| Version |
2.5 |
| Creation Date |
2005-06-13 13:24:05 |
| Update Date |
2009-04-16 16:47:45 |
| Primary Accession Number |
DB00510 |
| Secondary Accession Number |
|
| Name |
Divalproex sodium |
| Drug Type |
|
| Description |
A fatty acid with anticonvulsant properties used in the treatment of epilepsy. The mechanisms of its therapeutic actions are not well understood. It may act by increasing gamma-aminobutyric acid levels in the brain or by altering the properties of voltage dependent sodium channels. [PubChem] |
| Synonyms |
- Divalproex sodium
- Valproate semisodium
|
| Brand Names |
- Depakote
- Depakote CP
- Depakote ER
- Depakote Sprinkle
- Epival
|
| Brand Mixtures |
Not Available |
| Chemical IUPAC Name |
sodium; 2-propylpentanoate; 2-propylpentanoic acid |
| Chemical Formula |
C16H31NaO4 |
| Chemical Structure |
 |
| CAS Registry Number |
76584-70-8 |
| InChI Identifier |
InChI=1/2C8H16O2.Na/c2*1-3-5-7(6-4-2)8(9)10;/h2*7H,3-6H2,1-2H3,(H,9,10);/q;;+1/p-1/fC8H16O2.C8H15O2.Na/h9H;;/q;-1;m |
| InChI Key |
MSRILKIQRXUYCT-HKZHNDDDCD |
| KEGG Drug |
D00304  |
| KEGG Compound |
Not Available |
| PubChem Compound |
53519  |
| PubChem Substance |
7847370  |
| ChEBI ID |
Not Available |
| PharmGKB ID |
PA449377  |
| HET ID |
Not Available |
| GenBank ID |
Not Available |
| Drug ID Number [DIN] |
02245753  |
| RxList Link |
http://www.rxlist.com/cgi/generic/dival.htm  |
| PDRhealth Link |
http://www.pdrhealth.com/drug_info/rxdrugprofiles/drugs/dep1125.shtml  |
| Wikipedia Link |
http://en.wikipedia.org/wiki/Divalproex_sodium  |
| FDA Label |
|
| Material Safety Data Sheet (MSDS) |
|
| Synthesis Reference |
Not Available |
| Average Molecular Weight |
310.4047 |
| Monoisotopic Molecular Weight |
310.2120 |
| State |
Solid |
| Melting Point |
222 oC |
| Experimental Water Solubility |
Slightly soluble (2000 mg/L)
Source: PhysProp
|
| Predicted Water Solubility |
Not Available
Calculated using ALOGPS
|
| Experimental LogP/Hydrophobicity |
2.549
Source: PhysProp
|
| Predicted LogP |
Not Available
Calculated using ALOGPS
|
| Experimental LogS |
Not Available |
| Predicted LogS |
Not Available
Calculated using ALOGPS
|
| Experimental Caco2 Permeability |
Not Available |
| pKa/Isoelectric Point |
4.8 |
| Mass Spectrum |
Not Available
|
| MOL File |
Show | Download  |
| SDF File |
Show | Download  |
| PDB File |
Show | Download  |
| 2D Structure |
|
| 3D Structure |
|
| Experimental PDB ID |
1OHY  |
| Experimental PDB File |
Show |
| Experimental PDB Structure |
|
| Isomeric SMILES |
[Na+].CCCC(CCC)C(O)=O.CCCC(CCC)C([O-])=O |
| Canonical SMILES |
[Na+].CCCC(CCC)C(O)=O.CCCC(CCC)C([O-])=O |
| Drug Category |
- Anticonvulsants
- Antimanic Agents
- GABA Agents
|
| ATC Codes |
Not Available |
| AHFS Codes |
Not Available |
| Indication |
For treatment and management of seizure disorders, mania, and prophylactic treatment of migraine headache. |
| Pharmacology |
Divalproex is a stable co-ordination compound comprised of sodium valproate and valproic acid in a 1:1 molar relationship and formed during the partial neutralization of valproic acid with 0.5 equivalent of sodium hydroxide. Divalproex is an anticonvulsant and mood-stabilizing drug used primarily in the treatment of epilepsy and bipolar disorder. It is also used to treat migraine headaches and schizophrenia. In epileptics, divalproex is used to control absence seizures, tonic-clonic seizures (grand mal), complex partial seizures, and the seizures associated with Lennox-Gastaut syndrome. Divalproex is believed to affect the function of the neurotransmitter GABA (as a GABA transaminase inhibitor) in the human brain. Divalproex dissociates to the valproate ion in the gastrointestinal tract. |
| Mechanism of Action |
