Divaltec 250mg Tablet ER


Overview

Introduction

Divaltec 250mg Tablet ER is a medicine used to treat epilepsy. It helps prevent and control seizures (fits). It is also used in the prevention of migraine. Occasionally it is used to treat bipolar disorder.

Divaltec 250mg Tablet ER may be used alone or in combination with other medicines. The dose and how often you need to take it will be decided by your doctor so that you get the right amount to control your symptoms. It may be increased gradually. You can take this medicine with or without food but take it at the same time each day to get the most benefit. It usually takes a couple of weeks to work. It is important to take this medicine regularly and for as long as you are advised, even if you feel well. Missing doses may trigger seizures and, if you stop, your condition may get worse. It should never be stopped suddenly.

The most common side effects of this medicine include headache, blurred vision, nausea, vomiting, feeling dizzy, tired or drowsy, and unsteadiness. Most of these are not serious. Keep taking the medicine but talk to your doctor if these side effects bother you or do not go away. However, if you notice a skin rash or redness, tell your doctor straight away. It could develop into a life-threatening skin condition called Stevens-Johnson syndrome. Long-term treatment with this medicine can cause osteoporosis (reduced bone mass) and increase your risk of breaking a bone. Anticonvulsants like this medicine may cause suicidal thoughts and behaviors. If your mood becomes depressed, tell your doctor.

This medicine may not be suitable for everybody. Before using it, tell your doctor if you have ever had heart problems, kidney or liver disease, difficulty urinating, depression or suicidal thoughts. Many other medicines can interfere with it and some should not be taken together so tell your doctor all the medicines you are taking to make sure it is safe. If you are pregnant, do not start or stop taking this medicine without asking your doctor. Drinking alcohol should be avoided as it can increase some of the side effects and can also increase your risk of seizures. You may need frequent blood tests to help your doctor make sure you are taking the right dose both before you start and while you are using it.

Uses of Divaltec Tablet ER

Side effects of Divaltec Tablet ER

Common
  • Headache
  • Dizziness
  • Blurred vision
  • Weakness
  • Abdominal pain
  • Infection
  • Nausea
  • Vomiting
  • Sleepiness
  • Hair loss
  • Weight gain
  • Double vision
  • Diarrhea
  • Tremor
  • Weight loss
  • Flu-like symptoms

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 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 Dizziness
    This is usually short-lived and should go away within a few days. If this happens, stop what you are doing and sit or lie down until you feel better. Lying still in a dark, quiet room may help reduce the spinning feeling. Sleep with your head slightly raised on two or more pillows. Get up slowly from a lying or sitting position. Get plenty of rest and try to relax as being anxious can make it worse. Try taking this medicine at bedtime to reduce the symptoms. Drinking plenty of water and ginger tea may also help. Avoid alcohol, caffeine and smoking as it will make you feel worse. Avoid driving or using tools or machinery until you feel better.
  • Coping with Blurred vision
    You can consider washing your eyes with water. Avoid driving or using tools or machines if your vision is impaired. Do not take your next dose if your vision is still blurry. If it gets worse or does not improve, ask your doctor to recommend eye drops or talk about changing your medications.
  • Coping with Weakness
    Make sure you rest and drink plenty of fluids. Eat a well-balanced diet to keep your energy levels up. Do not drink too much alcohol. Do not drive or use tools or machinery until you feel better. Other things that can help include doing some gentle exercise every day, prioritizing and pacing your activities and having a short nap if you need to. If you are still having problems after a week, speak to your doctor, as they may want to change you to a different type of medicine.
  • Coping with Abdominal pain
    In most cases, this is mild enough to be treated at home. Try to rest and relax. Putting a heat pad or covered hot water bottle on your stomach may also help. Having a warm bath or shower can help you relax and relieve the pain. Drink plenty of clear fluids such as water and reduce your intake of coffee, tea, lemon juice or soda. Avoid alcohol and smoking as these can aggravate the pain. Eating slowly and having smaller and more frequent meals can also help. If the pain is severe, speak to your doctor. They may be able to guide you better.
  • Coping with Infection
    If you have a low level of white blood cells, you are more likely to get infections. There are several ways to reduce your chances of catching or spreading an infection. Avoid unnecessary exposure to germs when you can. Wash your hands frequently and thoroughly with soap or use a sanitiser. Avoid crowds and avoid contact with people who are ill or have infections. Use disposable tissues for coughs and sneezes. Consider using an appropriate face mask. Do not share personal items like cutlery, glasses, towels or toothbrushes with others. Get enough rest and eat a well balanced healthy diet.
  • 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 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 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.
  • 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 Diarrhea
    Keep up your intake of fluids and electrolytes (sugars and salts) to avoid getting dehydrated. Eat less fiber (avoid raw fruits, fruit juice and vegetables). Talk to your doctor about possible medication to manage diarrhea. Ask about reducing the dosage of your drug or other suitable treatments.
  • 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 Weight loss
    As a general rule, speak to your doctor if you lose weight while using this medicine. Losing too much weight can lead to malnutrition. Increase the amount of food you eat. Try eating foods that are high in calories and protein. Drink warm milk instead of tea every so often. Eat smaller meals and eat more often. There may be medicines and physical activities that can improve your condition.Speak to your doctor about this.
  • Coping with Flu-like symptoms
    Get plenty of rest as exhausting or stressing out yourself could aggravate your condition. You should drink plenty of fluids as it will keep your throat moist and comfortable. Try taking steam inhalation. The moisture can ease your breathing and loosen mucus. You can consider sipping warm water or tea with honey and lemon. This will keep your nose and throat from being too dry. Using an air humidifier may also help. You can also gargle with salt water several times a day. See your doctor if your symptoms last longer than 3 weeks or get worse quickly. Avoid alcohol and do not smoke as they can aggravate your conditions.

