Valparin XP instruction manual
- Valparin XP instruction manual
Valparin XP belongs to the drugs of the group of antiepileptic drugs. Assign it for diseases accompanied by convulsive syndrome.
Form of issue and composition
Valparin XP refers to long-acting drugs. The drug is produced in the form of tablets. One dosage form is presented in the form of white, round and biconvex tablets, containing in the sodium valproate 200 mg and valproic acid 87 mg. Another dosage form is presented in the form of white, oblong tablets with a notch on both sides, having in the sodium valproate 333 mg and valproic acid 145 mg.
As auxiliary components, ethylcellulose, silicon dioxide, hydroxypropylmethylcellulose, silica hydrate, glycerol, titanium dioxide, polyethylene glycol, purified talc are used.
The drug belongs to the category of antiepileptic drugs. The mechanism of action is based on the fact that valproic acid stimulates production and helps accumulation of gamma-aminobutyric acid in the central nervous system, including in postsynaptic neurons.
As a result, the spread of excitation of the central nervous system is inhibited, epileptic activity is suppressed, and a mild calming effect is manifested.
The drug reduces the transport of calcium ions to neurons, which leads to a weakening of the electrical impulse and a general inhibition.
In comparison with other representatives of this category of drugs, Valparin XP does not show a strong hypnotic and sedative effect. The medicine does not inhibit the activity of the excretory system, does not lower the heart rate, does not suppress the function of the respiratory center.
Taking the drug reduces the severity of seizures, reduces the likelihood of epileptic seizures, slows the progression of the disease.
The therapeutic concentration of the main active substance is achieved 2-8 hours after taking the drug. Metabolism of the drug occurs in the liver. It is excreted from the body with urine.
Indications for use
The drug is prescribed for the therapy of partial or generalized epilepsy, in the case of the following types of seizures:
- Secondary generalized seizures;
- Combined or simple seizures.
Also, the drug is prescribed for the treatment of a specific Lennox-Gasto syndrome and Vest syndrome.
The use of anticonvulsant tablets Valparin XP is not allowed under the following conditions:
- Complex pathology of the pancreas;
- Any diseases that have liver function abnormalities;
- The period of breastfeeding;
- Age up to 3 years;
- Individual intolerance;
The necessary dosage should be selected individually depending on the age of the patient, the weight of his body and the complexity of the disease. Adult therapy starts with a dose of 600 mg per day. Tablets can be taken 1-2 times a day. The next 3 days gradually increases the dosage of 200 mg to achieve the desired effect. The maximum dose per day is 2 grams.
Children are allowed to take 400 mg per day with a further adjustment of 30 mg every 2-3 days. Multiplicity of admission is also 1-2 times a day. Children who have a body weight below 20 kg, taking Valparin XP is not recommended.
Tablets should be swallowed without chewing and washing down with the necessary amount of water.
Accidental overdose of the drug Valparin XP leads to the development of the following symptoms: dizziness, nausea, vomiting, diarrhea, confusion, coma, decreased expression of reflexes, respiratory depression.
Treatment of overdose is carried out with the help of gastric lavage and the appointment of activated charcoal. In severe cases, the patient is prescribed hospital treatment, requiring symptomatic therapy and hemodialysis.
From the side of the central nervous system: tremor, coma, ataxia, impaired consciousness.
From the gastrointestinal tract: nausea, vomiting, constipation or diarrhea, pancreatitis , hepatitis.
On the part of hematopoiesis: neutropenia, thrombocytopenia, anemia, a decrease in the level of fibrinogen, leukopenia, a decrease in platelet aggregation.
On the part of the reproductive system: secondary amenorrhea , violation of the menstrual cycle.
Allergic reactions: itching, skin rash, erythema multiforme, photosensitivity, Stevens-Johnson syndrome.
Other: creatinemia, hyperammonemia, weight gain, hair loss.
It is necessary to regularly monitor the activity of transaminases, check the level of bilirubin, amylase and blood platelets.
Valproic acid suppresses platelet aggregation, this increases the risk of increased blood clotting during bleeding. It is necessary to take into account the complications associated with bleeding during the postoperative period in patients taking this medication.
In the case of prolonged use of Valparin XP, spontaneous bleeding and bruising may occur. It is necessary to immediately cancel the medication.
Often in the first 6 months of treatment, the drug can cause a violation of liver function and drug pancreatitis. Therefore, the first 23 months of therapy it is desirable to monitor the level of prothrombin, carry out liver tests and control the state of the pancreas.
The drug should be immediately canceled if the following symptoms occur: vomiting, icterus of the skin, severe weakness, swelling, lethargic state.
When taking the drug, you need to be careful when working with dangerous mechanisms and driving vehicles, because the drug reduces the ability to concentrate.
The drug enhances the effect of antidepressants, anticonvulsants and antipsychotics. Valparin XP differs from other anticonvulsants in that it does not affect the induction of hepatic enzymes. Due to this property, it does not reduce the effectiveness of oral contraceptives.
The simultaneous administration of warfarin leads to its reduced binding to plasma proteins.
Sodium valproate affects the concentration of lamotrigine and phenytoin in the blood plasma.
Parallel reception of derivatives of acetylsalicylic acid and anticoagulants increases the antiaggregant effect.
Pregnancy and lactemia
During pregnancy, the drug can be prescribed only if the benefit to the mother is much higher than the estimated risk to the fetus. In such a situation, specialized prenatal monitoring of the fetus is necessary.
It is not recommended to use the medicine during breastfeeding.
Terms and conditions of storage
The drug should be stored at a temperature of 30 ° C, in a dry place, not accessible to children. Duration of storage of the drug is 3 years from the date of release.
Terms of leave from pharmacies
Valparin XP is allowed to be dispensed from pharmacies only on prescription.
Valparin XP price
Valparin XP tablets 300mg - 190-240 rubles.
Valparin XP tablets 500mg - 230-350 rub.