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Prescription drug
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Manufacturer/Marketer

Phrenos Pharma

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Apr-26

for this medicine

About Diphreno ER 250 Tablet

Diphreno ER 250 Tablet belongs to a group of medicines called anticonvulsants or anti-epileptics used to treat epilepsy/seizures/fits. Additionally, Diphreno ER 250 Tablet is also used to treat manic episodes associated with bipolar disorder and to prevent migraine. Epilepsy is a sudden rush of electricity in the brain. In epilepsy, the brain's electrical rhythms become imbalanced, resulting in recurrent seizures.

Diphreno ER 250 Tablet contains 'Divalproex sodium', which decreases the brain's excessive and abnormal nerve activity. Thereby helps in controlling seizures. Diphreno ER 250 Tablet increases the amount of a chemical substance called GABA, this helps block the nerve transmission across the brain and provides a calming effect. Thereby helps treat bipolar disorder. 

Take Diphreno ER 250 Tablet with or without food. You are advised to take Diphreno ER 250 Tablet as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as abdominal pain, back pain, constipation, diarrhoea, dizziness, nausea, increased appetite, and vomiting. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Please do not stop taking Diphreno ER 250 Tablet without consulting your doctor to avoid worsening of seizures. Do not take Diphreno ER 250 Tablet if you are pregnant, as it could cause serious birth defects. If you are of childbearing age, use effective contraception while taking Diphreno ER 250 Tablet . Consult your doctor before taking Diphreno ER 250 Tablet if you are breastfeeding. Avoid driving or operating machinery as Diphreno ER 250 Tablet causes dizziness, and may affect thinking and motor skills. Avoid consuming alcohol along with Diphreno ER 250 Tablet as it could lead to increased dizziness. Care should be taken while giving Diphreno ER 250 Tablet to children below 2 years as there is a higher risk of liver intoxication during the first 6 months of treatment. Keep your doctor informed about your health condition and medicines to rule out any side effects.

Uses of Diphreno ER 250 Tablet

Treatment of Epilepsy, bipolar disorder, migraine.

Medicinal Benefits

Diphreno ER 250 Tablet belongs to a group of medicines called anticonvulsants or anti-epileptics. Diphreno ER 250 Tablet is used to treat epilepsy/seizures/fits. Additionally, Diphreno ER 250 Tablet is also used to treat mood disorders and to prevent migraine headaches. Diphreno ER 250 Tablet decreases the excessive and abnormal nerve activity in the brain. Thereby helps in controlling seizures. Diphreno ER 250 Tablet treats mood disorder by increasing the amount of a chemical substance called GABA, this helps block the nerve transmission across the brain and provides a calming effect. Diphreno ER 250 Tablet prevents migraine headaches by limiting the transmission of nerve pain. Diphreno ER 250 Tablet is used alone or in combination to treat simple seizures, complex partial seizures and complex absence seizures. Diphreno ER 250 Tablet is used in combination to treat multiple seizures, such as absence seizures.

Side Effects of Diphreno ER 250 Tablet

  • Abdominal pain
  • Back pain
  • Constipation
  • Diarrhoea
  • Dizziness
  • Nausea
  • Increased appetite
  • Vomiting
  • Vision problems
  • Weight changes
  • Problems with walking or coordination

Directions for Use

Tablet/Capsule: Swallow it as a whole with a glass of water; do not chew or crush the tablet/capsule.Oral solution: Take the prescribed dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack; shake the pack well before each use.

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

Do not take Diphreno ER 250 Tablet if you are allergic to any of its contents, have/ had liver problems or urea cycle disorders. Inform your doctor before taking Diphreno ER 250 Tablet if you have pancreatitis, blood problems or multi-organ hypersensitivity. Consult your doctor immediately if you experience suicidal tendency while taking Diphreno ER 250 Tablet . Diphreno ER 250 Tablet may cause thrombocytopenia (low blood platelets), hyperammonemia (high levels of ammonia in the blood), hypothermia (low body temperature) and liver problems. Please do not stop taking Diphreno ER 250 Tablet without consulting your doctor to avoid worsening of seizures. Do not take Diphreno ER 250 Tablet if you are pregnant as it could cause serious birth defects. If you are of child-bearing age, use effective contraception while taking Diphreno ER 250 Tablet . Consult your doctor before taking Diphreno ER 250 Tablet if you are breastfeeding. Avoid driving or operating machinery as Diphreno ER 250 Tablet causes dizziness and may affect thinking and motor skills. Avoid consuming alcohol along with Diphreno ER 250 Tablet as it could lead to increased dizziness. Care should be taken while giving Diphreno ER 250 Tablet to children below 2years as there is a higher risk of liver intoxication during the first 6months of treatment.