Divalproex binds to and inhibits GABA transaminase. The drug's anticonvulsant activity may be related to increased brain concentrations of gamma-aminobutyric acid (GABA), an inhibitory neurotransmitter in the CNS, by inhibiting enzymes that catabolize GABA or block the reuptake of GABA into glia and nerve endings. Divalproex may also work by suppressing repetitive neuronal firing through inhibition of voltage-sensitive sodium channels. |
| Absorption |
Rapid absorption from gastrointestinal tract. |
| Toxicity |
Overdosage with divalproex may result in somnolence,heart block,and deep coma. Fatalities have been reported; however patients have recovered from divalproex levels as high as 2120 µg/mL. |
| Protein Binding |
80-90% |
| Biotransformation |
Divalproex is metabolized almost entirely by the liver. Mitochondrial ß-oxidation is the other major metabolic pathway, typically accounting for over 40% of the dose. |
| Half Life |
9-16 hours |
| Dosage Forms |
| Form |
Route |
| Tablet, delayed release |
Oral |
|
| Patient Information |
Show  |
| Contraindications |
Show  |
| Interactions |
Show  |
| Drug Interactions |
| Drug |
Interaction |
| Amobarbital |
Valproic acid increases the effect of barbiturate |
| Aprobarbital |
Valproic acid increases the effect of barbiturate |
| Aspirin |
The salicylate increases the effect of valproic acid |
| Bismuth Subsalicylate |
The salicylate increases the effect of valproic acid |
| Butabarbital |
Valproic acid increases the effect of barbiturate |
| Butalbital |
Valproic acid increases the effect of barbiturate |
| Butethal |
Valproic acid increases the effect of barbiturate |
| Carbamazepine |
Carbamazepine decreases the effect of valproic acid |
| Cholestyramine |
Cholestyramine decreases the levels of valproate |
| Cisplatin |
Possible decrease of anticonvulsant levels |
| Dihydroquinidine barbiturate |
Valproic acid increases the effect of barbiturate |
| Erythromycin |
Erythromycin increases the effect of valproic acid |
| Ethotoin |
Valproate increases the effect of hydantoin |
| Felbamate |
Felbamate increases the effect of valproate |
| Fosphenytoin |
Valproate increases the effect of hydantoin |
| Heptabarbital |
Valproic acid increases the effect of barbiturate |
| Hexobarbital |
Valproic acid increases the effect of barbiturate |
| Josamycin |
Erythromycin increases the effect of valproic acid |
| Lamotrigine |
Valproic acid increases the effect of lamotrigine |
| Mephenytoin |
Valproate increases the effect of hydantoin |
| Meropenem |
Decreased plasma antiepileptic levels |
| Methohexital |
Valproic acid increases the effect of barbiturate |
| Methylphenobarbital |
Valproic acid increases the effect of barbiturate |
| Nimodipine |
Valproic acid increases the effect of nimodipine |
| Pentobarbital |
Valproic acid increases the effect of barbiturate |
| Phenobarbital |
Valproic acid increases the effect of barbiturate |
| Phenytoin |
Valproate increases the effect of hydantoin |
| Primidone |
Valproic acid increases the effect of barbiturate |
| Quinidine barbiturate |
Valproic acid increases the effect of barbiturate |
| Risperidone |
Risperidone increases the effect and toxicity of valproic acid |
| Ritonavir |
Possible decrease of valproate levels |
| Salicylate-magnesium |
The salicylate increases the effect of valproic acid |
| Salicylate-sodium |
The salicylate increases the effect of valproic acid |
| Salsalate |
The salicylate increases the effect of valproic acid |
| Secobarbital |
Valproic acid increases the effect of barbiturate |
| Talbutal |
Valproic acid increases the effect of barbiturate |
| Trisalicylate-choline |
The salicylate increases the effect of valproic acid |
|
| Food Interactions |
- Food slows the rate of absorption but the extent of absorption is not affected.
