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 is used to treat epileptic seizures and also for some mental behavioural disorders

Uses of Divuna Tablet ER

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 Prevention of Migraine

It is not fully established how Divuna 250mg Tablet ER helps prevent migraines. It may change the abnormal and excessive activity of the nerve cells in the brain or increase the activity in a region of the brain associated with migraines. By preventing and reducing the frequency of headaches, it can help you carry out your daily activities and have a better quality of life.

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.

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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.

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.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Divuna 250mg Tablet ER

₹4.0/Tablet ER

Convulex 250mg Tablet ER

A N Pharmacia

₹2.96/tablet er

26% cheaper

Doncorate 250mg Tablet ER

Bondane Pharma

₹6.4/tablet er

60% costlier

Welcorate 250mg Tablet ER

Welgenic Pharma

₹6.4/tablet er

60% costlier

Disoval 250mg Tablet ER

La Pharmaceuticals

₹5.69/tablet er

42% costlier

Develpin 250mg Tablet ER

Lifecare Innovations Pvt Ltd

₹3.8/tablet er

5% cheaper

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.

Fact Box

Chemical Class

Valproic Acid Derivative

Habit Forming

Therapeutic Class

NEURO CNS

Action Class

Sodium channel modulators (AED)

Patient concerns

Suffering from bipolar disorder

Dr. Jyoti Kapoor Madan

Psychiatry

Bipolar Affective Disorder is a chronic problem caused by Neuro chemical disturbance in brain. It is characterised by excessive mood swings leading to disruption in routine life. Treatment is with mood stabilizer medicines and antipsychotic medicines which may need to continue throughout life. Please see a psychiatrist for further guidance.

Treatment about bipolar disorder

Dr. Ravi Shankar M.

Ayurveda

Tab. Manasa Mitra Vataki 1-0-1 and Kalyanaka Ghritam 10 gram twice a day with luke warm wtar after food and Sarswatharishta 15 ml twice a day with equal quantity of water for 2 months

Bipolar disorder treatment needed

Dr. Jyoti Kapoor Madan

Psychiatry

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

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.
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.
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.
Valporic acid. Barceloneta, PR :AbbVie LTD; 1978 [revised Feb 2016]. [Accessed 19 Mar 2019] (online) Available from:
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:

Marketer details

Name: Dr Reddy's Laboratories Ltd

Address: Dr. Reddy's Laboratories Ltd., 8-2-337, Road No. 3, Banjara Hills, Hyderabad, Telangana 500034, INDIA

Country of origin: India

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