Eval CR 200 mg (Tablet (Controlled Release))

Unit Price: ৳ 5.00 (3 x 10: ৳ 150.00)
Strip Price: ৳ 50.00

Medicine Details

Indications

  • Treatment of all types of epilepsy
  • Treatment of bipolar disorder
  • Prophylaxis of migraine

Composition

  • Sodium Valproate tablet: Each enteric-coated tablet contains Sodium Valproate BP 200 mg
  • Sodium Valproate syrup: Each 5 ml syrup contains Sodium Valproate BP 200 mg
  • Sodium Valproate controlled release 200 tablet: Each enteric-coated controlled release tablet contains Sodium Valproate 200 mg as Sodium Valproate BP 133.2 mg & Valproic acid BP 58 mg
  • Sodium Valproate controlled release 300 tablet: Each enteric-coated controlled release tablet contains Sodium Valproate 300 mg as Sodium Valproate BP 199.8 mg & Valproic acid BP 87 mg
  • Sodium Valproate controlled release 500 tablet: Each enteric-coated controlled release tablet contains Sodium Valproate 500 mg as Sodium Valproate BP 333 mg & Valproic acid BP 145 mg
  • Sodium Valproate injection: Each 5 ml injectable solution contains Sodium Valproate BP eqv. to Valproic Acid 500 mg

Pharmacology

Anti-epileptic activity against a variety of seizures

Dosage & Administration

  • Oral:
    • May be given once or twice daily
    • May be given in divided doses
  • Epilepsy:
    • Adult: Initial dose is 600 mg daily, increasing to a maximum of 2.5 g daily in divided doses
    • Children (over 20 kg): Initially 400 mg daily, increased until control
    • Children (up to 20 kg): Initially 20 mg/kg daily
  • Bipolar disorder:
    • Initially 600 mg daily
    • Maintenance dosage is 1000-2000 mg daily
  • Prophylaxis of migraine: 400-600 mg daily, some may require 1000-1500 mg daily
  • Injection:
    • Adults: Usually 400-800 mg depending on body weight, followed by continuous or repeated infusion
    • Children: Initial: 20-30 mg/kg/day, Maximum: 40 mg/kg/day

Interaction

Acts as a non-specific inhibitor of drug metabolism

Contraindications

  • Known hypersensitivity
  • Liver dysfunction
  • Restricted during pregnancy and in women of childbearing potential

Side Effects

  • Common:
    • Anorexia
    • Nausea
    • Vomiting
  • CNS:
    • Sedation
    • Ataxia
    • Tremor
  • Hepatic function:
    • Elevation of liver enzymes in plasma
    • Fulminate hepatitis
    • Acute pancreatitis
    • Hyperammonemia

Pregnancy & Lactation

  • Pregnancy: Associated with neural tube defects
  • Lactation: Excreted in breast milk

Precautions & Warnings

  • Liver function monitoring
  • No undue potential for bleeding
  • Care in renal impairment
  • Avoid sudden withdrawal of therapy

Therapeutic Class

Primary anti-epileptic drugs

Storage Conditions

Do not store above 30°C, Keep away from light and out of the reach of children

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