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Epinote 250mg Tablet ER

Neuracle Lifesciences Pvt Ltd
generic_icon
Rs.75.60for 1 strip(s) (10 tablet er each)
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Composition FOR Epinote 250mg Tablet ER

Divalproex(250mg)

food interaction for Epinote Tablet ER

alcohol interaction for Epinote Tablet ER

pregnancy interaction for Epinote Tablet ER

lactation interaction for Epinote Tablet ER

food
alcohol
pregnancy
lactation
Epinote 250mg Tablet ER may be taken with or without food, but it is better to take it at a fixed time.
None
CAUTION
Epinote 250mg Tablet ER may cause excessive drowsiness with alcohol.
UNSAFE
Epinote 250mg Tablet ER is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
CONSULT YOUR DOCTOR
Epinote 250mg Tablet ER is safe to use during breastfeeding. Human studies suggest that the drug does not pass into the breastmilk in a significant amount and is not harmful to the baby.
SAFE IF PRESCRIBED

SALT INFORMATION FOR Epinote 250mg Tablet ER

Divalproex(250mg)

Epinote tablet er uses

{med_name} is used in the treatment of epilepsy/seizures, Bipolar disorder and migraine.

How epinote tablet er works

Epinote 250mg Tablet ER is an antiepileptic medication. It controls seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain.

Common side effects of epinote tablet er

Decreased body temperature, Dizziness, Sleepiness, Tremors, Paresthesia (tingling or pricking sensation), Anemia (low number of red blood cells), Decreased sodium level in blood, Liver injury, Gastrointestinal disturbance, Hypersensitivity, Deafness, Urinary incontinence, Increase in body weight, Pain during periods, Decreased blood cells (red cells, white cells, and platelets), Pleural effusion, Pancreatic inflammation, Angioedema (swelling of deeper layers of skin), Reduction in bone density, SIADH (water retention due to excessive ADH), Bone marrow failure, Stevens-Johnson syndrome, Toxic epidermal necrolysis, Rhabdomyolysis, Increased ammonia level in blood

SUBSTITUTES FOR Epinote Tablet ER

130 Substitutes
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130 Substitutes
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    Rs. 11.40/Tablet ER
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  • Desval ER 250 Tablet
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  • Divalgress ER 250 Tablet
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Expert advice FOR Epinote Tablet ER

  • Take your medication regularly as directed by your doctor as missing doses can trigger seizures.
  • It can be taken with or without food, but better to take with food to avoid stoamch upset. 
  • Do not change the brand of your medicine and make sure that you have sufficient amount of medicine present with you.
  • Some healthy tips to prevent seizures:
    • Practice yoga every day.
    • Get enough sleep at nighttime.
    • Limit the use of screen time such as mobile/laptop.
    • Take your medication on time.
  • It may cause dizziness and sleepiness. Do not drive or do anything that requires mental focus until you know how it affects you.
  • Monitor your weight during treatment with this medicine as it can cause weight gain.
  • Your doctor may get regular blood tests done to monitor how the medication is affecting your body. Inform your doctor if you notice yellowing of eyes or skin, dark urine, or stomach pain.
  • Do not stop taking the medication suddenly without talking to your doctor as it may increase the seizure frequency.

Frequently asked questions FOR Epinote 250mg Tablet ER

Divalproex

Q. What happens if I stop taking Epinote 250mg Tablet ER?
You should not stop taking Epinote 250mg Tablet ER without consulting your doctor. The dose of Epinote 250mg Tablet ER should be reduced gradually and eventually can be stopped under the supervision of a doctor or specialist. Suddenly stopping the medication may lead to recurrence of symptoms or irritability, anxiety, dizziness and tremors.
Q. Is Epinote 250mg Tablet ER a mood stabilizer?
Yes, Epinote 250mg Tablet ER can sometimes be used as a mood stabilizer. It is given in patients who experience rapid changes in their mood. It works by calming the hyperactivity of the brain during mood changes.
Q. Can Epinote 250mg Tablet ER cause weight gain?
Yes, Epinote 250mg Tablet ER may cause weight gain. The gain in weight could be due to an increase in hunger. Keep a check on your diet and exercise regularly to prevent any weight gain. If you are have concerns related to weight gain, consult your doctor.
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Q. Does Epinote 250mg Tablet ER make you sleepy?
Yes, Epinote 250mg Tablet ER may make you feel sleepy. Avoid driving or other work that requires mental focus until you know how it affects you.
Q. Does Epinote 250mg Tablet ER cause hair loss?
Yes, Epinote 250mg Tablet ER may cause hair loss. However, it is only for a short time and is usually dose related. Please consult your doctor if the hair loss bothers you or persists for a longer duration.
Q. Can Epinote 250mg Tablet ER damage my liver?
Yes, Epinote 250mg Tablet ER can cause damage to the liver. The risk is more likely to occur during the first 6 months of starting the treatment with Epinote 250mg Tablet ER. Symptoms of liver damage may include nausea or vomiting, loss of appetite, stomach pain, dark coloured urine, facial swelling, yellowing of the skin or white of eyes. Therefore, it is important to have liver function tests done before starting the medicine and. Tests should be done periodically during the first 6 months of therapy, especially in those who are likely to be at risk and those with a prior history of liver disease.
Q. Can I take alcohol while I am taking Epinote 250mg Tablet ER?
Avoid alcohol consumption while you are on treatment with Epinote 250mg Tablet ER. Taking alcohol with this medicine may make you feel more drowsy, light headed or dizzy.
Q. What are the laboratory tests recommended prior to taking Epinote 250mg Tablet ER?
The doctor may suggest blood tests before starting the treatment with Epinote 250mg Tablet ER. The tests may include blood cell count, including platelet count, bleeding time and coagulation tests These tests are also advised to avoid any spontaneous bruising or bleeding. In addition to this, liver function tests are advised before therapy. It is recommended to periodically monitor liver function during the first 6 months of therapy, primarily in those who seem most at risk and those with a prior history of liver disease.
Q. What should be done if I start experiencing abdominal pain, nausea and anorexia?
If you experience acute severe abdominal pain along with nausea and vomiting, it may be due to pancreatitis. Immediately consult your doctor in case you experience these symptoms. Your doctor may get your levels of serum amylase checked. In case the test shows positive results for pancreatitis, the medication should be stopped immediately.
Q. How to check for overdose of Epinote 250mg Tablet ER?
Overdose of Epinote 250mg Tablet ER may cause headaches, blurred eyesight due to pupils of the eyes becoming smaller, lack of reflexes, confusion and tiredness. You may also experience weak or “floppy” muscles, fits (seizures), loss of consciousness, behavioral changes and breathing difficulties such as fast breathing, shortness of breath, or chest pain. Immediate medical assistance is required in case of overdose.

Content on this page was last updated on 29 November, 2023, by Dr. Varun Gupta (MD Pharmacology)