मुख्य सामग्री पर जाएं

बाइपोलर विकार के लिए वेलप्रोएट सेमीसोडियम

Belvo, Depakote, Syonell

द्वारा सहकर्मी समीक्षा की गई Sid Dajaniद्वारा अंतिम अपडेट Michael Stewart, MRPharmSअंतिम अद्यतन 10 Jan 2024

मरीज की संपादकीय दिशानिर्देशों

Clinical Author's Note MichaelStewart 24/01/2024: Further to the safety precautions in place for women of child-bearing age taking valproate medicines, the MHRA has issued new guidance for men wishing to father children. A new study has identified a possible risk to babies born to men who had taken valproate medicines in the three months before conception. As a precaution, male patients who are planning a family within the next year should discuss treatment options with their doctor.

Clinical Author's Note Michael Stewart 03/04/2018: valproate medicines must not be taken during pregnancy unless there is no suitable alternative. The MHRA and the European Medicines Agency have announced strengthened measures to further reduce the risk of exposure to valproate drugs during pregnancy. Any woman or girl of child-bearing potential who needs a valproate medicine must be enrolled on a pregnancy prevention programme. This will involve counselling on potential risks as well as ongoing pregnancy testing during treatment. Click on the link above for more information and speak with your doctor if you have any concerns.

Swallow the tablets with a drink of water. Do not chew or crush the tablets.

Take the tablets after a meal or a snack.

Each time you collect a new supply of tablets, make sure that they look the same as you have had before.

एक नजर में

  • Valproate semisodium is a medicine used to treat mania in adults with bipolar disorder.

  • It is a mood stabiliser that helps control episodes of mania.

  • Take tablets whole with food, usually two or three times a day.

  • इस दवा का सेवन करते समय शराब न पिएं।.

  • Valproate semisodium is not usually prescribed to women who can get pregnant due to risks to an unborn child.

  • Tell your doctor straightaway if you have mood changes or thoughts about suicide.

  • Seek urgent medical help if you experience signs of liver problems or unusual bleeding.

यह सारांश लेख की सामग्री से स्वचालित रूप से उत्पन्न किया गया है ताकि पाठक मुख्य बिंदुओं को जल्दी से समझ सकें।.

About valproate semisodium

दवा का प्रकार

An antiepileptic medicine

के लिए उपयोग किया जाता है

Treatment of mania associated with bipolar disorder (in adults)

जिसे कहा जाता है

Divalproex sodium (in US); Belvo®; Depakote®; Syonell®

के रूप में उपलब्ध

Tablets

Bipolar disorder is a long-term condition where you have lows (periods of depression) and highs (periods of mania or hypomania).

Valproate semisodium is prescribed as a mood stabiliser in bipolar disorder. It is a mixture of two similar ingredients - valproic acid and sodium valproate. It will have been given to you to help keep your mood within normal limits by helping to control the episodes of mania.

Valproate semisodium can also be prescribed to help prevent migraines. If you have been given it for this reason, speak with your doctor if you have any questions about your treatment, as there is no information in the leaflet about this.

There is also a medicine with a similar name but which is used to treat a different condition. See the separate medicine leaflet called Sodium valproate for epilepsy for more information about this.

Before taking valproate semisodium

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking valproate semisodium it is important that your doctor knows:

  • If you are pregnant, trying for a baby or breastfeeding.

  • If you or a close member of your family have liver problems.

  • यदि आपके गुर्दे काम करने के तरीके में कोई समस्या है।.

  • If you have an inflammatory condition called systemic lupus erythematosus (also called lupus, or SLE).

  • यदि आपको एक दुर्लभ अनुवांशिक रक्त विकार है जिसे पोर्फिरिया कहा जाता है।.

  • यदि आप कोई अन्य दवाएं ले रहे हैं। इसमें वे सभी दवाएं शामिल हैं जो आप बिना पर्ची के खरीद सकते हैं, साथ ही हर्बल और पूरक दवाएं भी शामिल हैं।.

  • यदि आपको कभी किसी दवा से एलर्जी की प्रतिक्रिया हुई है।.

How to take valproate semisodium

  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about the tablets and it will provide you with a full list of the side-effects which you may experience from taking them.

  • Take valproate semisodium exactly as your doctor tells you to. Your dose will be printed on the label of the pack to remind you about what the doctor said. It is usual to be prescribed two or three doses to take each day.

  • Valproate semisodium should be taken with food, so take your doses with a snack or just after you have had a meal. Swallow the tablets whole with a drink of water. Do not chew or crush the tablets because they have a special protective coating.

  • Try to get into a habit of taking the tablets at the same times each day. This will help you avoid missing any doses.

  • If you forget to take a dose, take it as soon as you remember unless it is nearly time for your next dose, in which case leave out the missed dose. Do not take two doses together to make up for a forgotten dose.

