21929765.4%
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 Valproic acid reports

How many adverse event reports has FDA received for Valproic acid?

21,177 reports list Valproic acid as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,031 of them arrived in the latest 12 months. Another 10,629 list it only as a concomitant medication.

What reactions are recorded in Valproic acid reports?

drug interaction (14.8%), drug ineffective (13.8%), toxicity to various agents (7.9%), completed suicide (6.1%) and off label use (5.9%). 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 Valproic acid was responsible.

How serious are the reports?

96.7% are marked serious by the reporter. Among the outcomes recorded, 17.4% of reports include death and 40.1% 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?

other health professional (52%), physician (31.5%) and consumer or non-health professional (6.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Valproic acid rising?

1,031 reports in the 12 months to June 2026, down 22% from 1,326 in 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 Valproic acid 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 Valproic acid?

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 Valproic acid as a suspect or interacting product; reports listing it only as a concomitant medication (10,629) 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.