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Divuna 250mg Tablet ER

Prescription Required

Product introduction

Divuna 250mg Tablet ER is used to treat epilepsy (seizures) and bipolar disorder. It is also used in the prevention of migraines. It has a calming effect on the brain by relaxing the nerves.

Divuna 250mg Tablet ER may be taken with or without food, preferably at the same time, each day. Take this medicine in the dose and duration as advised by your doctor. If you have missed a dose, take it as soon as you remember it. Never skip any doses and finish the full course of treatment even if you feel better. Do not stop taking it abruptly without discussing it with your doctor, as it may increase seizure frequency.

Some of the common side effects of this medicine include headache, blurred vision, loss of appetite, nausea, vomiting, hair loss, and diarrhea. It may also cause dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. This medicine may cause weight gain, and to control it, you should have a balanced diet and exercise regularly. Please consult your doctor if these side effects bother you or do not go away.

Benefits of Divuna Tablet ER

In Epilepsy/Seizures

Divuna 250mg Tablet ER is an anticonvulsant (or anti-epileptic) medicine that works by decreasing the nerve impulses which cause the seizures. By controlling the frequency of seizures, it will help you go about your daily activities with more confidence. It helps reduce symptoms such as confusion, uncontrollable jerking movements, loss of awareness, and fear or anxiety.
This medicine is not associated with any physical or psychological dependence (addiction) but it should not be stopped suddenly. It must be taken regularly as prescribed to be effective. Missing doses may trigger a seizure.

In Bipolar disorder

Divuna 250mg Tablet ER works to restore the normal balance of nerve activity in your brain. It can help prevent extreme changes in mood and help you feel less agitated. You may experience fewer episodes of low mood. It can take several weeks for this medicine to work and you may still feel low during this time. It is likely that you will take this medicine for at least six months but possibly much longer. It needs to be taken regularly to work effectively. Do not stop taking it unless your doctor advises you to. You should continue to eat well and keep fit to reduce symptoms of bipolar disorder.

Side effects of Divuna Tablet ER

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Divuna

  • Headache
  • Dizziness
  • Blurred vision
  • Loss of appetite
  • Nausea
  • Vomiting
  • Sleepiness
  • Hair loss
  • Weight gain
  • Tremors
  • Double vision
  • Diarrhea
  • Impaired coordination
  • Increased appetite
  • Weakness
  • Stomach pain

How to use Divuna Tablet ER

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Divuna 250mg Tablet ER is to be taken with food.

How Divuna Tablet ER works

Divuna 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.

Safety advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Divuna 250mg Tablet ER.
Pregnancy
CONSULT YOUR DOCTOR
Divuna 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.
Breast feeding
SAFE IF PRESCRIBED
Divuna 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.
Driving
UNSAFE
Divuna 250mg Tablet ER may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Divuna 250mg Tablet ER should be used with caution in patients with kidney disease. Dose adjustment of Divuna 250mg Tablet ER may be needed. Please consult your doctor.
However, talk to your doctor if you have any underlying kidney disease.
Liver
UNSAFE
Divuna 250mg Tablet ER is probably unsafe to use in patients with liver disease and should be avoided. Please consult your doctor.
Use of Divuna 250mg Tablet ER is not recommended in patients with severe liver disease and active liver disease.

What if you forget to take Divuna Tablet ER?

If you miss a dose of Divuna 250mg Tablet ER, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.\n

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.
Divuna 250mg Tablet ER
₹3.88/Tablet ER
₹2.87/tablet er
26% cheaper
₹6.2/tablet er
60% costlier
₹6.2/tablet er
60% costlier
Disoval 250mg Tablet ER
La Pharmaceuticals
₹8.87/tablet er
129% costlier
D Valer 250 Tablet ER
Xender Biopharma & Research Llp.
₹7.68/tablet er
98% costlier

Quick tips

  • Take your medication regularly as directed by your doctor as missing doses can trigger seizures.
  • 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.
  • It may cause cosmetic side effects such as increased hair growth on the face, acne and thinning of hair. Talk to your doctor if this bothers you.
  • Monitor your weight during treatment with this medicine as it can cause weight gain.
  • Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
  • Do not stop taking the medication suddenly without talking to your doctor as it may increase the seizure frequency.
  • Divuna 250mg Tablet ER helps in the treatment and prevention of seizures.
  • Take it at the same time every day to maintain consistent levels in your body.
  • It may cause dizziness and sleepiness. Do not drive or do anything that requires mental focus until you know how it affects you.
  • Avoid consuming alcohol when taking Divuna 250mg Tablet ER, as it may cause excessive sleepiness or drowsiness.
  • Monitor your weight during treatment with this medicine as it can cause weight gain.
  • Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or suicidal thoughts or behavior.
  • Do not take Divuna 250mg Tablet ER if you are pregnant or planning to conceive or breastfeeding.
  • Do not stop taking the medication suddenly without talking to your doctor as it may increase the seizure frequency.
  • Take your medication regularly as directed by your doctor as missing doses can trigger seizures.
  • 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 increase the risk of low sodium levels in the blood. Inform your doctor if you develop difficulty concentrating, memory problems, confusion, weakness, and unsteadiness.
  • Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.