How to use Divaltec 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. Divaltec 250mg Tablet ER may be taken with or without food, but it is better to take it at a fixed time.

How Divaltec Tablet ER works

Divaltec 250mg Tablet ER is an antiepileptic medication. It controls seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain.

Safety Advice

Alcohol
UNSAFE
Divaltec 250mg Tablet ER may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Divaltec 250mg Tablet ER 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
Divaltec 250mg Tablet ER 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
Divaltec 250mg Tablet ER may cause side effects which could affect your ability to drive.
Kidney
SAFE IF PRESCRIBED
Divaltec 250mg Tablet ER is safe to use in patients with kidney disease. No dose adjustment of Divaltec 250mg Tablet ER is recommended.
Liver
UNSAFE
Divaltec 250mg Tablet ER is probably unsafe to use in patients with liver disease and should be avoided. Please consult your doctor.

What if you forget to take Divaltec Tablet ER?

If you miss a dose of Divaltec 250mg Tablet ER, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Divaltec 250mg Tablet ER
₹7.7/Tablet ER
Divalgress ER 250 Tablet
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save 25%
Desval ER 250 Tablet
Eris Lifesciences Ltd
₹6.98/Tablet ER
save 9%
Diproex ER 250 Tablet
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₹8.13/Tablet ER
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Divaa-OD 250 Tablet ER
Intas Pharmaceuticals Ltd
₹8.2/Tablet ER
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Dicorate ER 250 Tablet
Sun Pharmaceutical Industries Ltd
₹8.2/Tablet ER
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Quick Tips

  • Take your medication regularly as directed by your doctor as missing doses can trigger seizures.
  • It can be taken with or without food, but better to take with food to avoid stoamch upset. 
  • Do not change the brand of your medicine and make sure that you have sufficient amount of medicine present with you.
  • Some healthy tips to prevent seizures:
    • Practice yoga every day.
    • Get enough sleep at nighttime.
    • Limit the use of screen time such as mobile/laptop.
    • Take your medication on time.
  • It may cause dizziness and sleepiness. Do not drive or do anything that requires mental focus until you know how it affects you.
  • Monitor your weight during treatment with this medicine as it can cause weight gain.
  • Your doctor may get regular blood tests done to monitor how the medication is affecting your body. Inform your doctor if you notice yellowing of eyes or skin, dark urine, or stomach pain.
  • Do not stop taking the medication suddenly without talking to your doctor as it may increase the seizure frequency.

