Epival Tablet

Epival Tablet is an oral tablet containing sodium valproate, a valproate anti-epileptic medicine also used for migraine prevention in selected patients. Each Epival Tablet contains the strength printed on the pack label, and it is supplied by Sun Pharmaceutical Industries Ltd. This tablet form is used to help reduce how often migraine attacks happen and may also be prescribed for certain seizure disorders or other conditions your doctor has assessed.

How it works: Sodium valproate helps calm overactive electrical activity in the brain by increasing the effect of gamma-aminobutyric acid (GABA), a natural chemical that helps slow nerve signals. In Epival Tablet form, this medicine is taken by mouth and then absorbed into the body to help prevent migraine attacks and other symptoms your doctor is treating.

Epival Tablet is a standard swallowable tablet, so it may be a practical choice for people who prefer a solid oral dosage form over Epival Oral Solution. Compared with the liquid, the tablet can be easier to carry and measure precisely, while still delivering sodium valproate in the dose shown on the label. A doctor may choose this form when a tablet fits the planned dose schedule and the patient can swallow tablets safely.

• Migraine prevention
• Seizure control in epilepsy, when prescribed
• Other neurologic or mood-related uses as directed by a doctor

• Swallow Epival Tablet with a glass of water unless your prescriber has told you a different method.
• Take it at the same time each day to help keep a steady level in your body.
• You may take it with food or after food if it upsets your stomach.
• Do not crush, chew, or split the tablet unless the tablet is specifically marked as safe to do so.
• If your dose is more than one tablet a day, space doses exactly as prescribed by your doctor.
• Do not stop Epival Tablet suddenly without medical advice, even if you feel well.

The dose provided by Epival Tablet is the exact strength printed on your pack label, so each tablet delivers that amount of sodium valproate. How often you take it and the maximum daily amount depend on your condition, your age, and your doctor’s plan; the correct dose is individualized and may be adjusted slowly over time. Because this is a higher-strength prescription tablet compared with the oral solution, it is intended only for patients who have been assessed and instructed by a clinician.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Sodium Valproate may include:

• Nausea or vomiting
• Stomach pain or indigestion
• Drowsiness or sleepiness, which may be more noticeable with higher tablet doses
• Dizziness
• Tremor or shakiness
• Weight gain
• Hair thinning

• Do not use Epival Tablet during pregnancy for migraine prevention unless your doctor decides the benefit clearly outweighs the risk; valproate can cause serious birth defects and developmental harm.
• This tablet can cause drowsiness, so be careful driving or operating machinery until you know how it affects you.
• Avoid alcohol unless your prescriber says it is safe, because alcohol can worsen sleepiness and side effects.
• Tell your doctor if you have liver disease, a history of pancreatitis, or a bleeding disorder before starting Epival Tablet.
• Do not take this medicine with other valproate products unless your doctor specifically instructs you to do so.
• Your doctor may order blood tests to monitor liver function, blood counts, or valproate levels while you use this medicine.
• If you have trouble swallowing tablets, tell your clinician; do not alter the tablet unless approved.

• Aspirin or other salicylates may raise valproate levels and increase side effects.
• Warfarin and other blood thinners may have increased bleeding risk.
• Other medicines that cause sleepiness, such as opioids or benzodiazepines, can add to drowsiness.
• Topiramate can increase the risk of high ammonia levels and related brain effects.
• Certain antibiotics and seizure medicines may change valproate levels, so your doctor should review all medicines and supplements.

Store Epival Tablet in its original strip/box at room temperature, away from excess heat, moisture, and light, and keep it out of reach of children.