Which of the following is NOT a typical side effect listed for valproic acid?

• A. Dizziness
• B. GI upset
• C. Weight gain
• D. Cough

Answer: (D)

Valproic acid typically causes dizziness, GI upset (such as nausea or abdominal pain), and weight gain due to metabolic effects. A cough is not a usual side effect of this medication. If a patient on valproate develops a cough, it’s more likely due to another cause or a different drug. While monitoring, clinicians stay alert for rare but serious issues like hepatotoxicity and pancreatitis, but respiratory symptoms like cough don’t fit the common adverse effect pattern of valproic acid.