valgress-cr 300 tablet - Sodium Valproate (200mg) + Valproic Acid (87mg) medicine

Alporate 300 Tablet CR: Complete Medicine Guide

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🏭 La Renon Healthcare Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category Not established from the available information. However, valproate is known to be teratogenic and is associated with an increased risk of major congenital malformations and neurodevelopmental disorders. It should be avoided during pregnancy unless absolutely necessary, and only under specialist care. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for epilepsy, migraine prophylaxis, and bipolar mania.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Yellowing of skin or eyes (jaundice)
  • Severe abdominal pain radiating to the back
  • Unusual bleeding or bruising
  • Confusion, lethargy, or disorientation
  • Rash with blisters or peeling skin
  • Seizures that worsen or change pattern
  • Severe headache with vision changes

If experiencing severe symptoms, call emergency services immediately.

What is valgress-cr 300 tablet used for?

This medicine is a controlled-release tablet containing sodium valproate and valproic acid, used to treat epilepsy, prevent migraines, and stabilize mood in bipolar disorder. It works by increasing GABA levels in the brain. It requires regular monitoring of liver function and blood counts.

  • Generic Name: Sodium Valproate (200mg) + Valproic Acid (87mg)
  • Manufacturer: La Renon Healthcare Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 valgress-cr 300 tablet के बारे में (Hindi Summary)

उपयोग: यह दवा मिर्गी (दौरे), माइग्रेन और बाइपोलर डिसऑर्डर के इलाज के लिए इस्तेमाल की जाती है। यह दिमाग में GABA नामक रसायन को बढ़ाकर दौरे को नियंत्रित करती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, दस्त, सिरदर्द, नींद आना, कंपन और वजन बढ़ना शामिल हैं। गंभीर दुष्प्रभावों में लिवर की क्षति, पैंक्रियाटाइटिस, और खून की कमी शामिल हैं।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अचानक बंद न करें। शराब न पिएं। नियमित रूप से लिवर और खून की जांच कराएं। गर्भवती होने पर डॉक्टर को बताएं।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 valgress-cr 300 tablet Uses & Benefits

[{"condition":"Epilepsy (generalized seizures)","description":"This medicine is used to control generalized tonic-clonic seizures, absence seizures, and myoclonic seizures.","evidence":"Well-established"},{"condition":"Epilepsy (partial seizures)","description":"It is effective in treating simple and complex partial seizures, with or without secondary generalization.","evidence":"Well-established"},{"condition":"Migraine prophylaxis","description":"This medicine helps reduce the frequency and severity of migraine headaches in adults.","evidence":"Well-established"},{"condition":"Bipolar disorder (manic episodes)","description":"It is used as a mood stabilizer to treat acute mania and prevent mood swings.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Neuropathic pain","description":"Sometimes prescribed off-label for chronic neuropathic pain, though evidence is limited.","evidence":"Limited"},{"condition":"Post-traumatic stress disorder (PTSD)","description":"Occasionally used off-label for mood stabilization in PTSD, but not first-line.","evidence":"Limited"}]

