Nazione: Stati Uniti
Lingua: inglese
Fonte: NLM (National Library of Medicine)
DIVALPROEX SODIUM (UNII: 644VL95AO6) (VALPROIC ACID - UNII:614OI1Z5WI)
Proficient Rx LP
DIVALPROEX SODIUM
VALPROIC ACID 250 mg
ORAL
PRESCRIPTION DRUG
Divalproex sodium delayed release tablets are a valproate and are indicated for the treatment of the manic episodes associated with bipolar disorder. A manic episode is a distinct period of abnormally and persistently elevated, expansive, or irritable mood. Typical symptoms of mania include pressure of speech, motor hyperactivity, reduced need for sleep, flight of ideas, grandiosity, poor judgment, aggressiveness, and possible hostility. The efficacy of divalproex sodium delayed release tablets were established in 3-week trials with patients meeting DSM-III-R criteria for bipolar disorder who were hospitalized for acute mania [see Clinical Studies (14.1)] . The safety and effectiveness of divalproex sodium delayed release tablets for long-term use in mania, i.e., more than 3 weeks, has not been demonstrated in controlled clinical trials. Therefore, healthcare providers who elect to use divalproex sodium delayed release tablets for extended periods should continually reevaluate the long-term usefulness of the
Divalproex Sodium Delayed Release Tablets USP are supplied as: 250 mg : Pink colored, oval shaped, biconvex enteric coated tablets imprinted with "UL 250" on one side and plain on other side: Bottles of 30………………NDC 63187-742-30 Bottles of 60………………NDC 63187-742-60 Bottles of 90 ……………NDC 63187-742-90 500 mg : Reddish pink colored, modified capsule shaped, biconvex enteric coated tablets imprinted with "UL 500" on one side and plain on other side Bottles of 30………………NDC 63187-743-30 Bottles of 60………………NDC 63187-743-60 Bottles of 90… …………NDC 63187-743-90 Recommended storage Store at 20o to 25o C (68o to 77o F) [See USP controlled Room Temperature].
Abbreviated New Drug Application
DIVALPROEX SODIUM- DIVALPROEX SODIUM TABLET, DELAYED RELEASE Proficient Rx LP ---------- MEDICATION GUIDE Divalproex Sodium Delayed Release Tablets USP (dye val' proe ex soe' dee um) Read this Medication Guide before you start taking divalproex sodium delayed release tablets and each time you get a refill. There may be new information. This information does not take the place of talking to your healthcare provider about your medical condition or treatment. What is the most important information I should know about divalproex sodium delayed release tablets? Do not stop divalproex sodium delayed release tablets without first talking to your healthcare provider. Stopping divalproex sodium delayed release tablets suddenly can cause serious problems. Divalproex sodium delayed release tablets can cause serious side effects, including: 1. Serious liver damage that can cause death, especially in children younger than 2 years old. The risk of getting this serious liver damage is more likely to happen within the first 6 months of treatment. Call your healthcare provider right away if you get any of the following symptoms: • nausea or vomiting that does not go away • loss of appetite • pain on the right side of your stomach (abdomen) • dark urine • swelling of your face • yellowing of your skin or the whites of your eyes In some cases, liver damage may continue despite stopping the drug. 2. Divalproex sodium delayed release tablets may harm your unborn baby. • If you take divalproex sodium delayed release tablets during pregnancy for any medical condition, your baby is at risk for serious birth defects that affect the brain and spinal cord and are called spina bifida or neural tube defects. These defects occur in 1 to 2 out of every 100 babies born to mothers who use this medicine during pregnancy. These defects can begin in the first month, even before you know you are pregnant. Other birth defects that affect the structures of the heart, head, arms, legs, and the opening where the urine comes out (urethra) o Leggi il documento completo
DIVALPROEX SODIUM- DIVALPROEX SODIUM TABLET, DELAYED RELEASE PROFICIENT RX LP ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE DIVALPROEX SODIUM DELAYED RELEASE TABLETS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR DIVALPROEX SODIUM DELAYED RELEASE TABLETS. DIVALPROEX SODIUM DELAYED-RELEASE TABLETS, USP FOR ORAL USE. INITIAL U.S. APPROVAL: 1983 WARNINGS: LIFE THREATENING ADVERSE REACTIONS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING_. • • • RECENT MAJOR CHANGES Dosage and Administration, Dosing in Patients Taking Rufinamide (2.5) 2/2016 INDICATIONS AND USAGE Divalproex sodium delayed release tablets are an anti-epileptic drug indicated for: • • • DOSAGE AND ADMINISTRATION • • • • • DOSAGE FORMS AND STRENGTHS Tablets: 125 mg, 250 mg and 500 mg (3) CONTRAINDICATIONS • • • • • • WARNINGS AND PRECAUTIONS • • • • • • • • • ADVERSE REACTIONS • • TO REPORT SUSPECTED ADVERSE REACTIONS, CONTACT UNICHEM PHARMACEUTICALS (USA), INC. AT 1-866-562-4616 OR FDA AT 1-800-FDA-1088 OR WWW.FDA.GOV/MEDWATCH DRUG INTERACTIONS • • HEPATOTOXICITY, INCLUDING FATALITIES, USUALLY DURING THE FIRST 6 MONTHS OF TREATMENT. CHILDREN UNDER THE AGE OF TWO YEARS AND PATIENTS WITH MITOCHONDRIAL DISORDERS ARE AT HIGHER RISK. MONITOR PATIENTS CLOSELY, AND PERFORM SERUM LIVER TESTING PRIOR TO THERAPY AND AT FREQUENT INTERVALS THEREAFTER (5.1) FETAL RISK, PARTICULARLY NEURAL TUBE DEFECTS, OTHER MAJOR MALFORMATIONS, AND DECREASED IQ (5.2, 5.3, 5.4) PANCREATITIS, INCLUDING FATAL HEMORRHAGIC CASES (5.5) Treatment of manic episodes associated with bipolar disorder (1.1) Monotherapy and adjunctive therapy of complex partial seizures and simple and complex absence seizures; adjunctive therapy in patients with multiple seizure types that include absence seizures (1.2) Prophylaxis of migraine headaches (1.3) Divalproex sodium delayed release tablets are administered orally in divided doses. Divalproex sodi Leggi il documento completo