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SODIUM VALPROATE WOCKHARDT 40MG/ML ORAL SOLUTION (SUGAR FREE)

Active substance(s): SODIUM VALPROATE / SODIUM VALPROATE

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PACKAGE LEAFLET
INFORMATION FOR THE USER

Sodium Valproate
Wockhardt 40mg/ml
Oral Solution (sugar free)
This medicine is subject to additional monitoring.
This will allow quick identification of new safety information.
You can help by reporting any side effects you may get. See the end of
section 4 for how to report side effects.
WARNING
Valproate can cause birth defects and problems with early
development of the child if it is taken during pregnancy. If you are
a female of childbearing age you should use an effective method of
contraception throughout your treatment.
Your doctor will discuss this with you but you should also follow
the advice in section 2 of this leaflet. Tell your doctor at once if you
become pregnant or think you might be pregnant.
Read all of this leaflet carefully before you start using this
medicine because it contains important information for you.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, please ask your doctor or
pharmacist.
- This medicine has been prescribed for you personally and you
should not pass it on to others. It may harm them, even if their
symptoms are the same as yours.
- If you get any side effects, talk to your doctor or pharmacist.
This includes any possible side effects not listed in this leaflet.
See section 4.
What is in this leaflet
1. What Sodium Valproate Oral Solution is and what it is used for
2. What you need to know before you take Sodium Valproate Oral
Solution
3. How to take Sodium Valproate Oral Solution
4. Possible side effects
5. How to store Sodium Valproate Oral Solution
6. Contents of the pack and other information

1. WHAT SODIUM VALPROATE ORAL SOLUTION IS AND
WHAT IT IS USED FOR
What Sodium Valproate Oral Solution is
The name of your medicine is Sodium Valproate Wockhardt 40mg/ml
Oral Solution (sugar free).
In the rest of this leaflet it is called Sodium Valproate Oral Solution.
What Sodium Valproate Oral Solution contains
Sodium Valproate Oral Solution contains a medicine called sodium
valproate. This belongs to a group of medicines called anticonvulsants
or anti-epileptic agents. It works by helping to calm the brain down.
What Sodium Valproate Oral Solution is used for
Sodium Valproate Oral Solution is used to treat epilepsy (fits) in adults
and children.

2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE SODIUM
VALPROATE ORAL SOLUTION
Do not take Sodium Valproate Oral Solution and tell your doctor if:
• you are allergic (hypersensitive) to sodium valproate or any of the
other ingredients of Sodium Valproate Oral Solution (see Section 6:
Further Information)
Signs of an allergic reaction include: a rash, swallowing or breathing
problems, swelling of your lips, face, throat or tongue
• you have liver problems or you or your family have a history of liver
problems
• you have a rare illness called porphyria.
• you have a known metabolic disorder, i.e a urea cycle disorder
• you have a genetic problem caused by a mitochondrial disorder
(e.g. Alpers-Huttenlocher syndrome)
Do not take this medicine if any of the above apply to you. If you are not
sure, talk to your doctor or pharmacist before taking Sodium Valproate
Oral Solution.
Warnings and precautions
A small number of people being treated with anti-epileptics such as
sodium valproate have had thoughts of harming or killing themselves.
If at any time you have these thoughts, immediately contact your doctor.
As with other antiepileptic drugs, convulsions may become worse or
happen more frequently whilst taking this medicine. If this happens
contact your doctor immediately.
• Talk to your doctor or pharmacist before taking this medicine if:
• You have diabetes. This medicine may affect the results of urine tests
• You have kidney problems. Your doctor may give you a lower dose
• You have fits (epilepsy), brain disease or a metabolic condition
affecting your brain
• You have a ‘urea cycle disorder’ where too much ammonia builds up
in the body

