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Stavzor

STAVZOR for bipolar disorder

STAVZOR is indicated for the treatment of manic episodes associated with bipolar disorder.

Valproate, the active ingredient in STAVZOR, is recommended as a first-line therapy by the American Psychiatric Association.

Proven safety profile of valproate

Valproate has low rate of discontinuation due to intolerance in bipolar disorder. In two clinical trials, the rate of drug discontinuation due to intolerance was not statistically different among placebo (4%), valproate (8%) and lithium (11%).

In adjunctive therapy, as the STAVZOR dosage is titrated upward, concentrations of clonazepam, diazepam, ethosuximide, lamotrigine, tolbutamide, phenobarbital, carbamazepine, and/or phenytoin may be affected.
In converting to monotherapy, reduce concomitant antiepileptic drug (AED) by ~25% every 2 weeks. The speed and duration of withdrawal can be highly variable, and patients should be monitored closely. Reduction of concomitant AED can start at initiation of STAVZOR, or 1 to 2 weeks later if concerned that seizures may occur with reduction.

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