Primary treatment for: Epilepsy

Also treats: Migraine, Bipolar disorder

📋 Drug Information

Generic Name(s)Sodium Valproate (200mg) + Valproic Acid (87mg)
Brand Namevalgress-cr 300 tablet
ManufacturerLa Renon Healthcare Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Keep in a dry place, away from direct sunlight and moisture. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always take this medicine with food to minimize stomach upset.
2
Do not crush or chew the controlled-release tablet; swallow it whole.
3
Maintain a consistent daily schedule for taking this medicine.
4
Regular blood tests for liver function and blood counts are essential.
5
Avoid alcohol completely while on this medicine.
6
Inform your doctor immediately if you experience unusual bleeding, bruising, or yellowing of eyes.
7
Do not stop this medicine abruptly; withdrawal can trigger seizures.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Seizures
This medicine is commonly prescribed for epilepsy.
Likely Use
✅
Migraine headaches
This medicine is used for migraine prophylaxis.
Likely Use
✅
Mood swings
This medicine is used for bipolar disorder.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is well absorbed from the gastrointestinal tract after oral administration. The controlled-release formulation is designed to provide a slower absorption rate compared to immediate-release formulations, which helps maintain more stable plasma levels and reduce peak-related side effects.
DistributionValproate is widely distributed throughout the body, with a volume of distribution typically ranging from 0.1 to 0.4 L/kg. It crosses the blood-brain barrier and reaches therapeutic concentrations in the cerebrospinal fluid. It also crosses the placenta and is excreted in breast milk.
Protein BindingValproate is highly bound to plasma proteins, primarily albumin, with a binding rate of approximately 90-95%. Protein binding can become saturated at higher concentrations, leading to an increase in free (active) drug levels.
MetabolismValproate is extensively metabolized in the liver, primarily through glucuronidation and beta-oxidation. Some metabolites, such as 4-en-valproate, may contribute to hepatotoxicity. The metabolism can be affected by other drugs and liver function.
Half-LifeThe elimination half-life of valproate is typically 9 to 16 hours in adults. In children, it may be shorter, and in the elderly or those with liver disease, it may be prolonged.
ExcretionValproate and its metabolites are primarily excreted in the urine, with a small amount eliminated in feces. Renal excretion accounts for about 70% of the administered dose.
BioavailabilityThe oral bioavailability of valproate is approximately 100% for immediate-release formulations. The controlled-release formulation may have a slightly lower bioavailability but is designed to provide consistent plasma levels over a 24-hour period.
Onset of ActionThe onset of anticonvulsant effect is gradual, typically within a few days to weeks, depending on the indication and individual response. For migraine prophylaxis, it may take several weeks to achieve full effect.
Peak Plasma TimeFor the controlled-release formulation, peak plasma concentrations are typically reached within 4 to 8 hours after oral administration, which is slower than immediate-release formulations.
Duration of ActionThe duration of action is approximately 24 hours, allowing for once or twice daily dosing. Steady-state plasma levels are usually achieved within 3 to 4 days of consistent dosing.

How It Works

This medicine works by increasing the concentration of gamma-aminobutyric acid (GABA) in the brain. GABA is an inhibitory neurotransmitter that reduces excessive electrical activity in the brain. Valproate achieves this by inhibiting the enzymes that break down GABA and by enhancing GABA synthesis. Additionally, it blocks voltage-gated sodium channels, which further stabilizes neuronal membranes and prevents the spread of seizure activity. This dual mechanism helps control seizures and stabilize mood.

Mechanism Steps

1
Inhibition of GABA transaminase: This medicine inhibits the enzyme GABA transaminase, which is responsible for breaking down GABA, thereby increasing GABA levels in the brain.
2
Enhancement of GABA synthesis: It also promotes the synthesis of GABA by activating glutamic acid decarboxylase, further boosting inhibitory neurotransmission.
3
Blockade of voltage-gated sodium channels: This medicine blocks voltage-gated sodium channels, which reduces the ability of neurons to fire at high frequencies, thus preventing the spread of seizure activity.
4
Modulation of other neurotransmitters: It may also affect other neurotransmitter systems, including serotonin and dopamine, contributing to its mood-stabilizing effects.

💡 How to Take valgress-cr 300 tablet

Strength: Controlled-release tablet containing Sodium Valproate 200 mg and Valproic Acid 87 mg.

1Take this medicine exactly as prescribed by your doctor.
2Swallow the tablet whole with a glass of water. Do not crush, chew, or break the tablet.
3Take with food or milk to reduce stomach upset.
4Take at the same time each day to maintain consistent blood levels.
5Do not stop taking this medicine suddenly without consulting your doctor.

Dosage Information

Adult DosageThe usual adult dose for epilepsy is 10-15 mg/kg/day initially, increased gradually by 5-10 mg/kg/day at weekly intervals until seizures are controlled or side effects occur. The maximum recommended dose is 60 mg/kg/day. For migraine prophylaxis, the typical dose is 250-500 mg twice daily. For bipolar disorder, the dose is 750-1500 mg/day in divided doses. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician. Dosing is weight-based and must be individualized.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Start with lower doses and titrate slowly. Monitor liver and kidney function closely.
Renal ImpairmentRenal impairment may require dose adjustment. Monitor valproate levels and adjust dose accordingly. Consult your doctor.
Hepatic ImpairmentHepatic impairment significantly affects valproate metabolism. Dose reduction and close monitoring are required. Contraindicated in severe liver disease.
Maximum Daily DoseThe maximum recommended dose is 60 mg/kg/day. Do not exceed the dose prescribed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset and improves tolerability.
Alcohol
Avoid
Increases risk of liver toxicity and sedation.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of valgress-cr 300 tablet