more likely to develop symptoms of Attention Deficit Hyperactivity
Disorder (ADHD).
• If you are a woman capable of becoming pregnant your doctor
should only prescribe valproate for you if nothing else works for you.
• Before prescribing this medicine to you, your doctor will have
explained what might happen to your baby if you become pregnant
whilst taking valproate. If you decide later you want to have a child
you should not stop taking your medicine until you have discussed
this with your doctor and agreed a plan for switching you onto
another product if this is possible.
• Ask your doctor about taking folic acid when trying for a baby. Folic
acid can lower the general risk of spina bifida and early miscarriage
that exists with all pregnancies. However, it is unlikely that it will
reduce the risk of birth defects associated with valproate use.
FIRST PRESCRIPTION
If this is the first time you have been prescribed valproate your doctor
will have explained the risks to an unborn child if you become pregnant.
Once you are of childbearing age, you will need to make sure you use an
effective method of contraception throughout your treatment. Talk to your
doctor or family planning clinic if you need advice on contraception.
Key messages:
• Make sure you are using an effective method of contraception.
• Tell your doctor at once if you are pregnant or think you might be
pregnant.
CONTINUING TREATMENT AND NOT TRYING FOR A BABY
If you are continuing treatment with valproate but you don’t plan to have
a baby make sure you are using an effective method of contraception.
Talk to your doctor or family planning clinic if you need advice on
contraception.
Key messages:
• Make sure you are using an effective method of contraception
• Tell your doctor at once if you are pregnant or think you might be
pregnant.
CONTINUING TREATMENT AND CONSIDERING TRYING FOR A BABY
If you are continuing treatment with valproate and you are now thinking
of trying for a baby you must not stop taking either your valproate or
your contraceptive medicine until you have discussed this with your
prescriber. You should talk to your doctor well before you become
pregnant so that you can put several actions in place so that your
pregnancy goes as smoothly as possible and any risks to you and your
unborn child are reduced as much as possible.
Your doctor may decide to change the dose of valproate or switch you to
another medicine before you start trying for a baby.
If you do become pregnant you will be monitored very closely both for
the management of your underlying condition and to check how your
unborn child is developing.
Ask your doctor about taking folic acid when trying for a baby. Folic acid
can lower the general risk of spina bifida and early miscarriage that
exists with all pregnancies. However, it is unlikely that it will reduce the
risk of birth defects associated with valproate use.
Key messages:
• Do not stop using your contraception before you have talked to your
doctor and worked together on a plan to ensure your epilepsy is
controlled and the risks to your baby are reduced.
• Tell your doctor at once when you know or think you might be
pregnant.
UNPLANNED PREGNANCY WHILST CONTINUING TREATMENT
Babies born to mothers who have been on valproate are at serious risk
of birth defects and problems with development which can be seriously
debilitating. Liver damage, low blood sugar levels (hypoglycaemia)
and withdrawal symptoms have also been reported in newborns if
the mother has taken sodium valproate during pregnancy. Withdrawal
symptoms include irritability, jitteriness, abnormal increase in muscle
tone, fits and feeding problems. If you are taking valproate and you
think you are pregnant or might be pregnant contact your doctor at
once. Do not stop taking your medicine until your doctor tells you to.
Ask your doctor about taking folic acid. Folic acid can lower the
general risk of spina bifida and early miscarriage that exists with all
pregnancies.
However, it is unlikely that it will reduce the risk of birth defects
associated with valproate use.
Key messages:
• Tell your doctor at once if you know you are pregnant or think you
might be pregnant.
• Do not stop taking valproate unless your doctor tells you to.
Make sure you read the patient booklet and sign the Acknowledgement
of Risk form which should be given to you and discussed with you by
your doctor or pharmacist.
Breast-feeding
Very little Sodium Valproate Oral Solution gets into the breast milk.
However, talk to your doctor about whether you should breast-feed your
baby. Ask your doctor or pharmacist for advice before taking any medicine.
Driving and using machines
You may feel sleepy when taking Sodium Valproate Oral Solution.
If this happens to you, do not drive or use any tools or machines.
Taking other medicines used to treat fits or calm emotional and
mental health problems may increase sleepiness.
104858/8
23LF01327PW