Therapeutic Class

ANTICONVULSANT

Drug Interactions

Drug-Drug Interactions: Diphreno ER 250 Tablet may have interaction with pain killers (aspirin), anti-epileptics (pregabalin, topiramate, phenobarbital, primidone, phenytoin, carbamazepine, lamotrigine, felbamate, ethosuximide), anti-HIV (zidovudine), anti-depressant (duloxetine, escitalopram, amitriptyline, nortriptyline), anti-psychotic (aripiprazole, lurasidone, quetiapine), anti-anxiety (alprazolam), anti-TB (rifampicin), anti-coagulant (warfarin), antibiotics (imipenem, meropenem), and benzodiazepine (diazepam).

Drug-Food Interactions: Avoid alcohol consumption while taking Diphreno ER 250 Tablet as it might cause increased dizziness and sleepiness. Alcohol intake might also provoke seizures.

Drug-Disease Interactions: Diphreno ER 250 Tablet may interact with disease conditions such as depression, liver disease, urea cycle disorders, suicidal tendency, HIV disease and thrombocytopenia (low levels of platelets).

Drug-Drug Interactions Checker List

  • ASPIRIN
  • PREGABALIN
  • TOPIRAMATE
  • PHENOBARBITAL
  • PRIMIDONE
  • PHENYTOIN
  • CARBAMAZEPINE
  • LAMOTRIGINE
  • FELBAMATE
  • ETHOSUXIMIDE
  • ZIDOVUDINE
  • DULOXETINE
  • ESCITALOPRAM
  • AMITRIPTYLINE
  • NORTRIPTYLINE
  • ARIPIPRAZOLE
  • LURASIDONE
  • QUETIAPINE
  • ALPRAZOLAM
  • RIFAMPICIN
  • WARFARIN
  • IMIPENEM
  • MEROPENEM
  • DIAZEPAM

Diet & Lifestyle Advise

  • A ketogenic diet (low in carbohydrates and high in fats) is recommended for children with epilepsy. This diet helps in utilising fat instead of glucose for the generation of energy.

  • Atkins diet (high fay and controlled carbohydrates) is recommended for adolescents and adults.

  • Exercising regularly helps in maintaining weight and improving overall health. 

  • Rest well, get plenty of sleep.

  • Avoid smoking and alcohol consumption.

  • Meditation and yoga can help lower the stress, decrease pain sensitivity and improves coping skills.

  • Have a seizure response plan, help those around you know what to do.

  • Prepare your living area, small changes may reduce the risk of physical injury during a seizure.

  • Understand what triggers seizures and try reducing or avoiding them.

  • Please pay attention to overall health as it can help in reducing seizure activity.

  • Install an alarm or emergency device to get assistance during a seizure attack.

Habit Forming

No

What if I have taken an overdose of Diphreno ER 250 Tablet

Do not take more than the prescribed dose of Diphreno ER 250 Tablet as it may cause overdose. The symptoms of overdose include heart block, excess sleepiness and deep coma. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Special Advise

  • Regular monitoring of blood count and coagulation tests are advised while taking Diphreno ER 250 Tablet as it may cause thrombocytopenia (low platelet levels).

  • Diphreno ER 250 Tablet may cause liver toxicity, usually during the first 6months of treatment. Children below two years are at a higher risk. Regular monitoring of liver function tests before treatment and at frequent intervals is advised.

  • Diphreno ER 250 Tablet might alter thyroid function tests and urine ketone tests. Inform the person doing the tests that you are taking Diphreno ER 250 Tablet .

Disease/Condition Glossary

Epilepsy: Epilepsy is a sudden rush of electricity in the brain. It is a disorder of the nervous system which occurs due to disturbed nerve cell activity in the brain. In epilepsy, the brain's electrical rhythms become imbalanced, resulting in recurrent seizures. In patients with seizures, the typical brain electrical pattern is disrupted by sudden bursts of electrical impulses that affect an individual's consciousness, movements or sensations. Seizures are of two types: generalised and partial seizures. Generalised seizures affect the entire brain, whereas partial seizures affect only a part of the brain. Seizures can cause uncontrollable muscle twitches and spasms. Stronger seizures may cause people to become confused or unconscious. Possible causes include high fever, trauma, genetic disorder, brain injury or stroke.

Mood disorder: It is a mental health disorder which mainly affects a person's emotional state. A mood disorder is associated with episodes of mood swings ranging from manic highs to depressive lows.

Migraine: Migraine is a neurological condition which is characterized by intense headaches. Symptoms include nausea, vomiting, and sensitivity to light and sound.

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Alcohol

Unsafe

Avoid consumption of alcohol while taking Diphreno ER 250 Tablet as it may cause increased dizziness.

