THIS INTERACTIVE FORM IS NOT INTENDED FOR HARD COPY USE. Interactive form for use with girls and women of childbearing potential taking this product. It is to be completed with their specialist at least once a year to make sure they know and have understood all the risks related to the use of valproate during pregnancy and the need to avoid becoming pregnant while taking valproate.
Valproate (Blevo, Convulex, Dyzantil, Epilim, Epilim Chrono or Chronosphere, Episenta, Epival, and Syonell▼): review by two specialists is required for initiating valproate but not for male patients already taking valproate.
THIS INTERACTIVE FORM IS NOT INTENDED FOR HARD COPY USE. Interactive form for male patients aged under 55 years to complete with their specialists when starting valproate.