अपने उपचार से अधिकतम लाभ प्राप्त करना

  • Try to keep your regular appointments with your doctor. This is so your doctor can check on your progress. You will need to have some blood tests from time to time, particularly during the first few months of treatment.

  • Each time you collect a new supply of medicine from your pharmacy, make sure that the tablets look to be the same as you have had before. If they are different, please discuss this with your pharmacist who will advise you.

  • While you are taking valproate semisodium, there is a small risk that you may develop mood changes, distressing thoughts and feelings about suicide. If this happens, you must tell your doctor about it straightaway.

  • Your doctor is likely to recommend that you do not drink alcohol while you are on valproate semisodium.

  • This medicine will not normally be prescribed for you if you are a woman who could become pregnant. This is because valproate semisodium can cause harm to an unborn child.

  • If you buy any medicines, always check with a pharmacist that they are suitable to take with your other medicines. Medicines which contain aspirin (such as some cold or flu remedies and painkillers) can interfere with valproate semisodium and may be best avoided.

  • Continue to take the tablets until your doctor tells you otherwise. Stopping treatment suddenly can cause problems, so if it becomes necessary for your treatment to stop, your doctor may want you to reduce your dose over a few days.

Can valproate semisodium cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with valproate semisodium. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Very common valproate semisodium side-effects (these affect more than 1 in 10 people)


अगर मुझे यह अनुभव होता है तो मैं क्या कर सकता हूँ?

Feeling sick (nausea)

This usually passes after the first few days. Remember to take the tablets after meals

Feeling shaky

If troublesome, speak with your doctor

Common valproate semisodium side-effects

(these affect fewer than 1 in 10 people)

अगर मुझे यह अनुभव होता है तो मैं क्या कर सकता हूँ?

Stomach ache, diarrhoea

These usually pass after the first few days. Remember to take the tablets after meals

सिरदर्द

Drink plenty of water and ask a pharmacist to recommend a suitable painkiller. If the headaches continue, let your doctor know

Increased appetite and weight gain

Try to eat a well-balanced diet and take regular exercise

Feeling sleepy or tired

Do not drive and do not use tools or machines while affected

Thinning of your hair

This is usually temporary and the hair regrows (although it may be curlier than before)

Uncontrolled muscle movements, lack of concentration, allergic reactions, problems with hearing, mood changes, painful periods

Let your doctor know about any of these

Problems with your liver, changes to some blood test results

Your doctor will routinely check for these

Important: valproate semisodium has been associated with a number of serious unwanted effects affecting the blood, pancreas and liver. Although these occur less commonly than some of the side-effects listed above, you must let your doctor know straightaway if you notice any of the following:

  • An unexplained cough or sore throat, or any unusual bleeding or bruising.

  • Extreme tiredness, tummy (abdominal) pain, sickness (nausea and/or vomiting), dark urine or yellowing of your skin or the whites of your eyes (jaundice).

How to store valproate semisodium

  • सभी दवाओं को बच्चों की पहुँच और दृष्टि से दूर रखें।.

  • ठंडी, सूखी जगह पर रखें, सीधे गर्मी और रोशनी से दूर।.

सभी दवाओं के बारे में महत्वपूर्ण जानकारी

सभी दवाओं के बारे में महत्वपूर्ण जानकारी

निर्धारित खुराक से अधिक कभी न लें। यदि आपको संदेह है कि आपने या किसी और ने इस दवा की अधिक मात्रा ले ली है, तो अपने स्थानीय अस्पताल के दुर्घटना और आपातकालीन विभाग में जाएं। कंटेनर को अपने साथ ले जाएं, भले ही वह खाली हो।.

यह दवा आपके लिए है। इसे कभी भी अन्य लोगों को न दें, भले ही उनकी स्थिति आपकी जैसी ही क्यों न लगे।.

यदि आप कोई ऑपरेशन या दंत चिकित्सा करवा रहे हैं, तो जो व्यक्ति उपचार कर रहा है उसे बताएं कि आप कौन सी दवाएं ले रहे हैं।.

पुरानी या अनचाही दवाइयाँ न रखें। उन्हें अपने स्थानीय फार्मेसी में ले जाएँ, जो उन्हें आपके लिए नष्ट कर देगा।.

यदि इस दवा के बारे में आपके कोई प्रश्न हैं तो अपने फार्मासिस्ट से पूछें।.

MHRA - Reporting adverse reactions

Report suspected side effects to medicines, vaccines, e-cigarettes, medical device incidents, defective or falsified (fake) products to the Medicines and Healthcare products Regulatory Agency to ensure safe and effective use.

लक्षण जाँचकर्ता

दवाओं को मिलाने के बारे में अनिश्चित?

दवाओं, सप्लीमेंट्स और खाद्य पदार्थों के बीच संभावित इंटरैक्शन की जांच करें, उन्हें एक साथ लेने से पहले।.

