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Drug interactions

Propofol + Valproic acid

Severity: Moderate

Propofol and Valproic acid: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Valproate may reduce the propofol dose needed for anesthesia, and combined use can deepen sedation and hypotension. Valproate may also displace or alter drug handling, and reduced requirements have been reported.

What this interaction means in plain words

Propofol and Valproic acid can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Propofol belongs to Central Nervous System; Valproic acid belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depression, with possible reduction in propofol requirements.

What to do

Titrate propofol to effect with careful hemodynamic and depth-of-anesthesia monitoring and expect lower doses.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Propofol with Valproic acid?

MediHelp rates the interaction as moderate. Propofol and Valproic acid can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Valproate may reduce the propofol dose needed for anesthesia, and combined use can deepen sedation and hypotension. Valproate may also displace or alter drug handling, and reduced requirements have been reported.

How serious is the interaction between Propofol and Valproic acid?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Titrate propofol to effect with careful hemodynamic and depth-of-anesthesia monitoring and expect lower doses.

What other medicines interact with Valproic acid?

MediHelp also lists interactions of Valproic acid with, for example, Ertapenem, Imipenem / cilastatin / relebactam, Imipenem / cilastatin. The full list is on the Valproic acid page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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