Compare Depakote vs. Keppra

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Depacon
(valproate, valproic acid, or divalproex)

Keppra
(levetiracetam)

Prevents seizures and stabilizes mood. Depacon (Valproate, Valproic Acid, Or Divalproex) is good long-term prevention for epilepsy, bipolar disorder, and migraines, but can cause weight gain.Prevents seizures. Keppra (Levetiracetam) is effective for preventing seizures in people with epilepsy. Compared to other anti-seizure medications, it has few drug interactions and you don’t need to get your levels checked.
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Coupons for Depakote
Best available price for 60 (500mg) tablets of depakote
Coupons for Keppra
Best available price for 60 (500mg) tablets of keppra
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected
4.44Depakote
Reviews for Depakote
46%
of people (All ages) say Depakote is worth it
40%
say it works well
27%
say it's a big hassle
Have you used Depacon (valproate, valproic acid, or divalproex)?
Worth itNot sureNot worth it
Reviews for Keppra
33%
+13% better vs. Depakote
81%
-41% worse vs. Depakote
33%
+6% better vs. Depakote
Have you used Keppra (levetiracetam)?
Worth itNot sureNot worth it
Side effects
DepakoteKeppra
  • Nausea 7%
  • Drowsiness 7%
  • Dizziness 8%
  • Vomiting 9%
  • Accidental injury 6%
  • Muscle weakness 3%
  • Abdominal pain 1%
  • Indigestion 1%
  • Any side effect 4%
  • Rash 3%
More Depakote side effects »
  • Headache 4%
  • Muscle weakness 6%
  • Vomiting 3%
  • Any side effect 3%
  • Common cold 3%
  • Drowsiness 7%
  • Infection 5%
  • Irritability 12%
  • Neck pain 6%
  • Sore throat 7%
More Keppra side effects »
How it works
DepakoteKeppra
Depacon (Valproate, Valproic Acid, Or Divalproex) is an antiepileptic. Researchers don't know exactly how it works. It seems to increase the amount of GABA, a chemical that calms nerves in the brain.Keppra (Levetiracetam) is an antiepileptic medication. It prevents seizures by helping regulate neurotransmitters in the brain.
Type of medication
DepakoteKeppra
Prescription onlyPrescription only
Available as
DepakoteKeppra
  • Pill
  • Extended release
  • Extended release capsule
  • Sprinkle
  • Liquid
  • Pill
  • Extended release
  • Liquid
Used for
DepakoteKeppra
Risk factors for serious side effects
DepakoteKeppra
  • Children under age 2
  • History of metabolic disorders
  • History of depression
  • People also taking Topamax
Detailed Depacon (valproate, valproic acid, or divalproex) risks & warnings »
  • History of depression
  • Starting the first month of therapy
  • Taking with alcohol
  • Taking other medicines that make you less alert
  • Stopping Keppra (Levetiracetam) suddenly
Detailed Keppra (levetiracetam) risks & warnings »
Pregnancy

Research studies with real people found harmful effects on unborn babies, but the benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Food
DepakoteKeppra
  • Take with food to avoid upset stomach.
No food related info.
Kidneys and liver
DepakoteKeppra
  • Can cause liver damage, so it's probably not safe if you already have liver problems.
  • If you have kidney problems, your dose may need to be adjusted. Your doctor will check your kidney function regularly.
Sleep
DepakoteKeppra
No sleep related info.
  • Taking Keppra (Levetiracetam) can make you feel sleepy, dizzy, and affect your coordination. Avoid activities that require you to be alert, such as driving a car or operating machinery, until you know how Keppra (Levetiracetam) affects you.
  • You can experience drowsiness, weakness, dizziness, or respiratory infections while on this.
Weight
DepakoteKeppra
  • May cause hair loss and weight gain.
  • Can cause upset stomach, hair loss, weight gain, sleepiness, and tremor.
No weight related info.
Upsides and benefits
DepakoteKeppra
  • Lowers the frequency of seizures, especially for people with absence, tonic-clonic, and complex partial seizures.
  • One of the first-line options to stabilize mood for people with bipolar disorder.
  • Helpful in preventing frequent migraine headaches.
  • Lowers the frequency of seizures, including partial-onset, generalized tonic-clonic, and myoclonic seizures.
  • Unlike many other medications for epilepsy, this has very few drug interactions, so your other medicines shouldn't be affected.
  • If you have trouble swallowing tablets, Keppra (Levetiracetam) is also available as an oral solution.
  • You won’t need to get regular blood tests to check the drug levels in your body.
Downsides and risks
DepakoteKeppra
  • Can cause upset stomach, hair loss, weight gain, sleepiness, and tremor.
  • Can cause liver damage, so it's probably not safe if you already have liver problems.
  • Not safe to use if you're pregnant.
  • Requires routine blood tests to see how the medicine is affecting your body.
  • It’s important to take your dose on time so that Keppra (Levetiracetam) has consistent levels in your body.
  • May not be the best drug to take if you have a history of psychiatric issues, such as depression or bipolar disorder.
  • If you have kidney problems, your dose may need to be adjusted. Your doctor will check your kidney function regularly.
  • Keppra (Levetiracetam) is only FDA-approved to be taken with other medicines to treat epilepsy.
Tips from our pharmacists for people taking the medication
DepakoteKeppra
  • For the first week, avoid activities that require you to be alert.
  • Don't use if pregnant.
  • Requires routine blood tests.
  • Take with food to avoid upset stomach.
  • May cause hair loss and weight gain.
  • Different versions of Depakote have different dosing. Be careful.
  • Report confusion, persistent abdominal pain, yellowing of eyes/skin, or easy bruising to your doctor.
  • Takes 3 to 4 weeks to feel full effects on mood.
  • You can experience drowsiness, weakness, dizziness, or respiratory infections while on this.
  • If you start having skin rashes or changes in your mood, tell your doctor immediately.
  • If you need to stop taking Keppra (Levetiracetam), do so over at least one week to prevent withdrawal seizures.
  • If you are taking the oral solution, use the measuring device given with the medicine. Don’t use your household tablespoons to measure.
  • Don’t crush or cut this medicine before taking it, or else you’ll have dangerously high levels of this drug in your body.
Learn more
More about DepakoteSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Depacon (valproate, valproic acid, or divalproex)?
Worth itNot sureNot worth it
More about KeppraSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Keppra (levetiracetam)?
Worth itNot sureNot worth it