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Arkaval Tablet CR 133mg/58mg


Overview

Introduction

Arkaval Tablet CR 133mg/58mg is a combination of two medicines used to treat epilepsy, a neurological disorder in which there are recurrent episodes of seizures or fits. It controls the abnormal activity of the brain, relaxes the nerves and hence, prevents seizures or fits.

Arkaval Tablet CR 133mg/58mg should be taken with food. Your doctor will decide the correct dose for you. This may increase gradually until your condition is stable. This medicine may take several weeks to work but it is important to take it regularly to get the benefit. Do not stop taking it, even if you feel fine unless your doctor advises you to. You may have more seizures, or your bipolar disorder may get worse.

The most common side effects of this medicine include nausea, vomiting, loss of appetite, swelling of gums, headache, sleepiness, tremor, hair loss and liver injury. Most side effects wear off, but if they bother you or do not go away, tell your doctor. There may be ways of preventing or reducing these effects.

Before taking this medicine, tell your doctor if you have kidney or liver problems, meningitis or depression or suicidal thoughts. Also let your doctor know about all other medications you are using as some may affect, or be affected by, this medicine, including contraceptive pills. If you are pregnant or breastfeeding, Arkaval Tablet CR 133mg/58mg can be taken if it is clearly needed but the dose may be adjusted. You should avoid driving or riding a bicycle if this medicine makes you drowsy or dizzy. You may need frequent blood tests to check how you are responding to this medicine.

You should avoid alcohol while taking Arkaval Tablet CR 133mg/58mg, as it may worsen certain side effects. This medicine can also lead to weight gain, eat a healthy balanced diet, avoid snacking with high-calorie food, and exercise regularly. Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or suicidal thoughts or behavior.

Uses of Arkaval Tablet CR

Side effects of Arkaval Tablet CR

Common
  • Nausea
  • Vomiting
  • Weight gain
  • Loss of appetite
  • Gum swelling
  • Headache
  • Sleepiness
  • Tremor
  • Hair loss
  • Liver injury

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Vomiting
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Weight gain
    Try to eat a healthy balanced diet without increasing your portion sizes. Avoid processed meat or poultry and seafood. Eat small, frequent meals and eat slowly. Do not snack on foods that contain a lot of calories such as crisps, cakes, biscuits and sweets. If you feel hungry between meals, eat fruits and vegetables which have low calories. Avoid reaching for a sugary drink if you feel stressed. Fasting once a week can be an effective way to lose weight. Make sure you get enough sleep. With proper diet and lifestyle changes, you might not gain any weight or may gain only a small amount. Even then if it bothers you, ask your doctor if there are any alternative medicines that do not have this side effect.
  • Coping with Loss of appetite
    It is important to eat, even if you do not feel like it. You might try switching to smaller meals and frequent snacks. Try eating healthy and nutritious snacks that are high in calories and protein, such as dried fruit and nuts. It is important to drink even if you cannot eat. But, do not fill your stomach with liquid before eating. Eat when you are most hungry. Exercise such as a short walk may also increase your appetite. Talk to your doctor about possible medication or supplements if your condition does not improve.
  • Coping with Headache
    Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller.
  • Coping with Sleepiness
    If the medicine is making you drowsy during the day, stop what you are doing and sit or lie down until you feel better. You can also consider taking a nap. Physical exercises such as walking may be helpful. Do not drink alcohol, as it will make you feel more tired. Avoid driving or operating heavy equipment when you are feeling drowsy. This problem usually goes away as your body gets used to the medicine. However, if it does not, ask your doctor if you can take your medicine at bedtime or whether the dose can be reduced.
  • Coping with Tremor
    These symptoms can be a sign that the dose is too high for you. It may help to change your dose or take your medicine at a different time of the day. There are also exercises that can improve muscle strength, control and coordination. In terms of lifestyle, avoid caffeine (in coffee, tea and chocolate), alcohol, and ask your doctor about other techniques to help you relax and manage stress. Talk to your doctor if this bothers you. Your doctor may be able to prescribe you medicines that can help.
  • Coping with Hair loss
    Use gentle hair products such as baby shampoo. Use a soft brush and comb gently. Avoid using hairdryers, curling tongs or hair straighteners and pat your hair dry after washing. Do not color your hair. Protect your scalp by covering your head in the sun. It is necessary to not take the stress and eat a balanced, nutritious diet as it is vital for the health of your hair.

How to use Arkaval Tablet CR

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Arkaval Tablet CR 133mg/58mg is to be taken with food.

