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Dalstep 10mg Tablet ER

Dalfampridine (10mg)
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Dalstep 10mg Tablet ER is a medicine used to improve walking in adults with multiple sclerosis (MS). It is believed to improve the conduction of nerve signals in damaged nerves in the brain and spinal cord. This helps the nerve impulses travel more effectively and may improve walking ability in some people with MS.

Written By Dr. Sakshi Jain, MS, BDS,
Reviewed By Dr. Mekhala Chandra, MD, MBBS,
Last updated on 03 Mar 2026 | 08:56 PM (IST)
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Dalstep 10mg Tablet ER image
Dalstep 10mg Tablet ER image
Dalstep 10mg Tablet ER image
Dalstep 10mg Tablet ER image

Product introduction

Dalstep 10mg Tablet ER should be taken exactly as prescribed by your doctor. It may be taken with or without food. Take it regularly and take it at the same time each day for best results. Before starting treatment, your doctor may check your kidney function, and they may monitor it during the treatment to ensure safe use.


Common side effects include urinary tract infection, difficulty sleeping, dizziness, headache, nausea, weakness, back pain, balance problems, constipation, indigestion, and throat irritation. Some people may also experience burning or tingling sensations. These side effects are usually mild, but you should inform your doctor if they persist or become bothersome.


Dalstep 10mg Tablet ER can cause seizures, even in people who have never had one before, and the risk increases with higher doses or reduced kidney function. Do not take this medicine if you have ever had a seizure or if you have moderate to severe kidney problems. Stop taking the medicine and seek medical help immediately if you experience a seizure or signs of a serious allergic reaction, such as difficulty breathing, swelling of the throat or tongue, or hives. Inform your doctor about all other medicines you are taking and about any medical conditions, especially kidney problems, before starting treatment.

Uses of Dalstep Tablet ER

Benefits of Dalstep Tablet ER

Multiple sclerosis (MS)
Multiple sclerosis (MS) is a condition that affects the brain and spinal cord, where damage to the protective covering of nerves (myelin) disrupts the normal flow of nerve signals. This can lead to symptoms such as weakness, difficulty walking, balance problems, and fatigue. Dalstep 10mg Tablet ER helps improve walking in adults with multiple sclerosis. It has been shown to increase walking speed in some patients. It works by blocking potassium channels, which may help improve the conduction of nerve signals in damaged (demyelinated) nerves. This can lead to improved walking ability and mobility in certain patients with MS.

Side effects of Dalstep Tablet ER

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Dalstep
  • Constipation
  • Indigestion
  • Throat pain
  • Urinary tract infection
  • Sleep disturbance
  • Dizziness
  • Headache
  • Nausea
  • Weakness
  • Back pain
  • Balance disorder (loss of balance)
  • Paresthesia (tingling or pricking sensation)
  • Throat irritation
  • Nasal irritation

How to use Dalstep Tablet ER

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. Dalstep 10mg Tablet ER may be taken with or without food.

How Dalstep Tablet ER works

Dalstep 10mg Tablet ER is a potassium channel blocker. It works by improving the conduction of nerve signals in damaged (demyelinated) nerves in the brain and spinal cord. Helping nerve impulses travel more effectively may improve walking ability in some people with multiple sclerosis.

Quick tips

  • Dalstep 10mg Tablet ER helps improve walking in adults with multiple sclerosis.
  • It may take 2-6 weeks for the medicine to start working. Keep taking it as prescribed.
  • Do not chew, cut, or crush the tablet as that may result in releasing too much medicine in your body at once.
  • Inform your doctor if you have a history of seizures or kidney problems.

Safety advice

Alcohol

Alcohol

CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Dalstep 10mg Tablet ER. Please consult your doctor.
Pregnancy

Pregnancy

CONSULT YOUR DOCTOR
The safety of Dalstep 10mg Tablet ER during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.
Breast feeding

Breast feeding

CONSULT YOUR DOCTOR
Information regarding the use of Dalstep 10mg Tablet ER during breastfeeding is not available. Please consult your doctor.
Driving

Driving

UNSAFE
Dalstep 10mg Tablet ER may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney

Kidney

CAUTION
Dalstep 10mg Tablet ER should be used with caution in patients with kidney disease. Dose adjustment may be needed.
Liver

Liver

SAFE IF PRESCRIBED
Dalstep 10mg Tablet ER is probably safe to use in patients with liver disease. Limited data suggest dose adjustment may not be needed.

