成份 Divalproex Na
適應症 Treatment of the manic episodes associated with bipolar disorder. Treatment of simple or complex absence seizures including petit mal, primary generalized seizures with tonic-clonic manifestations. Prophylaxis of migraine.
用量 Epilepsy Adult Initially 10-15 mg/kg/day, increasing at 1-week interval by 5-10 mg/kg/day until seizures are controlled or side effects preclude further increases. Max: 60 mg/kg/day.Acute mania 250 mg tid. Dose should be increased to achieve the lowest therapeutic dose. Max: 60 mg/kg/day. Prophylaxis of migraine 250 mg bid. Some patients may benefit from doses up to 1 g/day.
用法 Should be taken with food
美國食品藥物管理局之懷孕等級 Category D: There is positive evidence of human foetal risk, but the benefits from use in pregnant women may be acceptable despite the risk (e.g., if the drug is needed in a life-threatening situation or for a serious disease for which safer drugs cannot be used or are ineffective).
禁忌 Hepatic disease or severe hepatic dysfunction.
注意事項 Perform liver function tests prior to therapy & at frequent intervals thereafter especially during the first 6 months. Children <3 years. Renal impairment. SLE. Pregnancy, lactation. May impair ability to drive or operate machinery.
不良反應 GI disturbances, weight increase, alopecia, hepatitis. (to view ADR Monitoring Form)
交互作用 Increased clearance by phenytoin, carbamazepine, phenobarb. May alter serum concentration of aspirin, carbamazepine, dicumarol, warfarin, tolbutamide & phenytoin. Aspirin, felbamate, rifampin, Selective Serotonin Reuptake Inhibitors (SSRIs), antipsychotics, MAOIs & tricyclic antidepressants. Alcohol, ethosuximide, lamotrigine,zidovudine. (for more Interaction Checks)
MIMS 藥理分類 抗癲癇藥 (Anticonvulsants) / 偏頭痛用藥 (Antimigraine Preparations)
ATC 分類 N03AG01 - Valproic acid ; Belongs to the class of fatty acid derivatives antiepileptic. Used in the management of epilepsy.
產品類別 Rx (處方用藥)
本商品之市售規格
劑型 包裝/價格
Apo-Divalproex 腸溶錠 Apo-Divalproex 250 mg x 100's
Apo-Divalproex 500 mg x 100's
用途:
具抗痙攣及改善精神的情緒穩定劑。
用藥前應注意事項:
1. 肝功能障礙者,應避免使用本品。
2. 已懷孕或計劃要懷孕,或者正在哺乳的婦女。
服藥中應注意事項:
1. 接受任何手術或牙科治療前,應小心使用,因本品會使出血時間延長或導致出血。
2. 糖尿病人驗尿時,須將服用本品列入考慮,以免驗尿結果發生誤差。
3. 會出現嗜睡現象,所以應避免駕車及從事危險性工作。
飲食須知:
1. 請與大量開水併服,若有胃腸不適現象,請於飯後服用。
2. 服用期間應避免酒類之攝取。
3. 請整粒吞服,勿咬碎或咀嚼之,若不慎咬碎,併服大量開水可降低苦味及刺激性。
4. 切勿與含碳酸氣之飲料併服。
貯存:
本品引濕性強,非服用時切勿撕開鋁箔或打開瓶蓋。
Medical Records: JUN 2000 suffered from obstructive hydrocephalus (Taichung Veterans General Hospital)/ 4 SEP 2003 Taichung Veterans General Hospital confirmed suspect subarachnoid cyst 34×12mm(inference 30×10×10mm at 28 AUG)/ 29 SEP 2003 Chang Gung Memorial Hospital Linkou Branch surgery to remove the brain tumor, diameter of 47.5mm/ FEB 2007 benign neoplasm of brain/ DEC 2010 China Medical University Hospital Cancer Center for the Chinese medical treatment.
