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Neurontin vs. Depakote

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

Key takeaways

Gabapentin (Neurontin) and Divalproex (Depakote) are both antiepileptic medications, but they have different uses and forms. Gabapentin is used to treat certain seizures and nerve pain, while Divalproex is used for seizures, bipolar disorder, and migraine prevention. Gabapentin is available as a lower-cost generic in tablets, capsules, and liquid forms, and is typically taken three times a day. In contrast, Divalproex comes in delayed-release and extended-release tablets, as well as sprinkle capsules, and is usually taken once or twice daily. Gabapentin can cause dizziness and sleepiness, and it may be misused, leading some states to classify it as a controlled substance. Divalproex, on the other hand, can cause weight changes, liver problems, and requires regular blood tests to monitor liver health. Both medications should not be stopped suddenly to avoid withdrawal symptoms, including seizures.

Gabapentin

(Neurontin)

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Divalproex

(Depakote)

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Summary for Neurontin

Prescription only

Gabapentin, also known by its brand name Neurontin, is used to treat nerve pain from shingles in adults. This medication can also help treat partial (focal) seizures in adults and children. Gabapentin (Neurontin) comes as pills and a liquid that you take by mouth. The dosage depends on things like what you're treating, how old you are, and how well the medication is working. In general, you take it 3 times a day. Common side effects include making you feel dizzy and sleepy.

Indications for Neurontin

Pros and Cons for Neurontin

Pros

  • An option for relieving nerve pain caused by shingles
  • Can take with other anti-seizure medications for partial-onset seizures in people 3 years and older
  • Available as a tablet, capsule, and liquid for those who have trouble swallowing pills

Cons

  • Usually need to taken three times per day
  • Can cause dizziness and sleepiness
  • Can cause withdrawal symptoms if you stop taking the medication too suddenly or too fast

Common Side Effects for Neurontin

  • Sleepiness (19%)
  • Dizziness (17%)
  • Poor muscle control or clumsiness (13%)
  • Fatigue (11%)

Warnings for Neurontin

  • Severe allergic reactions
  • Sleepiness, dizziness, and trouble concentrating
  • Risk of suicidal thoughts and behavior
  • Higher risk of seizures and other side effects if you stop the medication too suddenly or too fast
  • Dangerously slowed breathing
  • Changes in behavior in children

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

Prices with our coupons for Neurontin vs. Depakote

Price Card Drug Icon
Gabapentin60 capsules / 300mg
$10.29$111.23
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Divalproex60 tablets / 500mg
$20.95$81.32
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