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Is Vitamin D Safe with Valproate?

⚠️ HIGH SEVERITY
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Free · No account · based on published sources including NIH ODS, FDA drug labels, and peer-reviewed literature

WHAT YOU NEED TO KNOW

Take vitamin D3 supplementation (1000–2000 IU/day or as prescribed). Have bone mineral density and 25-OH vitamin D levels checked regularly, especially with long-term use.

Why this interaction occurs

Valproate induces CYP24A1, which accelerates the catabolism of 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D, leading to hypovitaminosis D, secondary hyperparathyroidism, decreased calcium absorption, and increased risk of osteopenia and fractures.

Evidence

Evidence level: strong.

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 34,884 reports mentioning Valproate. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Valproate + supplement combination on this page.

FAERS reports are voluntary and cannot prove that a drug caused an event. Do not use report counts to assess the safety of this specific drug-supplement pair.

Frequently asked questions

Can I take Vitamin D with Valproate?
Avoid unless your doctor or pharmacist directs otherwise. Take vitamin D3 supplementation (1000–2000 IU/day or as prescribed). Have bone mineral density and 25-OH vitamin D levels checked regularly, especially with long-term use.
Does Vitamin D affect how well Valproate works?
Valproate induces CYP24A1, which accelerates the catabolism of 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D, leading to hypovitaminosis D, secondary hyperparathyroidism, decreased calcium absorption, and increased risk of osteopenia and fractures.

Related interactions

All Vitamin D interactions →  ·  All Valproate interactions →

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Educational only — not medical advice.
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