WARNING

Valtoco (diazepam nasal spray) is a medication used for the acute treatment of seizure clusters in patients with epilepsy who are 6 years of age and older. It’s important to note that information about medications can change over time, and new developments may have occurred since my last update.

As of last update, the risks associated with Valtoco may include:

• Respiratory Depression: Like other benzodiazepines, Valtoco may cause respiratory depression, which is a slowing or stopping of breathing. This risk is higher when it is used in conjunction with other medications that depress the central nervous system.
• Central Nervous System Depression: Valtoco can cause central nervous system depression, leading to drowsiness, sedation, and impairment of coordination and balance.
• Withdrawal Symptoms: Abrupt discontinuation of Valtoco after prolonged use may result in withdrawal symptoms, including seizures.
• Abuse and Dependence: The use of benzodiazepines, including Valtoco, can lead to physical and psychological dependence. Abuse of benzodiazepines has been reported.
• Allergic Reactions: Some individuals may experience allergic reactions to Valtoco, which can manifest as skin rash, itching, swelling, severe dizziness, or difficulty breathing.
• Interactions with Other Medications: Valtoco can interact with other medications, potentially leading to increased side effects or reduced effectiveness.

It is crucial for individuals considering or using Valtoco to consult with their healthcare provider. They should discuss their medical history, potential drug interactions, and any concerns or side effects they may be experiencing. This information is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

Why is this medication prescribed?

Valtoco (diazepam nasal spray) is prescribed for the acute treatment of seizure clusters in patients with epilepsy who are 6 years of age and older. Seizure clusters refer to a series of seizures that occur close together and do not allow the individual to recover fully between them. Valtoco provides an alternative to rectal diazepam for the treatment of seizure clusters.

How should this medicine be used?

Valtoco is a medication used for the acute treatment of seizure clusters in patients with epilepsy. It contains diazepam, which is a benzodiazepine. Valtoco is administered intranasally, meaning it is sprayed into the nose. Here are general guidelines on how Valtoco should be used:

• Read the Instructions: Always read and follow the instructions provided by your healthcare provider and the medication’s packaging. If you have any questions or concerns, consult your healthcare professional.
• Administration by Caregiver: Valtoco is typically administered by a caregiver or a person trained to use the product, especially if the person experiencing the seizure cluster is unable to self-administer.
• Storage: Store Valtoco at room temperature. Avoid exposing it to extreme heat or cold.
• Prepare the Nasal Sprayer: Before using Valtoco, ensure that the nasal sprayer is prepared. This may involve attaching the sprayer to the medication vial. Follow the specific instructions provided.
• Position the Person: The person receiving the medication should be in a reclined position with their head tilted back.
• Clear Nasal Passages: Before administering Valtoco, clear the nasal passages if they are blocked. This can be done by gently blowing the nose.
• Administer the Medication: Insert the nasal applicator into one nostril and press the plunger to administer the medication. Repeat the process in the other nostril.
• Monitor the Person: After administration, monitor the person for any adverse effects or changes in their condition. Seek medical attention if necessary.

It’s crucial to note that Valtoco is intended for the acute treatment of seizure clusters and is not a routine treatment for epilepsy. The use of Valtoco should be part of an overall treatment plan developed by a healthcare professional. If you or someone you know is prescribed Valtoco, it’s important to receive proper training on its administration and follow the prescribed dosage and usage instructions. Always consult with your healthcare provider if you have any questions or concerns about the use of Valtoco.

Other uses for this medicine

Valtoco (diazepam nasal spray) is primarily prescribed for the acute treatment of seizure clusters in patients with epilepsy who are 6 years of age and older. It is not intended for routine use in managing chronic epilepsy. The use of Valtoco for other conditions or purposes would be determined by a healthcare professional based on the individual’s specific medical situation.

What special precautions should I follow?

Regarding special precautions for Valtoco, it’s crucial to follow the advice and instructions provided by the prescribing healthcare professional. While the following information provides general guidance, individual circumstances may vary:

• Medical History: Before using Valtoco, individuals should inform their healthcare provider about their complete medical history, including any history of allergies, respiratory conditions, liver disease, kidney disease, or a history of substance abuse.
• Medication Interactions: Inform the healthcare provider about all the medications being taken, including prescription and over-the-counter medications, as well as any herbal supplements. Certain medications may interact with Valtoco, affecting its effectiveness or increasing the risk of side effects.
• Respiratory Conditions: Valtoco may cause respiratory depression, especially in individuals with pre-existing respiratory conditions. This risk is higher when Valtoco is used in conjunction with other medications that depress the central nervous system.
• Dependence and Withdrawal: Valtoco, like other benzodiazepines, can lead to physical and psychological dependence with prolonged use. Abrupt discontinuation may result in withdrawal symptoms, including seizures.
• Pregnancy and Breastfeeding: Inform the healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding. The potential risks and benefits of using Valtoco during pregnancy or breastfeeding should be discussed.
• Allergic Reactions: Individuals should be aware of potential allergic reactions to Valtoco, such as skin rash, itching, swelling, severe dizziness, or difficulty breathing. Seek medical attention if an allergic reaction occurs.

