Maa: Malesia
Kieli: englanti
Lähde: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
SODIUM VALPROATE
MEDIDATA SDN BHD
SODIUM VALPROATE
50 Tablets
United Pharmaceutical Company Mfg. Co. Ltd.
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ _ _ UNIVAL ® SYRUP 200MG/5ML UNIVAL ® ENTERIC COATED TABLET 200MG Sodium Valproate ____________________________________________________________________________________ 1 WHAT IS IN THIS LEAFLET? 1. What UNIVAL® is used for 2. How UNIVAL® works 3. Before you use UNIVAL® 4. How to use UNIVAL® 5. While you are using it 6. Side effects 7. Storage and disposal of UNIVAL® 8. Product description 9. Manufacturer and Product Registration Holder 10. Date of Revision WHAT UNIVAL® IS USED FOR GENERALIZED SEIZURES: Petit mal which includes: - Absence. - Myoclonic-astatic (Lennox). - Blitz-Nick-Salaam (BNS) syndrome. Grand mal. Grand mal and petit mal. PARTIAL (FOCAL) SEIZURES: Motor (Jackson, adversions). Psychomotor. HOW UNIVAL® WORKS Sodium Valproate is an anti- epileptic and anticonvulsive agent. By inhibiting aminobutyrate aminotransferase activity, Valproate increases the level of y- aminobutyric acid (GABA) in the CNS. GABA inhibits pre- and post- synaptic discharges. Valproate contains no nitrogen atom thus differing completely from the structure of the commonly used anticonvulsive agents. BEFORE YOU USE UNIVAL® - _When you must not use it _ Do not take sodium valproate if: You are allergic (hypersensitive) to sodium valproate or any of the other ingredients of UNIVAL®. You have liver problems or you or your family have a history of liver problems. You have a rare illness known as porphyria (a type of blood disorders). You are pregnant, unless nothing else works for you. Do not use this medicine if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist. - _Before you start to use it_ A small number of people being treated with sodium valproate have had thoughts of harming or killing themselves. If at any time you have these thoughts, immediately contact your doctor. Check with your doctor before taking this medicine if: You have diabetes. This medicine may affect the result of urine tests. You have kidney Lue koko asiakirja
UNIVAL ® ENTERIC COATED TABLET 200MG Sodium valproate NAME AND STRENGTH OF ACTIVE INGREDIENT Sodium valproate 200mg PRODUCT DESCRIPTION White to off white 11mm biconvex enteric coated tablet. PHARMACODYNAMIC - Sodium valproate is an anticonvulsant. - The most likely mode of action for sodium valproate is potentiation of the inhibitory action of gamma amino-butyric acid (GABA) through an action on the further synthesis or further metabolism of GABA. - In certain in-vitro studies it was reported that sodium valproate could stimu- late HIV replication but studies on peripheral blood mononuclear cells from HIV-infected subjects show that sodium valproate does not have a mitogen- like effect on inducing HIV replication. Indeed, the effect of sodium valproate on HIV replication ex-vivo is highly variable, modest in quantity, appears to be unrelated to the dose and has not been documented in man. PHARMACOKINETICS The reported effective therapeutic range for plasma valproic acid levels is 40 – 100 mg/L (278 – 694 µmol/L). This reported range may depend on time of sampling and presence of co-medication. Distribution The percentage of free (unbound) drug is usually between 6 – 15% of the total plasma levels. An increased incidence of adverse effects may occur with plasma levels above the effective therapeutic range. The pharmacological (or therapeutic) effects of Epilim may not be clearly correlated with the total or free (unbound) plasma valproic acid levels. _Placental transfer_ _ _ Valproate crosses the placental barrier in animal species and in humans: • In animal species, valproate crosses the placenta to a similar extent as in humans. • In humans, several publications assessed the concentration of valproate in the umbilical cord of neonates at delivery. Valproate serum concentration in the umbilical cord, representing that in the fetuses, was similar to or slightly higher than that in the mothers. Metabolism The major pathway of valproate biotransformation is glucuronidation (~ 40%), mainly via UGT1A6, UG Lue koko asiakirja