Interaction with drugs

Taking Dalstep with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Moderate

Carvedilol (Oral Route)

Watch out for symptoms of Dalfampridine side effects such as breathlessness, fatigue, drowsiness, sedation or faintness or vomiting and consult your doctor if you experience them. They may adjust the dose of Dalfampridine as per the observations. Carvedilol may slow down the removal of Dalfampridine from the body.
Moderate

Cimetidine (Oral Route)

Do not consume Dalfampridine with Cimetidine. If concurrent use is essential, watch out for symptoms of Dalfampridine side effects such as difficulty sleeping, impaired movements, balance disorders, tremors, or vomiting, and consult your doctor if you experience them.
Moderate

Metformin (Oral Route)

Watch out for symptoms of Dalfampridine side effects such as breathlessness, fatigue, drowsiness, sedation or faintness or vomiting and consult your doctor if you experience them. They may adjust the dose of Dalfampridine as per the observations. Metformin may slow down the removal of Dalfampridine from the body.
Moderate

Propranolol (Oral Route)

Watch out for symptoms of Dalfampridine side effects such as breathlessness, fatigue, drowsiness, sedation or faintness or vomiting and consult your doctor if you experience them. They may adjust the dose of Dalfampridine as per the observations. Propranolol may slow down the removal of Dalfampridine from the body.
Moderate

Propranolol (Inhalation Route)

Watch out for symptoms of Dalfampridine side effects such as breathlessness, fatigue, drowsiness, sedation or faintness or vomiting and consult your doctor if you experience them. They may adjust the dose of Dalfampridine as per the observations. Propranolol may slow down the removal of Dalfampridine from the body.

Frequently asked questions

Dalstep 10mg Tablet ER may take a few weeks to improve the condition. The effect of the medicine on a particular patient varies according to the severity of the condition and the response of the patient. Hence, during treatment with Dalstep 10mg Tablet ER, the patient should be monitored every week. Do consult your doctor and follow the instructions given by your doctor.
Dalstep 10mg Tablet ER is used in the therapy of multiple sclerosis. It acts by increasing the conduction in the damaged neurons by blocking potassium channels. The effect of this medicine can be seen with an increase in walking speed in treated patients.
Patients with kidney problems, allergic to Dalstep 10mg Tablet ER, or who ever had an episode of seizure should not take Dalstep 10mg Tablet ER. You should consult your doctor before you start taking this medication.
Usually, this medication is to be stored at 15ºC to 30ºC. The medicine should be stored in the original packaging in order to protect it from light and moisture. Do not use the medicine after its expiry date. Keep the medicine out of the reach of children.
Take the medicine exactly as prescribed by the doctor. Typically, it is recommended to take one tablet twice daily, with or without food, approximately 12 hours apart. Take the medicine whole; do not break, crush, or chew.

Fact Box

Chemical Class

Amino pyridine derivative

Habit Forming

No

Therapeutic Class

NEURO CNS

Action Class

Potassium channel blocker- MS
100% genuine products
100% genuine products
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No contact delivery
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Fully sanitized facilities
Fully sanitized facilities

User feedback

Twice A Day
62%
Once A Day
36%
Thrice A Day
2%
Multiple sclerosis (MS)
65%
Others
35%
Average
61%
Excellent
21%
Poor
18%
No Side Effect
33%
Dizziness
22%
Sleep disturbance
22%
Headache
11%
Urinary tract infection
11%
With food
64%
With or without food
27%
Empty stomach
9%
Expensive
74%
Average
19%
Not Expensive
7%
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Disclaimer

Tata 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 everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. 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.

Marketer details

Name: Sun Pharmaceutical Industries Ltd
Address: Plot no 107/108,Namli block , Ranipool, East Sikkim 737135 || Khasra No. 1335-1340,Near EPIP- I, Vill - Bhatoli Kalan ,Baddi, Solan, Himachal Pradesh, 173205 || Acme Plaza, Andheri-Kurla Road, Andheri (East), Mumbai, Maharashtra -400059

Vendor Details

Country of origin: India
A licensed vendor partner from your nearest location will deliver Dalstep 10mg Tablet ER. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
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Most medicines cannot be sold without a valid prescription, as per the Drugs and Cosmetics Act, 1940 and Rules, 1945
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