Cola Nut + Divalproex Sodium
Divalproex Sodium brand name: Depakote.
Cola Nut has a moderate interaction with Divalproex Sodium. Theoretically, cola nut might reduce the effects of valproate and increase the risk for convulsions.
Read the full interaction reportCola Nut and Divalproex Sodium
Here is the interaction we found between these two, with the evidence behind it.
VALPROATE
Why this applies to Divalproex Sodium
Divalproex Sodium falls under VALPROATE — the group Cola Nut interacts with.
Cola nut contains caffeine. Animal research suggests that caffeine can decrease the anticonvulsant activity of valproate. However, this effect has not been reported in humans.
Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
Here's the gist with cola nut and your Depakote (divalproex sodium). Cola nut's main active ingredient is caffeine, and the concern is that caffeine may slightly blunt how well valproate calms overactive brain activity. In animal studies, caffeine reduced valproate's anti-seizure effect, which could in theory make seizures harder to control or, if you take it for bipolar or migraines, weaken those benefits too.
That said, I want to keep this in perspective. This is theoretical and based only on animal research. It hasn't actually been seen in people, so I wouldn't panic over a single cola or chocolate. The bigger caution would be regularly using concentrated cola nut or caffeine supplements. Before adding anything stimulant-heavy, check with your pharmacist or doctor, especially since seizure control matters so much.
- Gasior, M., Borowicz, K., Buszewicz, G., Kleinrok, Z., and Czuczwar, S. J. Anticonvulsant activity of phenobarbital and valproate against maximal electroshock in mice during chronic treatment with caffeine and caffeine discontinuation. Epilepsia 1996;37(3 PubMed
- Jankiewicz, K., Chroscinska-Krawczyk, M., Blaszczyk, B., and Czuczwar, S. J. [Caffeine and antiepileptic drugs: experimental and clinical data]. Przegl.Lek. 2007;64(11):965-967.
- Chroscinska-Krawczyk, M., Jargiello-Baszak, M., Walek, M., Tylus, B., and Czuczwar, S. J. Caffeine and the anticonvulsant potency of antiepileptic drugs: experimental and clinical data. Pharmacol.Rep. 2011;63(1):12-18. PubMed
- Chroscinska-Krawczyk, M., Ratnaraj, N., Patsalos, P. N., and Czuczwar, S. J. Effect of caffeine on the anticonvulsant effects of oxcarbazepine, lamotrigine and tiagabine in a mouse model of generalized tonic-clonic seizures. Pharmacol Rep. 2009;61(5):819 PubMed
What These Ratings Mean
Every interaction above is graded three ways — here’s the key to each label.
Clinically significant. Avoid the combination, or use only under close professional supervision.
Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.
Generally not serious. Be aware of it and mention it to your pharmacist.
- LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
- ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
- PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
- UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
- AHigh-quality meta-analysis (quantitative systematic review).
- BCase-control study.
- CConsensus.
- DAnecdotal evidence.
These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.
Cola Nut Also Interacts With Other Medications
Cola Nut has 546 moderate, 108 minor known drug interactions in our database — the Divalproex Sodium one above is one of them. If you take anything else, check it against the full list below.
Check Another of Your Medications Against Cola Nut
We haven’t checked that one against Cola Nut yet — ask our pharmacists directly.
Covers the 2,830 medications we’ve checked against Cola Nut. Pick one to open its full report.
Questions About Cola Nut or Divalproex Sodium
These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Cola Nut or Divalproex Sodium, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:
- Can You Take Lion's Mane With Sodium Valproate? ›
- Can You Take 5-HTP Supplements With Valproic Acid? ›
- Does Propranolol Cause Hair Loss? ›
Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.
See Every Supplement That Interacts With Divalproex Sodium
This page covers Cola Nut only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Divalproex Sodium page lists 134 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: 1,4-butanediol (major), Activated Charcoal (major), Beer (major), Gamma-hydroxybutyrate (ghb) (major) and Kava (major).
By severity: 7 major · 110 moderate · 17 minor.
