Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Valproic acid (Depakene) and lamotrigine (Lamictal) are both antiepileptic medications used to treat seizures, but they have some key differences. Valproic acid is used for focal impaired awareness and absence seizures, while lamotrigine can treat partial and tonic-clonic seizures, as well as seizures from Lennox-Gastaut syndrome and bipolar disorder. Valproic acid is available as capsules and oral solution, while lamotrigine comes in immediate-release and extended-release tablets, chewable tablets, and orally disintegrating tablets. Both medications can cause serious side effects, with valproic acid is more likely to cause liver problems and high blood ammonia levels, and lamotrigine increasing the risk of severe skin reactions and meningitis. Both medications are available as lower-cost generics and should be avoided while pregnant due to the risk of serious birth defects.
Valproic acid
Lamotrigine (Lamictal)
Valproic acid
Lamotrigine (Lamictal)
Summary of Depakene vs. Lamictal
Summary for Antiepileptic
Prescription only
Valproic acid is an antiepileptic medication used to treat certain types of seizures in children and adults. It lessens seizures by balancing chemicals in the brain. Valproic acid is taken by mouth and is available as capsules and oral solution. Your provider will help determine the dose based on your body weight, symptoms and side effects, and blood work. Some common side effects of valproic acid include tremors, nausea, and headache. Though rare, this medication might also cause serious liver problems. Valproic acid can't be taken during pregnancy because it can cause serious birth defects.
Summary for Antiepileptic
Prescription only
Lamotrigine (Lamictal) can be used alone or together with other medications to treat seizures. It's available in immediate-release and extended-release formulations. The immediate-release formulation can also be used for bipolar disorder. Lamotrigine (Lamictal) can cause serious skin reactions like rash.
•Unknown if safe or works well in children under 2 years old (immediate release) or children under 13 years old (extended release)
Common Side Effects of Depakene vs. Lamictal
Common Side Effects for
•Tremor (25-57%)
•Nausea (34-48%)
•Headache (up to 31%)
•Excess sleepiness (27-30%)
•Vomiting (23-27%)
•Feeling weak (21-27%)
•Dizziness (18-25%)
•Hair loss (up to 24%)
•Diarrhea (13-23%)
•Stomach pain (12-23%)
Please note: These side effects were reported by people who took divalproex (Depakote) to treat seizures in clinical studies. Divalproex (Depakote) turns into valproic acid once it's absorbed into the gut.
Common Side Effects for
Below are common side effects reported by adults who took this medication along with other treatments. Percentages can differ depending on your condition (e.g., bipolar) and your age.