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Consumer Medication Information leaflet (RiMUP)

VALPARIN XR 300 TABLET


Sodium valproate (300mg)

What is in this leaflet  Having liver problems or you or serotonin reuptake inhibitors
1. What is Valparin XR used for your family have a history of liver (SSRIs), tricyclic antidepressants.
2. How Valparin XR works problems.  Benzodiazepines such as diazepam
3. Before you use Valparin XR  Having a rare illness called (medicines used to calm emotional
4. How to use Valparin XR porphyria (refers to a group of and mental conditions) and
5. While you are using it disorders that result from a buildup clonazepam (medicines used as
6. Side effects of natural chemicals that produce sedatives or to treat anxiety).
7. Storage and disposal of Valparin porphyrin in your body. Porphyrins  Medicines used for thinning the
XR are essential for the function of blood (such as warfarin).
8. Product description hemoglobin — a protein in your  Some medicines used for the
9. Manufacturer and Product red blood cells that links to prevention and treatment of
Registration Holder porphyrin, binds iron, and carries malaria such as mefloquine and
10. Date of revision oxygen to your organs and tissue. chloroquine.
High levels of porphyrins can  Cimetidine used for stomach
What Valparin XR is used for cause significant problems). ulcers.
 Zidovudine (an antiviral agent).
 The treatment of generalised or Pregnancy and lactation  Aspirin.
partial epilepsy, particularly with Do not take Valparin XR if you are  Antibiotics such as carbapenem
the following patterns of seizures: pregnant, trying to get pregnant or think (imipenem and meropenem) and
 Absence (short period of you may be pregnant. erythromycin.
“blanking out” or staring into  Cholestyramine used to lower
space). If you are a breast-feeding mother, cholesterol in the blood.
 Myoclonic (brief shock-like excretion of valproate in breast milk is  Temozolomide (to treat cancer).
jerks of a muscle). low. However, ask your doctor or
 Atonic (abrupt loss of muscle pharmacist for advice before taking any How to use Valparin XR
tone). medicine.
 Tonic-clonic (loss of - How much to use
consciousness and violent - Before you start to use it Monotherapy for epilepsy
muscle contractions). Tell your doctor if you have or have Adults
 Mixed. had any medical conditions, especially  The starting dose is 600mg daily.
the following:
Your doctor will gradually increase
 Partial epilepsy: simple (not  Liver problems (liver insufficiency, this dose by 200mg every 3 days
affecting awareness or memory) or liver damage). depending on your condition.
complex seizures, secondary  Kidney problems.  The usual dose is generally
generalised seizures (start in one  Have or have had depression, between 1000mg and 2000mg (20-
area and spread to both sides of the mood problems, or suicidal 30mg per kilogram of body
brain) and specific syndromes thoughts or behavior. weight) each day.
(West, Lennox-Gastaut).  Systemic lupus erythematosus  This may be increased to 2500mg
(SLE), an autoimmune disease. each day depending on your
 The treatment and prevention of  If you have symptoms of illness.
mania associated with bipolar pancreatitis such as abdominal
disorder (a brain disorder that pain, nausea, vomiting or anorexia. Children over 20 kilograms
causes unusual shifts in mood).
 The starting dose should be 400mg
- Taking other medicines daily. Your doctor should increase
How Valparin XR works Tell your doctor if you are taking any this dose depending on your child’s
other medicines, including any that you illness.
Valparin XR contains sodium buy without a prescription from a
valproate. It belongs to a group of  The usual dose is then between
pharmacy, supermarket or health food
medicines called anti-convulsants or 20mg and 30mg for each kilogram
shop. Some medicines and sodium
anti-epileptic agents. These medicines of body weight each day.
valproate may interfere with each other.
are thought to work by controlling brain  This may be further increased to
These include:
35mg for each kilogram of body
chemicals which send signals to nerves  Other medicines used to treat
so that seizures do not happen. weight each day depending on your
epilepsy e.g. phenobarbitone,
child’s illness.
methylphenobarbitone, primidone,
Before you use Valparin XR phenytoin, carbamazepine,
felbamate, lamotrigine, topiramate.
- When you must not use it  Medicines used to treat depression
Do not take Valparin XR if you are: e.g. monoamine oxidase inhibitors
 Allergic (hypersensitive) to sodium (MAOIs; e.g. moclobemide,
valproate or any of the other selegiline, linezolid), selective
ingredients.

1
Consumer Medication Information leaflet (RiMUP)

VALPARIN XR 300 TABLET


Sodium valproate (300mg)

