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Q: Depakote: Time Release & Extended Release
U mentioned in a June question that their is no "time release" form of Depakote.
I am currently taking Depakote ER (Extended release) I thought this was the same
as a time release med. Whats the difference between time release and extended
release?
Dear M' --
Thanks for asking; others were probably wondering the same thing -- and,
right after I wrote that, a product was reported that I'd not heard of coming,
so I'll take this opportunity to inform regular readers who might otherwise
go on what I said last time and be mislead...
First, your question: there are 4 forms of "valproate", which is the active
ingredient in Depakote:
valproate the original simple molecule, available as a generic
divalproex sodium Abbott Labs makes this combo of two forms of valproate,
that's easier on the G.I. tract
Depakote CR this is a "Continuous Release" version of divalproex
Depakote ER this is Abbott's new "Extended Release" version
You're asking about the last two. Until about a year ago, the only "Depakote"
(i.e. trade name, not generic) version we had was CR. Then they came out with
this ER version, which is clearly a better drug (less tendency to cause weight
gain, for example), and does not cost any more than CR, so many of us have just
switched over to that one. Caution for some readers: some insurance and hospital
formularies have been slow to switch over to ER and may charge a higher co-pay
for that version, ironically.
Now, is ER a "time release med'?" Definitely yes, more so than CR, which is
more so than valproate. But none of these are the really ultra-time release
medication that the woman was asking about, as I recall. I think she was talking
about the "depot" medications that last weeks after an injection.
And here's where there is new news: Risperidone, a "new generation
antipsychotic" that has some use in bipolar disorder, particularly for Bipolar
I, is going to be available as a "depot" medication (called Risperdal Consta,
yeesh, have they no shame) very similar to the currently available Haldol and
Prolixin shots, but with some of the benefits (and the $$$$ cost) of the new
generation medications. Finally an alternative to Prolixin decanoate, this is a
good thing.
But as for Depakote, the longest "time release" we're going to see is the new
ER version, which can be taken once a day. I hope that answers your question.
Dr. Phelps
Published August, 2003
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