Always follow the prescribed dosage and administration instructions provided by the healthcare professional. If there are any concerns or questions about Valtoco, it’s important to discuss them promptly with the healthcare provider.

For the most current and accurate information, it is advisable to consult with a healthcare professional or refer to the latest prescribing information for Valtoco.

What special dietary instructions should I follow?

As of last update, there were no specific dietary instructions associated with Valtoco. However, it’s essential to follow any guidance provided by your healthcare provider. If there are specific dietary considerations or restrictions related to your overall health or other medications you are taking, discuss them with your healthcare provider.

What should I do if I forget a dose?

If you miss a dose of Valtoco, it’s important to follow the guidance provided by your healthcare provider. Generally, the instructions for missed doses may vary depending on the specific circumstances, and it is advisable to contact your healthcare provider for advice on how to proceed.

What side effects can this medication cause?

Valtoco (diazepam nasal spray) can cause various side effects. It’s important to note that the severity and frequency of side effects can vary from person to person. Common side effects may include:

• Nasal Discomfort: This may include irritation, itching, or a runny or stuffy nose at the site of administration.
• Headache: Some individuals may experience headaches after using Valtoco.
• Somnolence (Drowsiness): Valtoco, like other benzodiazepines, can cause drowsiness or sedation. It is advised not to engage in activities requiring mental alertness, such as driving, until the effects are known.
• Fatigue: Feeling tired or lethargic may occur as a side effect.
• Weakness: Some individuals may experience a feeling of weakness.
• Nasal Congestion: Blockage or congestion in the nasal passages may occur.
• Cough: Coughing may be a side effect in some individuals.
• Sneezing: Some people may experience sneezing after using Valtoco.
• Coordination Problems: Difficulty with coordination or balance may occur.
• Allergic Reactions: Although rare, serious allergic reactions can occur. Seek medical attention if you experience symptoms such as rash, itching, swelling, severe dizziness, or difficulty breathing.

It’s essential to report any side effects to your healthcare provider, especially if they are persistent, severe, or concerning. Additionally, keep in mind that this information is based on the available knowledge, and there may have been updates or changes. Always refer to the latest prescribing information or consult with your healthcare provider for the most current information on potential side effects associated with Valtoco.

What should I know about storage and disposal of this medication?

Storage and Disposal of Valtoco:

• Storage:
  • Store Valtoco at room temperature, typically between 20-25°C (68-77°F).
  • Protect the medication from light.
  • Do not freeze Valtoco.
  • Keep it out of reach of children.
• Disposal:
  • Follow the disposal instructions provided by your healthcare provider or the medication packaging.
  • Check for any medication take-back programs or authorized disposal facilities in your community.
  • If no specific disposal options are available, you can dispose of Valtoco in the household trash. Mix the medication with an unappealing substance in a sealed bag before throwing it away.

In case of emergency/overdose

In case of an emergency or overdose, seek immediate medical attention. The symptoms of an overdose may include severe drowsiness, confusion, weakness, loss of consciousness, slowed or stopped breathing, and seizures. Contact your local poison control center or emergency room.

What other information should I know?

• Follow Healthcare Provider’s Instructions: Always follow the dosing and administration instructions provided by your healthcare provider.
• Regular Check-ups: Attend regular check-ups with your healthcare provider to monitor your response to the medication and address any concerns.
• Medical Alerts: Inform other healthcare providers and emergency personnel about your use of Valtoco.
• Interactions and Allergies: Be aware of potential drug interactions and allergic reactions. Inform your healthcare provider about all medications, including over-the-counter drugs and supplements.
• Driving and Operating Machinery: Due to the potential for drowsiness, avoid driving or operating machinery until the effects of Valtoco are known.

Remember, the information provided here is based on knowledge. For the most accurate and current information, consult with your healthcare provider or refer to the latest prescribing information for Valtoco.