अक्सर पूछे जाने वाले प्रश्न

What is the difference between valproate semisodium and sodium valproate?

Valproate semisodium is used to treat mania in bipolar disorder and sometimes to prevent migraines. Sodium valproate, though similarly named, is a different medicine primarily used to treat epilepsy. They are for different conditions, and you can find more information about sodium valproate in a separate leaflet.

Can I take over-the-counter medicines while on valproate semisodium?

You should always check with a pharmacist before taking any over-the-counter medicines, including herbal or complementary medicines, to ensure they are suitable to take with valproate semisodium. Specifically, medicines containing aspirin, such as some cold or flu remedies and painkillers, can interfere with valproate semisodium and should generally be avoided.

I'm a woman of childbearing age – why can't I take valproate semisodium?

If you are a woman who could become pregnant, this medicine will not normally be prescribed for you. This is because valproate semisodium can cause harm to an unborn child.

What should I do if I notice any other serious side effects not listed in the common ones?

Valproate semisodium has been linked to a number of serious, though less common, side effects affecting the blood, pancreas, and liver. You must tell your doctor straightaway if you experience an unexplained cough or sore throat, unusual bleeding or bruising, extreme tiredness, tummy pain, sickness, dark urine, or yellowing of your skin or eyes (jaundice).

What if I need surgery or dental work?

If you are having an operation or any dental treatment, it is important to tell the person carrying out the treatment which medicines you are taking, including valproate semisodium.

ये प्रश्न और उत्तर इस लेख में दी गई जानकारी से उत्पन्न किए गए हैं।.

अधिक पठन और संदर्भ

लेखक के बारे मेंपूरा जीवन परिचय देखें

लेखक की छवि

Michael Stewart, MRPharmS

दवा पत्रक समीक्षा प्रबंधक – ठेकेदार, फार्मासिस्ट

BPharm (Hons), MRPharmS

माइकल मिडलैंड्स और साउथ यॉर्कशायर में एक सामुदायिक फार्मासिस्ट हैं, जो दवाओं और चिकित्सा स्थितियों पर सलाह देने में 20 से अधिक वर्षों का अनुभव रखते हैं। उनके पास स्वास्थ्य देखभाल प्रशिक्षण में मजबूत पृष्ठभूमि है, उन्होंने फार्मेसी टीमों और आवासीय देखभाल सेटिंग्स के कर्मचारियों, जिनमें नर्सें शामिल हैं, के लिए प्रशिक्षण पाठ्यक्रम तैयार और प्रस्तुत किए हैं। उन्होंने समुदाय में कम तीव्रता वाली स्थितियों के प्रबंधन के लिए फार्मेसी सलाहकार बोर्डों में भी योगदान दिया है।.

समीक्षक के बारे में

लेखक की छवि

Sid Dajani

सुल्तान दाजानी ने 1994 में लंदन स्कूल ऑफ फार्मेसी से योग्यता प्राप्त की और 1842 में इसकी स्थापना के बाद से रॉयल फार्मास्यूटिकल सोसाइटी परिषद के सबसे युवा निर्वाचित सदस्य बने।.

लेख का इतिहास

इस पृष्ठ पर दी गई जानकारी योग्य चिकित्सकों द्वारा लिखी और सहकर्मी समीक्षा की गई है।.

लेख इन भाषाओं में भी उपलब्ध है अंग्रेज़ी, जर्मन, स्पेनिश, फ्रेंच, इतालवी, पुर्तगाली, हिंदी, हिब्रू, अरबी, और स्वीडिश.

  • Next review due: 9 Jan 2027
  • 10 Jan 2024 | नवीनतम संस्करण

    द्वारा अंतिम अपडेट

    Michael Stewart, MRPharmS

    द्वारा सहकर्मी समीक्षा की गई

    Sid Dajani
फ्लू पात्रता जाँचकर्ता

पूछें, साझा करें, जुड़ें।.

चर्चाओं को ब्राउज़ करें, प्रश्न पूछें, और सैकड़ों स्वास्थ्य विषयों पर अनुभव साझा करें।.

पेशेंट न्यूज़लेटर के लिए साइन अप करें

आपकी साप्ताहिक खुराक स्पष्ट, विश्वसनीय स्वास्थ्य सलाह की - जो आपको सूचित, आत्मविश्वासी और नियंत्रण में महसूस करने में मदद करने के लिए लिखी गई है।.

कृपया एक मान्य ईमेल पता दर्ज करें

सदस्यता लेने पर आप हमारी स्वीकार करते हैं गोपनीयता नीति. आप किसी भी समय सदस्यता समाप्त कर सकते हैं। हम कभी भी आपका डेटा नहीं बेचते।.

तंत्रिका तंत्र की दवाओं में और अधिक

तंत्रिका तंत्र की दवाओं में और देखें