• You have an illness called ‘systemic lupus erythematosus (SLE)’ –
a disease of the immune system which affects skin, bones, joints
and internal organs
• You know that there is a genetic problem caused by a mitochondrial
disorder in your family.
If you are not sure if any of the above apply to you, talk to your doctor or
pharmacist before taking Sodium Valproate Oral Solution
Tell your doctor immediately if you
• D evelop stomach pain and feel sick or start vomiting since this may
indicate inflammation of the pancreas.
• H ave unexplained bruises or unusual bleeding e.g. nose bleeding or
bleeding from your gums. Do not take aspirin if this occurs.
Weight gain
Taking Sodium Valproate Oral Solution may make you put on weight.
Talk to your doctor about how this will affect you. Your Doctor will
monitor your weight during treatment.
Blood tests
Your doctor may wish to do blood tests before you start taking Sodium
Valproate Oral Solution and during your treatment.
Other medicines and Sodium Valproate Oral Solution
Please tell your doctor or pharmacist if you are taking or have recently
taken any other medicines. This includes medicines you buy without
a prescription, including herbal medicines. This is because Sodium
Valproate Oral Solution can affect the way some other medicines work.
Also some medicines can affect the way Sodium Valproate Oral Solution
work.
The following medicines can increase the chance of you getting
side effects, when taken with Sodium Valproate Oral Solution:
• Some medicines used for pain and inflammation (salicylates) such
as aspirin
• Some other medicines used to treat fits (epilepsy) – see Section 3:
“Patients taking other medicines for ‘fits.’” This includes medicines
such as phenobarbital, primidone, phenytoin, carbamazepine,
topiramate, lamotrigine, clonazepam and felbamate
Sodium Valproate Oral Solution may increase the effect of the
following medicines:
• Medicines used for thinning the blood (such as warfarin)
• Zidovudine used to treat HIV infection
• Temozolomide used to treat cancer
• Medicines for depression, such as amitriptyline or nortriptyline
• Monoamine oxidase inhibitors (MAOI) such as moclobemide,
selegiline, linezolid
• Medicines used to calm emotional and mental conditions such as
diazepam, olanzapine, clozapine, lorazepam and bupropion
• Ethosuximide and oxcarbazepine, used to treat epilepsy
• Sodium benzoate, used as a preservative
• Sodium phenylbutyrate, used to treat urea cycle disorders.
The following medicines can affect the way Sodium Valproate Oral
Solution work:
• Some other medicines used to treat fits (epilepsy)
• Some medicines used for the prevention and treatment of malaria
such as mefloquine and chloroquine
• Cimetidine used for stomach ulcers
• Carbapenem agents (antibiotics used to treat bacterial infections)
such as imipenem, meropenem, rifampicin and erythromycin.
The combination of Sodium Valproate Oral Solution and carbapenems
should be avoided because it may decrease the effect of your medicine.
• Colestyramine used to lower blood fat (cholesterol) levels.
• Antacids containing magnesium or aluminium hydroxides, used for
indigestion.
Taking Sodium Valproate Oral Solution with food and drink
Alcohol intake is not recommended during treatment.
Pregnancy and breast feeding and fertility
IMPORTANT ADVICE FOR WOMEN
• Valproate can be harmful to unborn children when taken by a
woman during pregnancy.
• Valproate carries a risk if taken during pregnancy. The higher the
dose, the higher the risks but all doses carry a risk.
• It can cause serious birth defects and can affect the way in which
the child develops as it grows. Birth defects which have been
reported include spina bifida (where the bones of the spine are not
properly developed); facial and skull malformations; heart, kidney,
urinary tract and sexual organ malformations; limb defects.
• If you take valproate during pregnancy you have a higher risk
than other women of having a child with birth defects that require
medical treatment. Because valproate has been used for many years
we know that in women who take valproate around 10 babies in
every 100 will have birth defects. This compares to 2-3 babies in
every 100 born to women who don’t have epilepsy.
• It is estimated that up to 30-40% of preschool children whose
mothers took valproate during pregnancy may have problems with
early childhood development. Children affected can be slow to
walk and talk , intellectually less able than other children, and have
difficulty with language and memory.
• Autistic spectrum disorders are more often diagnosed in children
exposed to valproate and there is some evidence children may be

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Description

Sodium Valproate Liquid 300ml Leaflet

Process Black

Item Code

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Size

210mm x 297mm

Min. Point Size

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Market

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Language

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Important information about some of the ingredients in this medicine
Sodium
Sodium Valproate Oral Solution contains 1.20 mmol of sodium per 5ml.
This needs to be taken into consideration by patients on a controlled
sodium diet.
Maltitol with sorbitol
If you have been told by your doctor that you have an intolerance to
some sugars, contact your doctor before taking this medicinal product.
Maltitol syrup
If you take more than one dose of Sodium Valproate Oral Solution at a
time, maltitol syrup may cause a mild laxative effect. There is a calorific
value of 2.3 k/g of hydrogenated glucose syrup.
Parahydroxybenzoates
This may cause allergic reaction.

