Last update: Sept. 30, 2015
Not risky for breastfeeding or infant.
It is excreted in breast milk in clinically non-significant amount without problems in the short or long term in infants whose mothers were treated. Plasma levels of these infants were undetectable or very low. Cognitive development did not suffer any alteration.
An infant was presented with thrombocytopenic purpura and anemia who recovered after removing valproate in the mother. However, doubts were raised on whether it was instead a post-viral reaction that led to idiopathic thrombocytopenic purpura.
The administration of valproic acid does not affect prolactin levels.
The American Academy of Pediatrics rates it as usual compatible with breastfeeding medication.
WHO List of Essential Medicines 2002: compatible with breastfeeding.
We do not have alternatives for Valproic Acid since it is relatively safe.
Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.
Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.
Thank you for helping to protect and promote breastfeeding.