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Spikalon DV 250mg Tablet ER

Prescription Required

Overview

Introduction

Spikalon DV 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.

Spikalon DV 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.

Side effects of Spikalon DV 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 use Spikalon DV 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. Spikalon DV 250mg Tablet ER may be taken with or without food, but it is better to take it at a fixed time.

How Spikalon DV Tablet ER works

Spikalon DV 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
Spikalon DV 250mg Tablet ER may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Spikalon DV 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
Spikalon DV 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
Spikalon DV 250mg Tablet ER may cause side effects which could affect your ability to drive.
Kidney
SAFE IF PRESCRIBED
Spikalon DV 250mg Tablet ER is safe to use in patients with kidney disease. No dose adjustment of Spikalon DV 250mg Tablet ER is recommended.
Liver
UNSAFE
Spikalon DV 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 Spikalon DV Tablet ER?

If you miss a dose of Spikalon DV 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.
Spikalon DV 250mg Tablet ER
₹7.21/Tablet ER
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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Desval ER 250 Tablet
Eris Lifesciences Ltd
₹6.98/Tablet ER
save 3%
Divalgress ER 250 Tablet
La Renon Healthcare Pvt Ltd
₹5.8/Tablet ER
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Diresta OD 250 Tablet ER
Arinna Lifescience Pvt Ltd
₹6.95/Tablet ER
save 4%

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

Patient Concerns

arrow
Dv 60k capsules and dv 60k is same? Doctor only prescribe me that product. And I have dv 60k syrup 5ml. Am I take this syrup once at weak?
Dr. Sunil Sekhri
Diabetology
I think Syrup has 400 IU. Take capsule instead
Abnormal heavy White discharge
Dr. Megha Tuli
Obstetrics and Gynaecology
Try using Candi dV gel 2-3 times a day
arrow
Do you have any questions related to Spikalon DV 250mg Tablet ER ?

FAQs

Q. What happens if I stop taking Spikalon DV?

You should not stop Spikalon DV without consulting your doctor. The dose of Spikalon DV 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 Spikalon DV a mood stabilizer?

Yes, Spikalon DV 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 Spikalon DV cause weight gain?

Yes, you may gain weight while being on Spikalon DV 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 Spikalon DV make you sleepy?

Yes, Spikalon DV 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 Spikalon DV cause hair loss?

Yes, hair loss may occur due to the use of Spikalon DV. However, it is only for a short time and is usually dose related.

Q. Can Spikalon DV 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 Spikalon DV. 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 Spikalon DV?

It is recommended that you should avoid alcohol while you are on treatment with Spikalon DV. 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 Spikalon DV?

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?

Overdose of the medicine 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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