3. HOW TO TAKE SODIUM VALPROATE ORAL SOLUTION
Always take Sodium Valproate Oral Solution exactly as your doctor has
told you. You should check with your doctor or pharmacist if you are
not sure. Sodium Valproate Oral Solution treatment must be started and
supervised by a doctor specialised in the treatment of epilepsy.
Taking this medicine
• Your doctor will decide how much Sodium Valproate Oral Solution to
give you or your child depending on your or your child’s body weight
• Take this medicine by mouth
• Take Sodium Valproate Oral Solution with or after food. This will help
to stop the feelings of sickness that may happen after taking Sodium
Valproate Oral Solution
• Do not mix Sodium Valproate Oral Solution with any other liquids.
• Do not dilute it
• If you feel the effect of your medicine is too weak or too strong,
do not change the dose yourself but ask your doctor
How to take this medicine
• Take this in 2 separate doses - half in the morning and half in the
evening.
• If the dose is less than 5ml (200mg), talk to your doctor or
pharmacist about how to measure the dose.
How much to take
Adults (including the elderly)
• The starting dose is 600mg daily. Your doctor should gradually
increase this dose by 200mg every 3 days depending on your
condition. The usual dose is between 1000mg and 2000mg
(20-30mg per kilogram of body weight) each day
• This may be increased to 2,500mg each day depending on your
illness.
Children over 20 kilograms
• The starting dose should be 400mg daily. Your doctor should
increase this dose depending on your child’s illness
• The usual dose is then between 20mg and 30mg for each kilogram
of body weight each day
• This may be further increased to 35mg for each kilogram of body
weight each day depending on your child’s illness
Children under 20 kilograms
• The usual dose is 20mg for each kilogram of body weight each day
• Depending on the child’s condition your child’s doctor may decide to
increase this dose
Patients with kidney problems
• Your doctor may decide to adjust your or your child’s dose
Patients taking other medicines for ‘fits’ (epilepsy)
• You or your child may be taking other medicines for epilepsy at the
same time as Sodium Valproate Oral Solution. If so, your doctor
should gradually initiate treatment depending on you or your child’s
condition
• Your doctor may increase the dose of Sodium Valproate Oral Solution
by 5 to 10mg for each kilogram of body weight each day depending
on which other medicines you are taking
If you take more Sodium Valproate Oral Solution than you should
If you take too much of this medicine contact your doctor, pharmacist or
nearest hospital casualty department straight away. Take the medicine
pack with you. This is so the doctor knows what you have taken.
The following effects may happen: feeling sick or being sick, pupils of the
eye becoming smaller, dizziness, sleepiness, loss of consciousness, weak
muscles, poor reflexes, breathing problems, headaches, fits (seizures),
confusion, memory loss and unusual or inappropriate behaviour.
If you forget to take a dose of Sodium Valproate Oral Solution
If you forget to take a dose, take it as soon as you remember. However,
if it nearly time for the next dose, skip the missed dose. Do not take a
double dose to make up for a forgotten dose.
If you stop taking Sodium Valproate Oral Solution
Keep taking Sodium Valproate Oral Solution until your doctor tells you
to stop. Do not stop taking Sodium Valproate Oral Solution just because
you feel better. If you stop your fits may come back.
Tests
Make sure you or your child keep your regular appointments for a
check-up. They are very important as your or your child’s dose may

need to be changed. Sodium Valproate Oral Solution can change the
levels of liver enzymes shown up in blood tests. This can mean that
your or your child’s liver is not working properly. If you or your child go
into hospital or visit another doctor or a dentist, tell them you are taking
Sodium Valproate Oral Solution.
If you have any further questions on the use of this product, ask your
doctor or pharmacist.

