Use of alcohol or other sedative type medications can lead to extreme drowsiness. Before you take valproic acid, tell your doctor if you have liver disease or a bleeding disorder. Limit your consumption of alcoholic beverages. Alcohol and these drugs can add to the drowsiness and sedation caused by valproic acid. Before having surgery, including dental surgery, tell the doctor that you take valproic acid.
Valproic acid can cause false results in urine tests for ketones.
Diabetics should discuss this problem with their doctors. Do not allow anyone else to take this medication. If you do not remember until the next day, skip the missed dose and resume your usual dosing schedule. If you take 2 or more doses daily and you remember within 6 hours of the missed dose, take it immediately. Then take the remainder of the doses for that day at evenly spaced intervals.