Taking Cola Nut as Part of a Dietary Supplement Product? Check It for Interactions
We hold 2 real supplement products containing Cola Nut, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Cola Nut. Your product may carry other ingredients that interact with Divalproex Sodium too, on top of Cola Nut — and those would not show on this page. Find your product and we’ll check every ingredient on its label:
Where Cola Nut and Divalproex Sodium Sit Against Everything Else
Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.
#1,001 of 1,452 supplements looked up here in the last 7 days
#523 of 2,830 medications looked up here in the last 7 days
Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.
About Cola Nut
What is Cola Nut?
- Energy and alertness
- Mental focus
- Physical performance
- Weight loss support
- Traditional digestive aid
Cola nut is a caffeine-containing seed from West Africa used mainly as a natural stimulant for energy and alertness. Most of its effects come from caffeine, and strong human evidence for specific health benefits is limited. Because of its caffeine content, people sensitive to stimulants and those who are pregnant or have heart conditions should be cautious.
About Valproic Acid
What Is Valproic Acid Used For?
Brand name: Depakote
Valproic acid capsules (brands Valproic and Valproic Acid) and valproic acid oral solution (brand Valproic Acid) are both used to treat epilepsy. Specifically, they are approved for complex partial seizures (either alone or with other seizure types) as monotherapy or add-on therapy, and for simple and complex absence seizures as sole therapy or add-on therapy.
Both forms are intended for adults and pediatric patients. Always follow your prescriber's guidance on which product and regimen is right for you.
Other Drugs & Cola Nut
Browse every other medication we’ve checked against Cola Nut — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
546 interactions
- Diclofenac Sodium ›
- Diltiazem ›
- Theophylline ›
- Ibuprofen ›
- Salbutamol Sulfate ›
- Phentermine ›
- Aspirin ›
- Methylphenidate ›
- Naproxen ›
- Erythromycin ›
- Estradiol ›
- Minocycline ›
- Hydrochlorothiazide ›
- Norethindrone ›
- Verapamil ›
- Levonorgestrel ›
- Phenylpropanolamine ›
- Ciprofloxacin ›
- Nicotine ›
- Phenytoin ›
- Carbamazepine ›
- Diclofenac Potassium ›
- Dipyridamole ›
- Phenylephrine ›
- Pseudoephedrine ›
- Albuterol ›
- Amphetamine ›
- Conjugated Estrogens ›
- Diethylpropion ›
- Ketoprofen ›
- Ofloxacin ›
- Selegiline ›
- Terbutaline ›
- Trichlormethiazide ›
- Adenosine (prescription Drug) ›
- Bendroflumethiazide ›
- Bivalirudin ›
- Caffeine (otc Drug) ›
- Cimetidine ›
- Erythromycin Ethylsuccinate ›
- Erythromycin Stearate ›
- Isoniazid ›
- Levofloxacin ›
- Metolazone ›
- Modafinil ›
- Omeprazole ›
- Oxymetazoline Hydrochloride ›
- Paroxetine ›
- Phenobarbital ›
- Riluzole ›
- Spironolactone ›
- Valproic Acid ›
- Warfarin Sodium ›
- Acetazolamide ›
- Amiodarone ›
- Amphetamine Sulfate ›
- Bromfenac Sodium ›
- Caffeine (prescription Drug) ›
- Chlorthalidone ›
- Clarithromycin ›
Showing 60 of 546 moderate interactions — see all 546 on the Cola Nut page.
