Long-term use of encorate(valproate
) has been linked to bone loss. Taking supplements of both calcium and vitamin D may help to prevent bone loss. Patients who have taken valproic acid
or other forms of valproate for more than 5 years may be advised to have a bone density
test. If the test shows significant thinning of the bones, referral to a bone metabolism
specialist may be indicated.Currently, there are no formal recommendations regarding the prevention, identification, and treatment of bone disease
in patients using anticonvulsants .Moderate sunlight exposure, weight bearing exercise,avoidance of other drugs that may deplete bone may help in preventing bone loss. Calcium and Vit D3 oral tablet should be taken to minimise valproate induced osteopenia
. You did not mention about the cause for which valproate was advised. Don't make an attempt to stop valproate without consulting your doctor because that may precipitate seizure
in an epileptic child.But an attempt can be tried if your child was free of symptoms for a long time after taking encorate. Don't make an attempt yourself. Take the help of a specialist. Hope, I answered your queries.