Status
Current conditions ICD-9-CM:
2003
225.0 BENIGN NEOPLASM OF BRAIN
345.90 UNSPECIFIED EPILEPSY WITHOUT MENTION OF INTRACTABLE EPILEPSY
2010
225.0 BENIGN NEOPLASM OF BRAIN
345.90 UNSPECIFIED EPILEPSY WITHOUT MENTION OF INTRACTABLE EPILEPSY
2012
225.0 BENIGN NEOPLASM OF BRAIN
345.90 UNSPECIFIED EPILEPSY WITHOUT MENTION OF INTRACTABLE EPILEPSY
375.15 TEAR FILM INSUFFICIENCY,UNSPECIFIED
367.89 OTHER DISORDERS OF REFRACTION AND ACCOMMODATION
377.61 ASSOCIATED WITH NEOPLASMS
729.1 MYALGIA AND MYOSITIS, UNSPECIFIED
719.39 PALINDROMIC RHEUMATISM,MULTIPLE SITES
680.0 CARBUNCLE AND FURUNCLE, FACE
378.41 ESOPHORIA
311 DEPRESSIVE DISORDER, NOT ELSEWHERE CLASSIFIED
523.8 OTHER PERIODONTAL DISEASES(PERIODONTAL POCKET,GINGIVAL POLYP)
681.02 ONYCHIA AND PARONYCHIA OF FINGER
2013
225.0 BENIGN NEOPLASM OF BRAIN
345.90 UNSPECIFIED EPILEPSY WITHOUT MENTION OF INTRACTABLE EPILEPSY
704.8 OTHER DISEASES OF HAIR AND HAIR FOLLICLES
706.1 OTHER ACNE
444.22 ARTERIAL EMBOLISM AND THROMBOSIS OF LOWER EXTREMITY
375.15 TEAR FILM INSUFFICIENCY,UNSPECIFIED
367.89 OTHER DISORDERS OF REFRACTION AND ACCOMMODATION
377.61 ASSOCIATED WITH NEOPLASMS
378.41 ESOPHORIA
728.85 (728.850) SPASM OF MUSCLE
353.4 LUMBOSACRAL ROOT LESIONS,NOT ELSEWHERE CLASSIFIED
780.52 (780.520) OTHER INSOMNIA
788.43 NOCTURIA
2014
225.0 BENIGN NEOPLASM OF BRAIN
345.90 UNSPECIFIED EPILEPSY WITHOUT MENTION OF INTRACTABLE EPILEPSY
374.05 TRICHIASIS WITHOUT ENTROPION
372.72 CONJUNCTIVAL HEMORRHAGE
375.15 TEAR FILM INSUFFICIENCY,UNSPECIFIED
367.89 OTHER DISORDERS OF REFRACTION AND ACCOMMODATION
377.61 ASSOCIATED WITH NEOPLASMS
378.41 ESOPHORIA
2015
225.0 BENIGN NEOPLASM OF BRAIN
345.90 UNSPECIFIED EPILEPSY WITHOUT MENTION OF INTRACTABLE EPILEPSY
705.83 HIDRADENITIS
698.8 OTHER PRURITIC CONDITIONS
686.9 UNSPECIFIED LOCAL INFECTIONS OF SKIN AND SUBCUTANEOUS TISSUE
686.09 OTHER PYODERMA
272.0 PURE HYPERCHOLESTEROLAEMIA (FAMILIAL HYPERCHOLESTESTEROLEMIA)
729.1 MYALGIA AND MYOSITIS, UNSPECIFIED
719.39 PALINDROMIC RHEUMATISM,MULTIPLE SITES
377.61 ASSOCIATED WITH NEOPLASMS
311 DEPRESSIVE DISORDER, NOT ELSEWHERE CLASSIFIED
307.48 REPETITIVE INTRUSIONS OF SLEEP
705.81 DYSHIDROSIS
372.72 CONJUNCTIVAL HEMORRHAGE
680.2 CARBUNCLE AND FURUNCLE, TRUNK
523.3 ACUTE PERIODONTITIS(ACUTE PERICORONITIS)
Current conditions ICD-10-CM:
2016
E780 Pure hypercholesterolemia
G40.909 Epilepsy, unspecified, not intractable, without status epilepticus
L301 Dyshidrosis [pompholyx]
F32.9 Major depressive disorder, single episode, unspecified
D33.2 Benign neoplasm of brain, unspecified
H04.123 Dry eye syndrome of bilateral lacrimal glands
H47.529 Disorders of visual pathways in (due to) neoplasm, unspecified side
H02.052 Trichiasis without entropian right lower eyelid
H11.31 Conjunctival hemorrhage, right eye
H52.6 Other disorders of refraction
H50.51 Esophoria
H02.055 Trichiasis without entropian left lower eyelid
H47.099 Other disorders of optic nerve, not elsewhere classified, unspecified eye
F51.8 Other sleep disorders not due to a substance or known physiological condition
G40.901 Epilepsy, unspecified, not intractable, with status epilepticus
L0881 Pyoderma vegetans
B009 Herpesviral infection, unspecified
J069 Acute upper respiratory infection, unspecified
M79.1 Myalgia
M12.39 Palindromic rheumatism, multiple sites
2016
E780 Pure hypercholesterolemia
G40.909 Epilepsy, unspecified, not intractable, without status epilepticus
L301 Dyshidrosis [pompholyx]
F32.9 Major depressive disorder, single episode, unspecified
D33.2 Benign neoplasm of brain, unspecified
H04.123 Dry eye syndrome of bilateral lacrimal glands
H47.529 Disorders of visual pathways in (due to) neoplasm, unspecified side
H02.052 Trichiasis without entropian right lower eyelid
H11.31 Conjunctival hemorrhage, right eye
H52.6 Other disorders of refraction
H50.51 Esophoria
H02.055 Trichiasis without entropian left lower eyelid
H47.099 Other disorders of optic nerve, not elsewhere classified, unspecified eye
F51.8 Other sleep disorders not due to a substance or known physiological condition
G40.901 Epilepsy, unspecified, not intractable, with status epilepticus
L0881 Pyoderma vegetans
B009 Herpesviral infection, unspecified
J069 Acute upper respiratory infection, unspecified
M79.1 Myalgia
M12.39 Palindromic rheumatism, multiple sites
Current treatment centers:
GP/ The department of Neurosurgical emergency & Critical Care of Chang Gung Memorial Hospital Linkou Branch/ TCM oncology of China Medical University Hospital Cancer Center/ and Taichung Hospital, Ministry of Health and Welfare
Contents of reference sources:
MIMS- Search drug information/ interaction/ images & medical diagnosis.
Complementary and Alternative Healing University- Dictionary of Chinese Herbs. http://alternativehealing.org
Database 醫砭‧沈藥子 http://yibian.hopto.org
Traditional Chinese Medicine (TCM) Wiki http://www.tcmwiki.com/
Monday, April 4, 2011
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