108 interactions
- Insulin (rdna) ›
- Glyburide ›
- Insulin (pork) ›
- Insulin (human) ›
- Acarbose ›
- Fluphenazine ›
- Insulin Glargine ›
- Semaglutide ›
- Chlorpromazine ›
- Chlorpropamide ›
- Exenatide ›
- Fluconazole ›
- Glipizide ›
- Glucagon ›
- Insulin Lispro ›
- Metformin ›
- Prochlorperazine ›
- Repaglinide ›
- Sitagliptin ›
- Tirzepatide ›
- Acepromazine ›
- Acetohexamide ›
- Albiglutide ›
- Alogliptin ›
- Birth Control Pills ›
- Canagliflozin ›
- Carphenazine ›
- Cyamemazine ›
- Dapagliflozin ›
- Dasiglucagon Hydrochloride ›
- Drospirenone ›
- Dulaglutide ›
- Empagliflozin ›
- Ertugliflozin ›
- Exenatide Synthetic ›
- Gestodene ›
- Gliclazide ›
- Glimepiride ›
- Glucose ›
- Inhaled Insulin ›
- Insulin ›
- Insulin (bovine) ›
- Insulin Aspart ›
- Insulin Degludec ›
- Insulin Determir ›
- Insulin Glargine (rdna) ›
- Insulin Glargine Recombinant ›
- Insulin Glulisine (rdna) ›
- Insulin Lispro Recombinant ›
- Insulin Lispro-aabc ›
- Linagliptin ›
- Liraglutide ›
- Liraglutide Recombinant ›
- Lixisenatide ›
- Metformin Hydrochloride ›
- Metformin Xr ›
- Miglitol ›
- Muraglitazar ›
- Nateglinide ›
- Pericyazine ›
Showing 60 of 108 minor interactions — see all 108 on the Cola Nut page.
No interaction 2,175 drugs checked — show the list
We also checked Cola Nut against these medications and found no known interaction in our sources. Open any page to confirm.
- Levothyroxine ›
- Amlodipine ›
- Sertraline ›
- Testosterone ›
- Losartan Potassium ›
- Metoprolol ›
- Ivermectin ›
- Rosuvastatin ›
- Acetaminophen ›
- Tadalafil ›
- Atorvastatin ›
- Docusate ›
- Abemaciclib ›
- Hydroxyurea ›
- Valacyclovir ›
- Sumatriptan ›
- Prednisone ›
- Propranolol ›
- Bupropion ›
- Amoxicillin ›
- Lisinopril ›
- Bendamustine ›
- Acyclovir ›
- Amitriptyline ›
- Doxycycline ›
- Methotrexate ›
- Lamotrigine ›
- Fluoxetine ›
- Acetaminophen, Codeine ›
- Pregabalin ›
- Gabapentin ›
- Azithromycin ›
- Isotretinoin ›
- Methylene Blue ›
- Clonazepam ›
- Quetiapine ›
- Amlodipine Besylate ›
- Duloxetine ›
- Letrozole ›
- Buspirone ›
- Bisoprolol ›
- Levothyroxine, Liothyronine ›
- Acetaminophen, Oxycodone ›
- Dapsone ›
- Diazepam ›
- Cyclopentolate ›
- Candesartan Cilexetil ›
- Cephalexin ›
- Roxithromycin ›
- Acetaminophen, Dextromethorphan, Doxylamine ›
- Atorvastatin Calcium ›
- Pegunigalsidase Alfa-iwxj ›
- Daptomycin ›
- Finasteride ›
- Mirtazapine ›
- Hexobarbitone ›
- Valsartan ›
- Levothyroxine Sodium ›
- Levetiracetam ›
- Alprazolam ›
Showing the 60 most looked-up of 2,175 medications checked with no known interaction — see the full Cola Nut list.
Sources & How We Checked
Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference for vitamins, herbs and supplements — the basis for our interaction data.
- MedlinePlus, U.S. National Library of Medicine — NIH consumer drug information, used for the medication overviews.
- NIH Dietary Supplement Label Database (DSLD) — Official supplement product labels.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Divalproex Sodium Is Linked to Lower Levels of One Nutrient
Natural Medicines records Divalproex Sodium as a medicine that can lower these. This is not an interaction with Cola Nut — it is a separate effect of the medicine, and it is a reason some people are advised to supplement rather than to avoid one:
Read the full Divalproex Sodium nutrient depletion report ›
Depletion records come from the licensed Natural Medicines database. Do not start a supplement on the strength of this page — ask your pharmacist or doctor whether it applies to you.
Taking Cola Nut and Divalproex Sodium Together: Common Questions
Can you take Cola Nut with Divalproex Sodium?
How serious is the Cola Nut and Divalproex Sodium interaction?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Still Have a Question About Divalproex Sodium and Cola Nut?
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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.