• Hair loss which is usually temporary. When it grows back it may be
more curly than before or altered in texture
• Hair, including body or facial hair grows more than normal in women
• Skin rash caused by narrow or blocked blood vessels (vasculitis)
• Changes in women’s periods and increased hair growth in women
• Breast enlargement in men
• Swelling of the feet and legs (oedema)
• Weight gain, leading to obesity in rare cases - as your appetite may
be increased
• Kidney problems, bedwetting or increased need to pass urine
• Headache
• Aggression, agitation, disturbance in attention, abnormal behaviour,
restlessness/hyperactivity, and learning disorder
• Tingling or numbness in the hands and feet
• Nail and nail bed disorders are common
Bone disorders
There have been reports of bone disorders including osteopenia and
osteoporosis (thinning of the bone) and fractures. Check with your
doctor or pharmacist if you are on long-term antiepileptic medication,
have a history of osteoporosis, or take steroids.
Blood tests
You may need to have periodic blood tests to check the function of your
liver and pancreas. If liver or pancreas damage occurs during treatment,
your doctor may tell you to stop taking Sodium Valproate Oral Solution.
Side effects specific to children
Reye’s-like syndrome may develop. Symptoms include vomiting, fever,
floppiness (hypotonia) and coma.
Children may develop symptoms of a blood disorder called Von
Willebrand’s disease, which can cause prolonged bleeding, bleeding
from gums or bruising.
Male fertility
Sodium Valproate Oral Solution can be a contributing factor in male
infertility.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse.
This includes any possible side effects not listed in this leaflet.
You can also report side effects directly via the Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard.
By reporting side effects you can help provide more information on the
safety of this medicine.

4. POSSIBLE SIDE EFFECTS
Like all medicines Sodium Valproate Oral Solution can cause side
effects, although not everybody gets them.
Tell your doctor straight away if you notice any of the following
serious side effects – you may need urgent medical treatment:
• You have an allergic reaction. The signs may include: a rash, joint
pain, fever (systemic lupus erythematosus), swallowing or breathing
problems, swelling of your lips, face, throat or tongue. Hands, feet or
genitals may also be affected. More severe allergic reactions can lead
to lymph node enlargement and possible impairment of other organs.
• Liver problems and problems of the pancreas may show as a sudden
illness which may happen in the first six months of treatment. This
happens in a very small number of people taking Sodium Valproate
Oral Solution. It includes feeling and being sick many times, being
very tired, sleepy and weak, stomach pain including very bad upper
stomach pain, jaundice (yellowing of the skin or whites of the eyes),
loss of appetite, swelling (especially of the legs and feet but may
include other parts of the body), worsening of your fits or a general
feeling of being unwell. This can happen in adults or children and
can be life threatening.
• Severe liver damage and reduced liver function, including liver
failure resulting in death.
Your doctor may tell you to stop taking Sodium Valproate Oral Solution
immediately if you have these symptoms.
• You have a skin rash or skin lesions with a pink/red ring and a pale
centre which may be itchy, scaly or filled with fluid. The rash may
appear especially on the palms or soles of your feet. These could be
signs of a serious allergy to the medicine called ‘erythema multiforme.’
• Blistering or bleeding of the skin around the lips, eyes, mouth,
nose and genitals. Also flu-like symptoms and fever. This may be
something called ‘Stevens-Johnson syndrome.’
• Severe blistering rash where layers of the skin may peel off to leave
large areas of raw exposed skin over the body. Also a feeling of
being generally unwell, fever, chills and aching muscles. This may be
something called ‘Toxic epidermal necrolysis.’
• Bruising more easily and getting more infections than usual.
This could be a blood problem called ‘thrombocytopenia’. It can also
be due to a fall in the number of white blood cells, bone marrow
depression or another condition that affects red blood cells, white
blood cells and platelets (pancytopenia) or how the blood clots.
• Blood clotting problems (bleeding for longer than normal), bruising or
bleeding for no reason.
• Changes in mood, loss of memory, lack of concentration and deep
loss of consciousness (coma).
• Underactive thyroid gland, which may cause tiredness or weight gain
(hypothyroidism).
• Breathing difficulty and pain due to inflammation of the lungs
(pleural effusion).
Tell your doctor as soon as possible if you have any of the
following side effects:
• Changes in behaviour including being very alert, and sometimes
also aggressive, hyper-active and unusual or inappropriate
behaviour. This is more likely if other medicine to treat fits such as
Phenobarbital and topiramate are taken at the same time or if the
Sodium Valproate Oral Solution starting dose is high or has been
suddenly increased.
• Changes in the amount of ammonia in the blood. Symptoms of this
condition are being sick, problems with balance and co-ordination,
feeling lethargic or less alert.
• Feeling shaky (tremor), sleepy or unsteady when walking or jerky
muscle movements
• Feeling tired or confused with loss of consciousness sometimes
accompanied by hallucinations or fits.
• Blisters with the skin flaking away.
• Rapid, uncontrollable movement of the eyes.
• An increase in the number and severity of convulsions
Tell your doctor or pharmacist if any of the following side effects
gets serious or lasts longer than a few days, or if you notice any
side effects not listed in this leaflet:
• Feeling sick, stomach ache or diarrhoea, especially when starting
treatment. This may be helped by taking the tablets with food
• Swollen gums
• Fainting
• Hearing loss
• Skin problems such as rashes. These happen rarely, but more often
in people also taking lamotrigine
• Acne