Treatment and Prevention of Mania  Tell your doctor immediately if and increasing clouding of
Associated with Bipolar Disorder you become pregnant while taking consciousness.
For adults, the recommended initial this medication.
dose is 1000 mg/day. Ear disorders:
The recommended maintenance dosage - Things you must not do Loss of hearing.
for treatment of bipolar disorder is  Do not stop taking the medicine
1000-2000 mg daily. However, dose unless advised by your doctor. Blood and lymphatic system disorders:
may be increased to not more than 3000  Do not take any new medicines Thrombocytopenia (decrease of
mg daily. without consulting your doctor. platelets in blood), anaemia (decrease
 Do not give Valparin XR to anyone in Red Blood Cells), leucopenia
Combined Therapy else, even if they have the same (decrease in White Blood Cells) or
If you are using other anticonvulsants, symptoms or condition as you. pancytopenia (decrease in blood cells).
Valparin XR treatment should be
started gradually until the target dose is - Things to be careful of Skin and subcutaneous tissue disorders:
reached after 2 weeks. This medicine may produce suicidal Redness of skin, toxic epidermal
thoughts or behavior. If this happens necrolysis (severe blistering rash where
In certain cases, it may be necessary to contact your doctor immediately. layers of the skin may peel off to leave
increase the dose of 5-10 mg / kg / day large areas of raw exposed skin over the
when Valparin XR is used in Driving and using machines body), Stevens-Johnson syndrome
combination with other anticonvulsant This medicine may affect your ability (blistering or bleeding of the skin
that encourage liver enzymes activity to drive or use machines. If the tablets around the lips, eyes, mouth, nose and
such as phenytoin, carbamazepine and make you make you feel sick, dizzy or genitals and erythema multiforme (skin
phenobarbitone. tired, or give you a headache do not rash or skin lesions with a pink/red ring
drive or use machines and contact your and a pale centre which may be itchy,
- When to use it doctor immediately. scaly or filled with fluid. The rash may
Should be taken with food. Swallow appear especially on the palms or soles
whole, do not chew/crush the tablet. Side effects of your feet), peripheral oedema
(swelling from fluid accumulation in
- How long to use it Like all medicines, Valparin XR can body tissue that occurs at the feet and
Continue taking Valparin XR for as cause side effects, although not legs).
long as your doctor recommends. everybody gets them. Visit your doctor
or pharmacist immediately if you Reproductive system and breast
- If you forget to use it experience any side effects after taking disorders:
Take the missed dose as soon as you this medicine. Amenorrhoea (absence of a menstrual
remember. If it is almost time for your period) and irregular periods,
next dose, wait until then to take the Liver disorders: gynaecomastia (enlargement of breast
medicine and skip the missed dose. Do Increased Liver enzymes, liver tissue in male).
not take a double dose to make up for dysfunction, severe liver damage,
the missed dose. including liver failure. Kidney and urinary disorders:
Reversible Fanconi’s syndrome (a
- If you use too much (overdose) Gastrointestinal disorders: defect in kidney malfunction giving rise
Contact your doctor immediately or go Nausea, diarrhea, pancreatitis to glycosuria (sugar in the urine), amino
to the Emergency Department of your (inflammation of pancreas). aciduria (presence of amino acids in the
nearest hospital, if you think you or urine), phosphaturia (presence of an
anyone else may have taken too much Allergic reactions: excessive quantity of phosphates in the
of this medicine. Do this even if there Ranging from rash to hypersensitivity urine) and uricosuria (uric acid in the
are no signs of discomfort or poisoning. reactions. urine)).
You may need urgent medical attention.
Nervous system disorder: If any of the side effects gets serious, or
If you take too much Valparin XR, the Sedation, lethargy, confusion, if you notice any side effects not listed
following effect may happen: coma, hallucinations or convulsions, in this leaflet, please tell your doctor or
weak muscles and poor reflexes, pupils extrapyramidal symptoms (various pharmacist.
of the eye become smaller, breathing movement disorders like muscle, eye,
problem, fits (seizure). tongue or jaw, rigidity etc.) including You may report any side effects or
Parkinsonism, aggression, hyperactivity adverse drug reactions directly to the
While you are using it and changes in behaviour. National Centre for Adverse Drug
Reaction Monitoring by calling Tel: 03-
- Things you must do
78835550, or visiting the website
 Take your medicine exactly as Metabolic disorders:
Vomiting, ataxia (lack of muscle portal.bpfk.gov.my (Consumers
your doctor has told you.
Reporting).
 Tell all the doctors, dentists and control during voluntary movements,
pharmacists treating you that you such as walking or picking up objects),
are taking Valparin XR.

2
Consumer Medication Information leaflet (RiMUP)

VALPARIN XR 300 TABLET


Sodium valproate (300mg)

Storage and disposal of Valparin XR Date of revision

- Storage 19/08/2015
 Store below 30oC.
 Protect from moisture. Serial Number
 Keep out of reach of children.
BPFK(R4/1)140815/00248
- Disposal
Medicines should not be disposed of
via wastewater or household waste. Ask
your pharmacist how to dispose of
medicines no longer required. These
measures will help to protect the
environment.

Product description

- What it looks like


White, round, biconvex film coated
tablets.

- Ingredients
Active ingredients
 Sodium valproate.
 Valproic acid.

Inactive ingredients
 Colloidal silicon dioxide.
 Hydroxy propyl methyl cellulose.
 Ethyl cellulose.
 Hydrated silica.
 Saccharin sodium.
 Glycerin.
 Titanium dioxide.
 Eudragit E 100.
 Eudragit NE 30D.
 Polyethylene glycol.
 Talc.
 Methanol.

- MAL number:
MAL12010002A

Manufacturer

TORRENT PHARMACEUTICALS
LTD.
Indrad 382 721, District: Mehsana,
INDIA.

Product Registration Holder

Laboratories Torrent (Malaysia) Sdn.


Bhd.
Suite E-08-08 Plaza Mont Kiara,
No. 2 Jalan Kiara Mont Kiara,
50480 Kuala Lumpur,
Malaysia.

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