Europe — EMA
Orfiril (Sodium Valproate)
GNH USA supplies Orfiril (Sodium Valproate), a carboxylate anticonvulsant for epilepsy, bipolar disorder and migraine prevention.
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What is Sodium Valproate?
Sodium Valproate, the active ingredient in Orfiril, is a carboxylate anticonvulsant presented as a oral tablet for systemic use. It is used to treat seizure disorders and is prescribed for patients requiring long‑term seizure control.
GNH USA supplies Orfiril as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Sodium Valproate used for?
Orfiril is an anticonvulsant that acts on neuronal excitability in several seizure‑related conditions. - Epilepsy: helps achieve broader seizure control across multiple seizure types. - Bipolar disorder: stabilises mood and reduces the frequency of manic episodes. - Migraine prophylaxis: decreases the number of migraine attacks when used preventatively.
What are the side effects of Sodium Valproate?
Adverse reactions to Sodium Valproate may vary in frequency and severity.
Common Side Effects: - Nausea or stomach upset - Tremor or mild shakiness - Weight gain or increased appetite - Hair thinning or loss - Drowsiness or fatigue - Elevated liver enzymes
Serious or Rare Side Effects: - Severe liver injury or failure - Pancreatitis - Thrombocytopenia or low platelet count - Hyperammonemic encephalopathy - Severe skin reactions such as Stevens‑Johnson syndrome - Acute pancreatitis
What precautions apply to Sodium Valproate?
When prescribing Sodium Valproate, clinicians should consider several safety aspects. - Liver function monitoring: baseline and periodic tests are recommended, especially in children. - Blood count monitoring: watch for thrombocytopenia and anemia. - Pregnancy risk: avoid use in women of childbearing potential unless no safer alternative exists. - Drug interactions: review concomitant medications for potential PK/PD interactions. - Renal function: adjust if significant impairment is present. Store at ambient temperature: keep in original container, protect from moisture and direct sunlight.
What does Sodium Valproate interact with?
Sodium Valproate may interact with a range of medicines, requiring careful management.
Major Interactions (Avoid): - Carbamazepine: increased risk of hepatotoxicity. - Phenobarbital: reduced valproate plasma levels. - Topiramate: heightened risk of hyperammonemia.
Moderate Interactions (Monitor Closely): - Warfarin: possible increase in INR. - Lamotrigine: risk of severe skin reactions. - Oral contraceptives: reduced efficacy of hormonal contraception. - Phenytoin: altered valproate concentrations. - Acetaminophen: potential for increased liver enzyme elevations.



