Trival 100mg Tablet CR

Prescription Required

Overview

Introduction

Trival 100mg Tablet CR 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.

Trival 100mg Tablet CR 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 Trival Tablet CR

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 Trival 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. Trival 100mg Tablet CR may be taken with or without food, but it is better to take it at a fixed time.

How Trival Tablet CR works

Trival 100mg Tablet CR 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
Trival 100mg Tablet CR may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Trival 100mg Tablet CR 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
Trival 100mg Tablet CR 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
Trival 100mg Tablet CR may cause side effects which could affect your ability to drive.
Kidney
SAFE IF PRESCRIBED
Trival 100mg Tablet CR is safe to use in patients with kidney disease. No dose adjustment of Trival 100mg Tablet CR is recommended.
Liver
UNSAFE
Trival 100mg Tablet CR is probably unsafe to use in patients with liver disease and should be avoided. Please consult your doctor.

What if you forget to take Trival Tablet CR?

If you miss a dose of Trival 100mg Tablet CR, 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.
No alternate brands found for this medicine

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 Trival 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, Boze, Clobazed
SERIOUS
Brand(s): Panik
SERIOUS

Patient Concerns

arrow
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.
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.
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Do you have any questions related to Trival 100mg Tablet CR ?

User Feedback


FAQs

Q. What happens if I stop taking Trival?

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

Yes, Trival 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 Trival cause weight gain?

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

Yes, Trival 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 Trival cause hair loss?

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

Q. Can Trival 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 Trival. 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 Trival?

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

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
Manufacturer/Marketer Address
Triton Healthcare Pvt Ltd, Plot No. 75, Natarajan Street, Dhanalakshmi Colony, Vadapalani, Chennai - 600 026.
A licensed pharmacy from your nearest location will deliver Trival 100mg Tablet CR. 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 prescription and the availability of this medicine.
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