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What is the average amount of weight gain when taking valproate or valproic acid? 


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On average, when taking valproate or valproic acid, the amount of weight gain varies based on the duration of treatment and the specific drug used. Studies have shown that weight gain is a common adverse effect of sodium valproic acid (VPA) in children with epilepsy, with significant increases observed in body mass index (BMI) and weight over time . In adults, valproate monotherapy has been associated with a substantial increase in weight, significantly higher than that seen with lamotrigine treatment . The weight gain typically starts within 10 weeks of initiating valproate therapy and continues to rise steadily throughout the treatment period . Therefore, it is crucial to monitor weight changes regularly when using these medications, especially in pediatric and adult populations with epilepsy.

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Patients taking valproate experienced significantly higher weight gain compared to those on lamotrigine, with an average of 12.8 ± 9.3 lb versus 1.3 ± 11.9 lb, respectively.
Patients on valproic acid treatment showed significantly higher weight gain compared to those on lamotrigine, with an average weight of 64.88±3.25 in the valproic acid group.
Children on sodium valproate experienced a statistically significant weight gain, with the average increase being from 18.54 kg to 21.13 kg after six months of treatment.
The study found a significant weight gain in pediatric patients with epilepsy treated with valproic acid over 36 to 48 months, emphasizing the need for nutritional support.

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