5. HOW TO STORE SODIUM VALPROATE ORAL SOLUTION
Keep this medicine out of the sight and reach of children.
Do not take this medicine if the expiry date on the carton has passed.
The expiry date refers to the last day of that month. Sodium Valproate
Oral Solution should not be taken if it shows signs of deterioration such
as discoloration.
Store below 25°C.
Store in the original container or package in order to protect from light.
Sodium Valproate Oral Solution should not be diluted.
Medicines should not be disposed of via wastewater or household
waste. Ask your pharmacist how to dispose of medicines no longer
required. These measures will help to protect the environment.

6. CONTENTS OF THE PACK AND OTHER INFORMATION
What Sodium Valproate Oral Solution contains
• Each 5ml contains 200mg of the active substance sodium valproate
(equivalent to 40mg/ml sodium valproate).
• The other ingredients are maltitol (E965) (with sorbitol (E420)),
methylparahydroxybenzoate (E218), ethylparahydroxybenzoate
(E214), propylparahydroxybenzoate (E217), cherry flavour black,
dilute hydrochloric acid, sodium hydroxide and purified water.
What Sodium Valproate Oral Solution looks like and contents of
the pack
Sodium Valproate Oral Solution is a clear, colourless thick liquid
supplied in 300ml opaque polyethylene (plastic) or amber glass bottles.
A measuring spoon is included.
Marketing Authorisation Holder: Wockhardt UK Ltd, Ash Road North,
Wrexham, LL13 9UF, UK.
Manufacturer: Pinewood Laboratories Limited, Ballymacarbry, Clonmel,
Co. Tipperary, Ireland.
This leaflet was last revised in 06/2017
Other sources of information
To listen to or request a copy of this leaflet in Braille, large print or audio
please call, free of charge: 0800 198 5000 (UK Only)
Please be ready to give the following information:
Product Name
Sodium Valproate Wockhardt
40mg/ml Oral Solution

Reference number
29831/0188

This is a service provided by the Royal National Institute of Blind People.
104858/8
23LF01327PW

Measure bar should be 150mm at 100% scale

artwork.leicester@cirrus-artwork.com

Warning! We cannot accept responsibility for any errors
in this proof after approval. Whilst we take extreme care
at all times to ensure accuracy to our clientʼs brief,
the final responsibility must be taken by our client.
IF YOU SIGN THIS PROOF YOU ARE SIGNIFYING
FULL APPROVAL OF DESIGN AND TEXT.

Customer

Wockhardt UK Limited

Colours Used

Description

Sodium Valproate Liquid 300ml Leaflet

Process Black

Item Code

104858/8

Profile

n/a

Size

210mm x 297mm

Min. Point Size

8pt (Main Body) / 8pt (Variables)

Market

UK

Language

English

Proof By

LHE

Proof No.

3

Date

14/06/2017

Artwork No.

857318

Keylines (non-printing)
Text Free Area (non-printing)

Pharma
Code

n/a

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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