How Arkaval Tablet CR works

Arkaval Tablet CR 133mg/58mg is a combination of two antiepileptic medicines: Sodium Valproate and Valproic Acid. They work together to control seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Arkaval Tablet CR 133mg/58mg.
Pregnancy
CONSULT YOUR DOCTOR
Arkaval Tablet CR 133mg/58mg is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breastfeeding
SAFE IF PRESCRIBED
Arkaval Tablet CR 133mg/58mg is safe to use during breastfeeding. Human studies suggest that the drug does not pass into the breastmilk in a significant amount and is not harmful to the baby.
Driving
UNSAFE
Arkaval Tablet CR 133mg/58mg may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
SAFE IF PRESCRIBED
Arkaval Tablet CR 133mg/58mg is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Arkaval Tablet CR 133mg/58mg may not be needed in these patients. Please consult your doctor.
However, talk to your doctor if you have any underlying kidney disease.
Liver
CAUTION
Arkaval Tablet CR 133mg/58mg should be used with caution in patients with liver disease. Dose adjustment of Arkaval Tablet CR 133mg/58mg may be needed. Please consult your doctor.
Use of Arkaval Tablet CR 133mg/58mg is not recommended in patients with severe liver disease and active liver disease.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Arkaval Tablet CR 133mg/58mg
₹3.5/Tablet CR
Leps 133mg/58mg Tablet CR
Olcare Laboratories
₹2.66/Tablet CR
save 24%
T-Val CR-200 Tablet
Tripada Biotec Pvt Ltd
₹3.17/Tablet CR
save 9%
Valvo CR 200 Tablet
Talent India
₹3.45/Tablet CR
save 1%
Valate Chrono 133mg/58mg Tablet CR
Psychotropics India Ltd
₹3.75/Tablet CR
7% costlier
₹6.59/Tablet CR
88% costlier

Quick Tips

  • You have been prescribed Arkaval Tablet CR 133mg/58mg for treatment and prevention of seizures.
  • Take it at the same time every day to maintain consistent levels in your body.
  • Do not drive or do anything that requires mental focus until you know how Arkaval Tablet CR 133mg/58mg affects you.
  • Avoid consuming alcohol when taking Arkaval Tablet CR 133mg/58mg, as it may cause excessive sleepiness or drowsiness.
  • Monitor your weight during the treatment as Arkaval Tablet CR 133mg/58mg can cause weight gain.
  • Your doctor may monitor Arkaval Tablet CR 133mg/58mg level, blood counts and liver function regularly throughout your treatment.  Inform your doctor if you develop fever, stomach pain, nausea or yellowing of your eyes or skin.
  • Do not take Arkaval Tablet CR 133mg/58mg if you are pregnant or planning to conceive or breastfeeding.
  • Do not stop taking the medication suddenly without talking to your doctor as it may increase the seizure frequency.

Patient Concerns

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I am taking zeptol CR 400 in morning and night. I have been taking this tablet for 10 years. I am newly married, 6 months old and we are planning for baby now. Is zeptol cr 400 a birth control tablet. Earlier i took epilex chrono 300 and gardenal 60mg. Now i had stopped both tables as doctor advised and taking zeptol Cr 400 alone. Please advice me whether Zeptol is a safe tablet while planning for pregnancy and want to know is it like a birth control tablet. Please help
Dr. Suman Rao
Obstetrics and Gynaecology
its not a birth control pill.it is usually prescribed for epilepsy. you can continue taking it if required.
Which is more strong zolfresh or zolfresh cr ?? It doesnt matter on the duration but which has more effect for the time it stays. Can i take it and sleep properly even if there is some noise around me or someone tries to wake me up.
Dr. Vikas Sharma
Neurology
Cr is strong as dose is more
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Do you have any questions related to Arkaval Tablet CR 133mg/58mg ?

FAQs

Q. Can the use of Arkaval cause sleepiness or drowsiness?

Yes, Arkaval may make you feel drowsy or sleepy. Avoid driving, operating machinery, working at heights or participating in potentially dangerous activities. Inform your doctor if you experience such an episode while taking this medicine.

Q. Can I drink alcohol while taking Arkaval?

No, avoid drinking alcohol while taking Arkaval. Drinking alcohol will increase the side effects caused by Arkaval.

Q. Can Arkaval be stopped when epilepsy symptoms are relieved?

No, Arkaval should be continued as advised by the doctor. Stopping Arkaval suddenly may cause the symptoms to reappear that too with increased frequency. If any problems are experienced due to Arkaval, consult the doctor for re-evaluation.

Q. Will a higher than the recommended dose of Arkaval be more effective?

No, taking a higher than the recommended dose may not be more effective, rather it may increase the chances of having serious side effects and toxicity. If the recommended doses do not relieve your symptoms or there is an increased severity of your symptoms, please consult your doctor.

Q. What are the instructions for the storage and disposal of Arkaval?

Keep this medicine in the container it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.

Related Products

Disclaimer: 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
  1. Linde M, Mulleners WM, Chronicle EP, et al. Valproate (valproic acid or sodium valproate or a combination of the two) for the prophylaxis of episodic migraine in adults. Cochrane Database Syst Rev. 2013;(6):CD010611. [Accessed 23 Apr. 2019] (online) Available from:External Link
  2. Drugs.com. Sodium Valporate. [Accessed 23 Apr. 2019] (online) Available from:External Link
  3. Drugs.com. Valporic acid. [Accessed 23 Apr. 2019] (online) Available from:External Link
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