Interaction with Drugs

Taking Divaltec with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Eurolam, Alwel, Tenzo
SERIOUS
Brand(s): Equblam, Zepox, Raipox
SERIOUS
Brand(s): Risure, Boze, Clobazed
SERIOUS
Brand(s): Panik
SERIOUS

Patient Concerns

arrow
Sir I have a bipolar disorder.i want to know what should I do if I get side effect from my medicine. I follow t lith cr 450mg. Divaltec er 500mg Thank you
Dr. Sanjay Bhatt
Physician
If some side effect u will feel consult your doctor
She has problem of epilepsy from last two years
Dr. Rahul Yadav
Paediatrics
Hello, epilepsy and seizures cannot be treated online without physically examining the child and detailed history.
arrow
Do you have any questions related to Divaltec 250mg Tablet ER ?

User Feedback


FAQs

Q. What happens if I stop taking Divaltec?

You should not stop Divaltec without consulting your doctor. The dose of Divaltec should be reduced gradually and eventually can be stopped under the supervision of a doctor or specialist. Sudden stoppage may lead to recurrence of symptoms or irritability, anxiety, dizziness, and tremors.

Q. Is Divaltec a mood stabilizer?

Yes, Divaltec can sometimes be used as a mood stabilizer. It is given in patients who experience rapid changes in their mood. It works by calming the hyperactivity of the brain during mood changes.

Q. Can Divaltec cause weight gain?

Yes, you may gain weight while being on Divaltec therapy. The exact reason is still not known but it may be due to an increase in hunger. Keep a check on your diet and exercise regularly to prevent any weight gain.

Q. Does Divaltec make you sleepy?

Yes, Divaltec may make you feel sleepy. Do not drive or do other work that requires mental focus until you know how it affects you.

Q. Does Divaltec cause hair loss?

Yes, hair loss may occur due to the use of Divaltec. However, it is only for a short time and is usually dose related. Please consult your doctor if the hair loss bothers you or persists for a longer duration.

Q. Can Divaltec damage my liver?

Divalproex can cause damage to the liver and the risk is more likely to occur during the first 6 months of starting Divaltec. Signs might include nausea or vomiting, loss of appetite, stomach pain, dark colored urine, facial swelling, yellowing of the skin, or white of eyes. Investigations for liver function should be done before therapy and then periodically during the first 6 months of therapy, especially in those who are likely to be at risk, and those with a prior history of liver disease.

Q. Can I take alcohol while I am taking Divaltec?

It is recommended that you should avoid alcohol while you are on treatment with Divaltec. Taking alcohol with this medicine may make you feel more drowsy, light headed, or dizzy.

Q. What are the laboratory tests recommended prior to taking Divaltec?

Blood tests (blood cell count, including platelet count, bleeding time, and coagulation tests) are recommended prior to initiation of therapy or before surgery, and in case of spontaneous bruising or bleeding. Investigations for liver function should be done before therapy and then should be monitored periodically during the first 6 months of therapy, primarily in those who seem most at risk, and those with a prior history of liver disease.

Q. What should be done if I start experiencing abdominal pain, nausea, and anorexia?

If you experience acute severe abdominal pain along with nausea and vomiting, it may be due to pancreatitis. You should immediately consult your doctor in case you experience these symptoms. Your doctor may get your levels of serum amylase checked. In case the test shows positive results for pancreatitis, then the medication should be stopped immediately.

Q. How to check for overdose of Divaltec?

Overdose of Divaltec may cause headaches, blurred eyesight due to pupils of the eyes becoming smaller, lack of reflexes, confusion, and tiredness. You may also have weak or “floppy” muscles, fits (seizures), loss of consciousness, behavioral changes, and breathing difficulties such as fast breathing, shortness of breath, or chest pain. Immediate medical assistance is required in case of overdose.

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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. Divalproex sodium. North Chicago: AbbVie Inc; 1983 [revised Feb. 2016]. [Accessed 22 Mar. 2019] (online) Available from:External Link
  2. Divalproex sodium. North Chicago, IL: Abbott Laboratories; 2006. [Accessed 22 Mar. 2019] (online) Available from:External Link
  3. Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:External Link
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