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1 Indications And Usage Valproic Acid Is Indicated For: Monotherapy And Adjunctive Therapy Of Complex Partial Seizures; Sole And Adjunctive Therapy Of Simple And Complex Absence Seizures; Adjunctive Therapy In Patients With Multiple Seizure Types That Include Absence Seizures ( 1 ) 1.1 Epilepsy Valproic Acid Is Indicated As Monotherapy And Adjunctive Therapy In The Treatment Of Patients With Complex Partial Seizures That Occur Either In Isolation Or In Association With Other Types Of Seizures. Valproic Acid Is Indicated For Use As Sole And Adjunctive Therapy In The Treatment Of Simple And Complex Absence Seizures, And Adjunctively In Patients With Multiple Seizure Types Which Include Absence Seizures. Simple Absence Is Defined As Very Brief Clouding Of The Sensorium Or Loss Of Consciousness Accompanied By Certain Generalized Epileptic Discharges Without Other Detectable Clinical Signs. Complex Absence Is The Term Used When Other Signs Are Also Present. See Warnings And Precautions (5.1) For Statement Regarding Fatal Hepatic Dysfunction. 1.2 Important Limitations Because Of The Risk To The Fetus Of Decreased Iq, Neurodevelopmental Disorders, Neural Tube Defects, And Other Major Congenital Malformations, Which May Occur Very Early In Pregnancy, Valproate Should Not Be Used To Treat Women With Epilepsy Or Bipolar Disorder Who Are Pregnant Or Who Plan To Become Pregnant Unless Other Medications Have Failed To Provide Adequate Symptom Control Or Are Otherwise Unacceptable. Valproate Should Not Be Administered To A Woman Of Childbearing Potential Unless Other Medications Have Failed To Provide Adequate Symptom Control Or Are Otherwise Unacceptable [See Warnings And Precautions (5.2 , 5.3 , 5.4) , Use In Specific Populations (8.1) , And Patient Counseling Information (17) ] . For Prophylaxis Of Migraine Headaches, Valproate Is Contraindicated In Women Who Are Pregnant And In Women Of Childbearing Potential Who Are Not Using Effective Contraception [See Contraindications (4) ] .
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