Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 8/30/2025

Clinical Features of Valproate Toxicity

Reproductive System Effects

  • Valproate can alter steroidogenesis and increase testosterone to estradiol ratios, according to the American Academy of Neurology 1
  • Weight gain is a common side effect that can reduce insulin sensitivity and promote polycystic ovary syndrome development in predisposed women, as reported by the American College of Obstetricians and Gynecologists 1