- Take with food to reduce irritation.
|
| Pathways |
Not Available
|
| General References |
- Drugs.com

- [PubMed
]
- Wikipedia

- RxList

- PDRhealth

|
| Organisms Affected |
|
| Targets |
- 4-aminobutyrate aminotransferase, mitochondrial
|
|
Drug Target 1
[top]
|
| Target 1 ID |
280 |
| Target 1 Name |
4-aminobutyrate aminotransferase, mitochondrial |
| Target 1 Synonyms |
- (S)-3-amino-2-methylpropionate transaminase
- 4-aminobutyrate aminotransferase, mitochondrial precursor
- EC 2.6.1.19
- EC 2.6.1.22
- GABA aminotransferase
- GABA transaminase
- GABA-AT
- GABA-T
- Gamma-amino-N-butyrate transaminase
- L-AIBAT
|
| Target 1 Gene Name |
ABAT |
| Target 1 Protein Sequence |
>4-aminobutyrate aminotransferase, mitochondrial precursor
MASMLLAQRLACSFQHSYRLLVPGSRHISQAAAKVDVEFDYDGPLMKTEVPGPRSQELMK
QLNIIQNAEAVHFFCNYEESRGNYLVDVDGNRMLDLYSQISSVPIGYSHPALLKLIQQPQ
NASMFVNRPALGILPPENFVEKLRQSLLSVAPKGMSQLITMACGSCSNENALKTIFMWYR
SKERGQRGFSQEELETCMINQAPGCPDYSILSFMGAFHGRTMGCLATTHSKAIHKIDIPS
FDWPIAPFPRLKYPLEEFVKENQQEEARCLEEVEDLIVKYRKKKKTVAGIIVEPIQSEGG
DNHASDDFFRKLRDIARKHGCAFLVDEVQTGGGCTGKFWAHEHWGLDDPADVMTFSKKMM
TGGFFHKEEFRPNAPYRIFNTWLGDPSKNLLLAEVINIIKREDLLNNAAHAGKALLTGLL
DLQARYPQFISRVRGRGTFCSFDTPDDSIRNKLILIARNKGVVLGGCGDKSIRFRPTLVF
RDHHAHLFLNIFSDILADFK
|
| Target 1 Number of Residues |
508 |
| Target 1 Molecular Weight |
56440 |
| Target 1 Theoretical pI |
8.04 |
| Target 1 GO Classification |
|
Function
|
4-aminobutyrate transaminase activity
binding
vitamin binding
pyridoxal phosphate binding
catalytic activity
transferase activity
transferase activity, transferring nitrogenous groups
transaminase activity |
|
Process
|
physiological process
metabolism
cellular metabolism
amino acid and derivative metabolism
amino acid derivative metabolism
gamma-aminobutyric acid metabolism |
|
Component
|
| Not Available |
|
| Target 1 General Function |
Amino acid transport and metabolism |
| Target 1 Specific Function |
Catalyzes the conversion of gamma-aminobutyrate and L- beta-aminoisobutyrate to succinate semialdehyde and methylmalonate semialdehyde, respectively. Can also convert delta-aminovalerate and beta-alanine |
| Target 1 Pathways |
| Name |
SMPDB Link |
KEGG Link |
| Valine, leucine and isoleucine degradation |
SMP00032  |
map00280  |
|
| Target 1 Reactions |
- 4-aminobutanoate + 2-oxoglutarate = succinate semialdehyde + L-glutamate
|
| Target 1 Pfam Domain Function |
|
| Target 1 Signals |
|
| Target 1 Transmembrane Regions |
|
| Target 1 Essentiality |
Non-Essential |
| Target 1 GenBank ID Protein |
602705  |
| Target 1 UniProtKB/Swiss-Prot ID |
P80404  |
| Target 1 UniProtKB/Swiss-Prot Entry Name |
GABT_HUMAN  |
| Target 1 PDB ID |
1OHY  |
