Pharmacist prescribers Linda Bryant and Leanne Te Karu discuss positive polypharmacy for heart failure. Current evidence shows the intensive implementation of four medications offers the greatest benefit to most patients with heart failure, with significant reductions in cardiovascular mortality, heart failure hospitalisations and all-cause mortality
Alert Communication: Sodium valproate (Epilim) use in people who can father children
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Alert Communication: Sodium valproate (Epilim) use in people who can father children
Tuesday 30 May 2023, 04:53 PM
1 minute to Read
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Sodium valproate (Epilim) use in people who can father children: important new safety information
Medsafe is highlighting new information that suggests a potential increased risk of neurodevelopmental disorders in children whose fathers were treated with sodium valproate (Epilim) at the time of the child’s conception.
Advice for consumers
- Keep taking your Epilim/sodium valproate as prescribed by your doctor.
- If you father a child while taking Epilim/sodium valproate, it is possible the child may have impaired mental and/or motor development problems.
- Use effective contraception if you are starting or continuing on Epilim/sodium valproate treatment
- If you are able to father children, speak with your doctor about the potential risks of taking Epilim/sodium valproate during conception, and your options if you wish to start a family.
Information for healthcare professionals
- The Epilim data sheet and CMI have been updated to include new safety information relating to use in males of reproductive potential.
- Use of sodium valproate at the time of conception by people who are able to father children has been linked to a potential increased risk of neurodevelopmental disorders in children compared to those who took lamotrigine/levetiracetam.
- Inform patients of this potential risk and consider alternative treatment options for those wishing to father a child.
- Discuss the need for effective contraception when starting sodium valproate and periodically throughout treatment.
- The company has produced a guide which should be provided to all male patients of reproductive potential using sodium valproate.
Read the alert communication for more information.