✅ Common Side Effects

Nausea (Common (10-20%))
Take with food or milk to reduce stomach upset. If nausea persists, consult your doctor.
Headache (Common (5-15%))
Rest and stay hydrated. If headache is severe or persistent, contact your doctor.
Drowsiness (Common (5-15%))
Avoid driving or operating machinery until you know how this medicine affects you. Usually improves with time.
Tremor (Common (5-10%))
Report to your doctor if tremor interferes with daily activities. Dose adjustment may be needed.
Weight gain (Common (5-10%))
Maintain a healthy diet and regular exercise. Discuss with your doctor if concerned.

🚨 Serious Side Effects

Hepatotoxicity (liver damage) (Rare (<1%))
Seek immediate medical attention if you experience yellowing of skin or eyes, dark urine, or severe abdominal pain.
Pancreatitis (Rare (<1%))
Go to the emergency room if you have severe stomach pain that spreads to your back, with nausea and vomiting.
Thrombocytopenia (low platelet count) (Uncommon (1-5%))
Report any unusual bleeding or bruising to your doctor immediately. Regular blood tests are required.
Hyperammonemia (Rare (<1%))
Seek medical help if you experience confusion, lethargy, or vomiting. This can be a sign of high ammonia levels.
Stevens-Johnson syndrome (Very rare (<0.1%))
Stop the medicine and seek emergency care if you develop a rash, blisters, or peeling skin.

⚠️ Rare Side Effects

Encephalopathy
Seek immediate medical attention if you experience confusion, disorientation, or decreased consciousness.
Aplastic anemia
Report symptoms like fatigue, pale skin, and frequent infections to your doctor.
Hypothyroidism
Regular thyroid function tests may be needed. Report symptoms like weight gain, fatigue, or cold intolerance.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Carbamazepine Major
Lamotrigine Major
Warfarin Major
Aspirin Major
Phenytoin Moderate
Rifampicin Moderate
Fluoxetine Moderate
Cimetidine Minor
Erythromycin Minor
Alcohol Major

🚨 Major Interactions

  • Carbamazepine
  • Lamotrigine
  • Warfarin
  • Aspirin

⚡ Moderate Interactions

  • Phenytoin
  • Rifampicin
  • Fluoxetine

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol can increase the sedative effects of valproate and raise the risk of liver toxicity. It may also increase the frequency of seizures.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to valproate or any component of the formulation.","Active liver disease or significant hepatic dysfunction.","Urea cycle disorders.","Known mitochondrial disorders caused by mutations in the POLG gene.","Pregnancy for migraine prophylaxis and bipolar disorder, unless no alternative.","Children under 2 years of age for epilepsy, unless benefits outweigh risks."]

⚠️ Warnings & Precautions

["Hepatotoxicity: Fatal liver failure has occurred. Monitor liver function closely.","Pancreatitis: Cases of acute pancreatitis have been reported. Discontinue if suspected.","Suicidal thoughts: Antiepileptic drugs may increase the risk of suicidal thoughts. Monitor mood.","Thrombocytopenia: May cause low platelet counts. Monitor blood counts.","Hyperammonemia: May cause high ammonia levels, leading to encephalopathy.","Birth defects: Valproate causes major congenital malformations. Avoid in pregnancy.","Drug interactions: Many significant interactions. Review all medications."]

🤱 Lactation Safety

Valproate is excreted in breast milk at low levels. Breastfeeding is generally considered acceptable while taking this medicine, but monitoring of the infant for potential side effects is advised. Consult your doctor before breastfeeding.

