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Depakote vs. Abilify

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Divalproex (Depakote) and aripiprazole (Abilify) are both prescription medications, but they belong to different classes and treat different conditions. Divalproex is an antiepileptic used to treat seizures, prevent migraines, and manage bipolar disorder. It works by increasing gamma-aminobutyric acid (GABA) in the brain to reduce activity bursts. Aripiprazole, on the other hand, is an atypical antipsychotic used to treat mental health conditions like schizophrenia, bipolar I disorder, and as an add-on for depression. It balances dopamine and serotonin in the brain to control thoughts, mood, and behaviors. Divalproex is available in various forms, including delayed-release and extended-release tablets, while aripiprazole comes in tablets, solutions, and orally disintegrating tablets. Both medications can cause sleepiness, but aripiprazole is less likely to cause weight gain compared to other antipsychotics, whereas divalproex can cause both weight gain and weight loss. Additionally, divalproex requires regular blood tests to monitor liver health, while aripiprazole can raise blood sugar and cholesterol levels.

Divalproex

(Depakote)

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Aripiprazole

(Abilify)

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Summary for Depakote

Prescription only

Divalproex (Depakote) is an antiepileptic medication used to treat certain types of seizures, bipolar disorder, and prevent migraines. The medication comes as delayed-release (DR) tablets, extended-release (ER) tablets, and sprinkle capsules. You take it by mouth, either once a day or in divided doses, depending on your condition and the form that's prescribed. Common side effects include stomach pain, hair loss, and diarrhea. Serious risks include liver problems, inflammation of the pancreas, and birth defects if taken during pregnancy.

Indications for Depakote

Pros and Cons for Depakote

Pros

  • Used for seizures, bipolar disorder, and migraine prevention
  • Dose is adjusted based on your response
  • Available in multiple forms
  • Can be used alone or with other medications

Cons

  • Won't help if you have a migraine attack
  • Interacts with many medications
  • Not safe to take in pregnancy
  • Requires regular blood work and lab tests

Common Side Effects for Depakote

Bipolar disorder

  • Sleepiness (19-26%)
  • Indigestion (9-23%)
  • Nausea (19-22%)
  • Vomiting (12-13%)
  • Dizziness (12%)
  • Accidental injury (6-11%)
  • Stomach pain (9-10%)
  • Weakness (6-10%)

Seizures

  • Nausea (48%)
  • Headache (31%)
  • Weakness (27%)
  • Vomiting (27%)
  • Sleepiness (27%)
  • Tremor (25%)
  • Dizziness (25%)
  • Stomach pain (23%)

Migraine

  • Nausea (15-31%)
  • Weakness (20%)
  • Sleepiness (7-17%)
  • Infection (15%)
  • Indigestion (7-13%)
  • Diarrhea (7-12%)
  • Dizziness (12%)
  • Vomiting (7-11%)

Warnings for Depakote

  • Liver problems
  • Birth defects
  • Inflammation of the pancreas
  • Suicidal thoughts or behavior
  • Bleeding and blood conditions
  • High ammonia levels
  • Low body temperature
  • Severe skin reactions
  • Serious allergic reaction
  • Sleepiness in older adults
  • Interaction with other medications

Summary for Abilify

Prescription only

Aripiprazole (Abilify) is an atypical antipsychotic used to treat different mental health conditions, such as schizophrenia and bipolar I disorder. It works by balancing certain chemicals in the brain to help control thoughts, mood, and behaviors. It's available in many dosage forms, including an oral tablet, solution, and an orally disintegrating tablet (ODT) that can be used in adults and children as young as 6 years old for certain conditions. Common side effects include headache, movement problems, and sleep problems.

Indications for Abilify

Pros and Cons for Abilify

Pros

Cons

  • Can make you feel restless
  • Risk of movement problems that can be permanent
  • Can raise blood sugar and cholesterol
  • Can take several weeks to see the full effects

Common Side Effects for Abilify

  • Headache (27%)
  • Agitation (19%)
  • Trouble sleeping (18%)
  • Anxiety (17%)
  • Nausea (15%)
  • Vomiting (11%)
  • Constipation (11%)
  • Dizziness (10%)
  • Trouble staying still (10%)

Note: Side effects were reported by adults who took aripiprazole in clinical studies for schizophrenia and bipolar disorder.

Warnings for Abilify

  • Higher risk of death in older adults with dementia-related psychosis
  • Neuroleptic malignant syndrome
  • High blood sugar, high cholesterol, and weight gain
  • Difficulty controlling movements
  • Changes in blood pressure and higher risk of falls
  • Risk of infection (from low white blood cell count)
  • Difficulty concentrating and extreme sleepiness
  • Seizures
  • Impulse-control problems

Prices with our coupons for Depakote vs. Abilify

Price Card Drug Icon
Divalproex60 tablets / 500mg
$20.95$81.32
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Aripiprazole30 tablets / 5mg
$12.66$439.57
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