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Pregnancy

Unsafe

Diphreno ER 250 Tablet belongs to pregnancy category D. Avoid taking Diphreno ER 250 Tablet if you are pregnant as it could lead to serious birth defects. Consult your doctor for further advice.

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Breast Feeding

Caution

Diphreno ER 250 Tablet may pass into breastmilk. Consult your doctor before taking Diphreno ER 250 Tablet if you are breastfeeding.

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Driving

Unsafe

Diphreno ER 250 Tablet causes dizziness and may affect thinking and motor skills. Do not drive or operate machinery.

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Liver

Unsafe

Diphreno ER 250 Tablet should not be used if you have liver problems or your family has a history of liver problems. Please consult your doctor if you have liver problems or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed in patients with kidney impairment. Please consult your doctor if you have kidney impairment or any concerns regarding this.

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Children

Caution

Diphreno ER 250 Tablet can be given to children if prescribed by the doctor. The dose will be adjusted by the doctor depending upon the child's body weight. Care should be taken in children below 2years as they are at a higher risk of liver toxicity.

Country of origin

India
Other Info - DIP0222

Author Details

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FAQs

Diphreno ER 250 Tablet is used to treat epilepsy/seizures/fits. Additionally, it is also used to treat manic episodes associated with bipolar disorder and to prevent migraine.
Diphreno ER 250 Tablet decreases the excessive and abnormal nerve activity in the brain. Thereby helps in controlling seizures.
Diphreno ER 250 Tablet helps to treat manic episodes associated with bipolar disorder by increasing the amount of a chemical substance called GABA, this helps in blocking the nerve transmission across the brain and provides a calming effect.
Diphreno ER 250 Tablet limits the transmission of nerve pain, thereby prevents migraine headache. Migraine is a neurological condition which is characterized by intense headaches.
Do not discontinue Diphreno ER 250 Tablet without consulting your doctor. To treat your condition effectually continue taking Diphreno ER 250 Tablet for as long as prescribed. Do not be reluctant to speak with your doctor if you feel any difficulty while taking Diphreno ER 250 Tablet , your doctor will reduce the dose gradually to avoid worsening of seizures.
Diphreno ER 250 Tablet may cause weight gain due to an increase in appetite. Maintain a healthy weight by following a healthy diet and exercising regularly.
Use an effective method of contraception during the treatment with Diphreno ER 250 Tablet . Avoid getting pregnant while taking Diphreno ER 250 Tablet as it could lead to serious birth defects. Do not stop taking Diphreno ER 250 Tablet and consult your doctor immediately if you become pregnant.
Diphreno ER 250 Tablet may cause thrombocytopenia (low levels of platelets). This might increase the risk of bleeding and bruising. Be cautious while using sharp objects. Consult your doctor if you notice unexplained bleeding or bruising. Regular monitoring of blood count is advised while taking Diphreno ER 250 Tablet .
Topiramate (anticonvulsant) should not be taken along with Diphreno ER 250 Tablet as it may cause hyperammonemia (excess ammonia in the blood), hypothermia (low body temperature) and liver problems.
It's crucial to consult with your doctor before discontinuing Diphreno ER 250 Tablet . Abruptly stopping this medication can lead to severe consequences, mainly if it's prescribed to treat conditions like epilepsy.
Diphreno ER 250 Tablet is also used to treat mood disorders. It treats mood disorders by increasing the amount of a chemical substance called GABA, which helps block nerve transmission across the brain and provides a calming effect.
Diphreno ER 250 Tablet can indeed make you sleepy. This is a common side effect of the medication. If you're experiencing excessive drowsiness, you must talk to your doctor.
Yes, Diphreno ER 250 Tablet can cause hair loss as a side effect. While this isn't a common side effect, it can occur in some people. If you notice significant hair loss while taking Diphreno ER 250 Tablet , it's essential to consult with your doctor.
Yes, Diphreno ER 250 Tablet can potentially damage your liver. While this is a rare side effect, being aware of the risk is essential. Signs of liver damage may include yellowing of the skin or eyes or jaundice, dark urine, abdominal pain, light-coloured stools, nausea and vomiting. If you experience any of these symptoms while taking Diphreno ER 250 Tablet , seeking medical attention is crucial.
Avoid consumption of alcohol while taking Diphreno ER 250 Tablet as it may cause increased dizziness.
If you experience abdominal pain, nausea, and anorexia while taking Diphreno ER 250 Tablet , it's essential to contact your doctor immediately. These symptoms can be signs of a severe side effect, such as liver damage.
Overdose of Diphreno ER 250 Tablet can be a severe medical emergency. If you or someone you know has taken an overdose of Diphreno ER 250 Tablet , it's crucial to seek immediate medical attention.

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