💊 Overdose Management

Overdose of this medicine can cause serious toxicity, including coma, respiratory depression, and cerebral edema. There is no specific antidote. Treatment is supportive, including gastric lavage if recent ingestion, activated charcoal, and monitoring of vital signs and electrolytes. Hemodialysis may be considered in severe cases. Seek emergency medical attention immediately.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not stop taking it suddenly, as this can cause seizures to worsen. Avoid alcohol while taking this medicine, as it can increase drowsiness and the risk of liver problems. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Regular blood tests are necessary to monitor liver function, blood counts, and valproate levels. Do not drive or operate heavy machinery until you know how this medicine affects you. Keep all appointments with your healthcare provider.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the side effects of this medicine, especially drowsiness and dizziness. Start with lower doses and monitor closely for liver and kidney function.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor immediately. This medicine can cause serious birth defects. Your doctor may switch you to a safer alternative or adjust the dose. Use effective contraception while taking this medicine.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthetic agents and affect coagulation. Your doctor may adjust the dose before surgery.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine, as it can increase the risk of bleeding during dental procedures. Your dentist may take extra precautions.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight through diet and exercise.
🥗
Get regular physical activity as tolerated.
😴
Avoid alcohol and recreational drugs.
💧
Ensure adequate sleep and manage stress.
🧘
Take calcium and vitamin D supplements if advised by your doctor.

🏋️ Exercise Considerations

This medicine may cause drowsiness and dizziness. Avoid activities requiring mental alertness, such as driving or operating machinery, until you know how it affects you. Moderate exercise is generally safe, but consult your doctor before starting any new exercise regimen.

🥗 Diet Recommendations

Eat a balanced diet rich in fruits and vegetables.
Include adequate protein and calcium for bone health.
Limit processed foods and sugary drinks.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness, dizziness, and tremors, which can affect your ability to work or drive. Avoid operating heavy machinery until you know how it affects you. Discuss any work-related concerns with your doctor.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. Abrupt discontinuation can cause seizures to worsen. Your doctor will gradually reduce the dose if needed.

📅 Long-Term Use Effects

Long-term use of this medicine requires regular monitoring of liver function, blood counts, and valproate levels. It may cause weight gain, hair loss, and bone density loss. Periodic assessment of bone health and thyroid function is recommended. Do not stop the medicine without consulting your doctor.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Ketogenic diet

A high-fat, low-carbohydrate diet that can help control seizures in some patients, especially children.

Evidence: Well-established for certain types of epilepsy
Vagus nerve stimulation

A device implanted under the skin that sends electrical impulses to the vagus nerve to reduce seizures.

Evidence: Well-established for refractory epilepsy

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not generally interfere with vaccines. However, consult your doctor before receiving any live vaccines. Ensure your vaccinations are up to date.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or moisture. If crossing time zones, consult your doctor about adjusting dosing times. Carry enough supply for the entire trip plus extra in case of delays.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 32-year-old woman with epilepsy
She was started on this medicine for generalized tonic-clonic seizures. After 4 weeks, her seizure frequency reduced significantly. She experienced mild nausea initially, which subsided after taking the medicine with food. Regular liver function tests remained normal.
💡 Lesson: Consistent use with food and regular monitoring lead to good seizure control and tolerability.
👤 A 45-year-old man with bipolar disorder
He was prescribed this medicine for mood stabilization. He noticed improvement in his mood swings within 2 weeks. He was advised to avoid alcohol and to have regular blood tests. He reported mild tremor, which was managed by dose adjustment.
💡 Lesson: Adherence to prescribed dose and lifestyle modifications are key to managing bipolar disorder effectively.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: It may take several days to weeks to achieve full therapeutic effect, depending on the condition being treated.

Q: Can I stop taking this medicine if I feel better?

A: No, do not stop suddenly as it can cause withdrawal seizures. Consult your doctor before making any changes.

Q: Is it safe to take during pregnancy?

A: This medicine can cause serious birth defects. It should be avoided during pregnancy unless absolutely necessary and under specialist care.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my liver function?
  • Can I drive after taking this medicine?
  • Does it interact with my other medicines?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for valgress-cr 300 tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is addictive.
    Fact: This medicine is not addictive, but it should not be stopped suddenly as it can cause withdrawal seizures.
  • Myth: This medicine can be taken without regular blood tests.
    Fact: Regular blood tests are essential to monitor liver function, blood counts, and drug levels.
  • Myth: This medicine is safe during pregnancy.
    Fact: This medicine can cause serious birth defects and should be avoided during pregnancy unless absolutely necessary.

🔄 Alternative Options

Generic Alternatives

  • Sodium valproate + valproic acid controlled-release tablets

Brand Alternatives

  • Alporate 300 Tablet CR

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Sodium Valproate 200mg + Valproic Acid 87mg","release_type":"Controlled-release","frequency":"Once or twice daily"},{"medicine":"Divalproex sodium","composition":"Divalproex sodium","release_type":"Delayed-release","frequency":"Twice daily"}]

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