Product image of Orfiril (Sodium Valproate) supplied by GNH India

Orfiril

Active Ingredient:
Sodium Valproate
Origin:
EU

Orfiril (Sodium Valproate)

Sodium Valproate, the active ingredient in Orfiril, is a carboxylate anticonvulsant presented as a oral tablet for systemic use. It is used to treat seizure disorders and is prescribed for patients requiring long‑term seizure control.

GNH India supplies Orfiril as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Desitin Arzneimittel Gmbh

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Indications & Clinical Uses

Orfiril is an anticonvulsant that acts on neuronal excitability in several seizure‑related conditions.

  • Epilepsy: helps achieve broader seizure control across multiple seizure types.
  • Bipolar disorder: stabilises mood and reduces the frequency of manic episodes.
  • Migraine prophylaxis: decreases the number of migraine attacks when used preventatively.

How It Works

  • Sodium Valproate enhances gamma‑aminobutyric acid (GABA) neurotransmission by inhibiting GABA transaminase and increasing synaptic GABA concentrations. It also blocks voltage‑gated sodium channels and modulates T‑type calcium currents, collectively reducing neuronal hyper‑excitability that underlies seizures.

Side Effects

Adverse reactions to Sodium Valproate may vary in frequency and severity.

Common Side Effects

  • Nausea or stomach upset
  • Tremor or mild shakiness
  • Weight gain or increased appetite
  • Hair thinning or loss
  • Drowsiness or fatigue
  • Elevated liver enzymes

Serious or Rare Side Effects

  • Severe liver injury or failure
  • Pancreatitis
  • Thrombocytopenia or low platelet count
  • Hyperammonemic encephalopathy
  • Severe skin reactions such as Stevens‑Johnson syndrome
  • Acute pancreatitis

Precautions & Warnings

When prescribing Sodium Valproate, clinicians should consider several safety aspects.

  • Liver function monitoring: baseline and periodic tests are recommended, especially in children.
  • Blood count monitoring: watch for thrombocytopenia and anemia.
  • Pregnancy risk: avoid use in women of childbearing potential unless no safer alternative exists.
  • Drug interactions: review concomitant medications for potential PK/PD interactions.
  • Renal function: adjust if significant impairment is present.

Store at ambient temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

Sodium Valproate may interact with a range of medicines, requiring careful management.

Major Interactions (Avoid)

  • Carbamazepine: increased risk of hepatotoxicity.
  • Phenobarbital: reduced valproate plasma levels.
  • Topiramate: heightened risk of hyperammonemia.

Moderate Interactions (Monitor Closely)

  • Warfarin: possible increase in INR.
  • Lamotrigine: risk of severe skin reactions.
  • Oral contraceptives: reduced efficacy of hormonal contraception.
  • Phenytoin: altered valproate concentrations.
  • Acetaminophen: potential for increased liver enzyme elevations.

Frequently Asked Questions

Orfiril contains sodium valproate, an anticonvulsant indicated for the management of epilepsy, bipolar disorder and migraine prophylaxis. It helps reduce seizure frequency, stabilise mood swings and lower the number of migraine attacks when prescribed by a qualified healthcare professional.

Sodium valproate increases the activity of the inhibitory neurotransmitter GABA, blocks voltage‑gated sodium channels and modulates T‑type calcium currents. These actions collectively dampen neuronal hyper‑excitability, which is a key factor in seizures and related neurological disturbances.

The dose of Orfiril is individualized by the prescribing clinician based on the patient’s age, weight, clinical condition and response to therapy. Dosage adjustments are made during treatment to achieve optimal seizure control while minimising side effects.

Sodium valproate carries a known risk of birth defects and developmental disorders when used during pregnancy, so it is generally avoided in women of child‑bearing potential unless no safer alternative exists. Limited data are available for breastfeeding, and a risk‑benefit assessment should be performed by the prescriber.

To request Orfiril, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Compared with other anticonvulsants such as carbamazepine or lamotrigine, sodium valproate offers broad‑spectrum seizure control and mood‑stabilising properties but has a higher risk of liver toxicity and teratogenicity. Choice of therapy depends on the specific seizure type, comorbidities and individual patient risk factors.

Orfiril tablets should be stored at ambient temperature, below 25 °C, in the original packaging to protect them from moisture and direct sunlight. Keep the container tightly closed and out of reach of children.

Orfiril is supplied as oral tablets that are taken by mouth with or without food, as directed by the prescribing clinician. The tablets should be swallowed whole and not chewed or crushed unless specifically advised.

Serious risks include severe liver injury, pancreatitis, hyperammonemic encephalopathy, thrombocytopenia and life‑threatening skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored regularly for signs of these conditions, and therapy should be stopped immediately if they occur.

Orfiril is contraindicated in individuals with known hypersensitivity to sodium valproate, those with severe liver disease, mitochondrial disorders such as POLG‑related disease, and pregnant women unless no alternative therapy is available. Clinicians must review each patient’s medical history before initiating treatment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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