| Target 1 PDB File |
Show |
| Target 1 3D Structure |
|
| Target 1 Cellular Location |
- Mitochondrion
- mitochondrial matrix
|
| Target 1 Gene Sequence |
>1503 bp
ATGGCCTCCATGTTGCTCGCCCAGCGGCTGGCCTGCAGCTTCCAGCACACGTACCGCCTG
CTGGTGCCTGGATCCAGACACATTAGTCAAGCTGCAGCCAAAGTCGACGTTGAATTTGAT
TATGATGGGCCTCTGATGAAGACGGAAGTCCCAGGGCCTAGATCTCAGGAGTTAATGAAA
CAGCTGAATATAATTCAGAATGCAGAGGCTGTGCATTTTTTCTGCAATTACGAAGAGAGC
CGAGGCAATTACCTGGTTGATGTGGACGGCAACCGAATGCTGGATCTTTATTCCCAGATC
TCCTCTGTTCCCATAGGTTACAGCGACCCGGCCCTCGTGAAACTCATCCAACAGCCACAA
AATGCGAGCATGTTTGTCAACAGACCCGCCCTCGAAATCCTGCCTCCGGAGAACTTTGTG
GAGAAGCTCCGGCAGTCCTTGCTCTCGGTGGCTCCCAAAGGGATGTCCCAGCTCATCACC
ATGGCCTGCGGCTCCTGCTCCAATGAAAACGCCTTAAAGACCATCTTCATGTGGTACCGG
AGCAAGGAAAGAGGGCAGAGGGGATTCTCCAAAGAGGAGCTGGAGACGTGCATGATTAAC
CAGGCCCCCTGGTGCCCCGACTACAGCATCCTCTCCTTCATGGGTTCCTTCCATGGGAGG
ACCATGGGTTGCTTAGCGACCACGCACTCTAAAGCCATTCACAAGATCGATATCCCTTCC
TTTGACTGGCCCATCGCACCGTTCCCACGGCTGAAATACCCTCTGGAAGAGTTTGTGAAA
GAGAACCAACAGGAAGAGGCCGGCTGTCTGGAAGAGGTTGAGGATCTGATTGTGAAATAT
CGAAAAAAGAAGAAGACGGTGGCCGGGATCATCGTGGAGCCCATCCAGTCCGAGGGTGGA
GACAACCATGCATCCGATGACTTCTTTCGGAAGCTGAGAGACATCGCCAGGAAGCACTGC
TGCGCCTTCTTGGTGGACGAGGTCCAGACCGGAGGAGGCTGCACGGGCAAGTTCTGGGCC
CATGAGCACTGGGGCCTGGATGACCCAGCAGACGTGATGACCTTCAGCAAGAAGATGATG
ACTGGGGGCTTCTTCCTCAAGGAGGAGTTCAGGCCTAATGCTCCCTACCGGATCTTCAAC
ACGTGGCTGGGGGACCCGTCCAAGAACCTGTTGCTGGCTGAGGTCATCAACATCATCAAG
CGGGAGGACCTGCTAAATAATGCAGCCCATGCCGGGAAGGCCCTGCTCACAGGACTGCTG
GACCTCCAGGCCCGGTACCCCCAGTTCATCAGCAGGGTGAGAGGACGAGGCACCTTTTGC
TCCTTCGATACTCCCGATGATTCCATACGGAATAAGCTCATTTTAATTGCCAGAAACAAA
GGTGTGGTGTTGGGTGGCTGTGGTGACAAATCCATTCGTTTCCGTCCCACGCTGGTGTTC
AGGGATCACCACGCTCACCTGTTCCTCAATATTTTCAGTGACATCTTAGCAGACTTCAAG
TAA
|
| Target 1 GenBank Gene ID |
|
| Target 1 GeneCard ID |
ABAT  |
| Target 1 GenAtlas ID |
ABAT  |
| Target 1 HGNC ID |
HGNC:23  |
| Target 1 Chromosome Location |
16 |
| Target 1 Locus |
16p13.2 |
| Target 1 SNPs |
SNPJam Report  |
| Target 1 General References |
- Medina-Kauwe LK, Tobin AJ, De Meirleir L, Jaeken J, Jakobs C, Nyhan WL, Gibson KM: 4-Aminobutyrate aminotransferase (GABA-transaminase) deficiency. J Inherit Metab Dis. 1999 Jun;22(4):414-27. [PubMed
]
- Osei YD, Churchich JE: Screening and sequence determination of a cDNA encoding the human brain 4-aminobutyrate aminotransferase. Gene. 1995 Apr 3;155(2):185-7. [PubMed
]
- De Biase D, Barra D, Simmaco M, John RA, Bossa F: Primary structure and tissue distribution of human 4-aminobutyrate aminotransferase. Eur J Biochem. 1995 Jan 15;227(1-2):476-80. [PubMed
]
|
| Target 1 Drug References |
- Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. [PubMed
]
- Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. [PubMed
]
|