Fact Box

Chemical Class
Valproic Acid Derivative
Habit Forming
No
Therapeutic Class
NEURO CNS
Action Class
Sodium Channel Modulators- Antiepileptic drugs (AEDs)

Interaction with drugs

Taking Divuna with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Concurrent use may cause liver damage. Your doctor may monitor your liver function regularly.
Concurrent use may cause liver damage. Your doctor may monitor your liver function regularly.
Although the likelihood is low, concurrent use may cause a slow heart rate. Talk to your doctor if you experience nausea, vomiting, or dizziness during the simultaneous use of the... More
Although the likelihood is low, concurrent use may cause a slow heart rate. Talk to your doctor if you experience nausea, vomiting, or dizziness during the simultaneous use of the... More
Although the likelihood is low, concurrent use may cause a slow heart rate. Talk to your doctor if you experience nausea, vomiting, or dizziness during the simultaneous use of the... More

Patient concerns

arrow
She has problem of epilepsy from last two years
Dr. Rahul Yadav
Paediatrics
Hello, epilepsy and seizures cannot be treated online without physically examining the child and detailed history.
Left side headache while laughing or coughing for 20 seconds only Pls suggest
Dr. Pushkar Mani
Physician
could be trigeminal neuralgia/ TM joint stifness or migrainerefer to ENT doctor and Neurophysician
arrow

FAQs

I have been taking Divuna 250mg Tablet ER for a year, and I did not have any episode of seizure during this time. For how long should I take it to cure my epilepsy completely?

Divuna 250mg Tablet ER does not cure your condition, it only prevents the seizures from occurring. Therefore, you will have to keep on taking it, maybe for years. Consult your doctor if face any problems while taking this medicine.

What happens if I stop taking Divuna 250mg Tablet ER?

You should not stop taking Divuna 250mg Tablet ER suddenly. It should be discontinued gradually. Stopping it suddenly may increase the chances of recurrence of seizures. Always consult your doctor if you feel the need to stop taking this medicine.

I have gained weight after I started using Divuna 250mg Tablet ER. Is it because of this medicine? What should I do?

Yes, weight gain can occur with the use of Divuna 250mg Tablet ER. To control your weight, you should have a healthy balanced diet and exercise regularly. Talk to your doctor if you have any other concerns.

Can I take birth control pills while taking Divuna 250mg Tablet ER?

Yes, Divuna 250mg Tablet ER does not have any effect on the working of birth control pills. However, contraceptives (birth control pills) may interfere with the working of Divuna 250mg Tablet ER and seizures may occur. It is important that you inform your doctor that you are using birth control pills. Your doctor will keep a track on your response to the treatment and monitor the Divuna 250mg Tablet ER levels in your blood levels.

Is it safe to take Divuna 250mg Tablet ER for long term?

Many patients can safely take Divuna 250mg Tablet ER for a long time. Rarely, long-term use of Divuna 250mg Tablet ER may weaken your bones, thereby increasing their chances of breaking easily (osteoporosis and osteopenia). If you are taking Divuna 250mg Tablet ER for a long time, get regular check ups done for bone health.

I am concerned because I have heard that Divuna 250mg Tablet ER causes hair loss. Is it true?

Divuna 250mg Tablet ER may cause thinning of hair, change of hair colour and even hair loss. If you are concerned talk to your doctor if it is possible to reduce the dose of Divuna 250mg Tablet ER. Your hair may regrow after either reducing your dose or switching to a different medicine.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. McNamara JO. Pharmacotherapy of the Epilepsies. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 596-98.
  2. Porters RJ, Meldrum BS. Antiseizure Drugs. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 413-15.
  3. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 1449-54.
  4. Valporic acid. Barceloneta, PR :AbbVie LTD; 1978 [revised Feb 2016]. [Accessed 19 Mar 2019] (online) Available from:External Link
  5. Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 19 Mar. 2019] (online) Available from:External Link

Marketer details

Name: Dr Reddy's Laboratories Ltd
Address: Dr. Reddy's Laboratories Ltd., Village Malpur, P.O.Bhud, Baddi, Dist. Solan, H.P.
Country of origin: India

DISCONTINUED
We do not facilitate sale of this product at present

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