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Valtoco

Generic Name: Diazepam Nasal Spray (dye AZ e pam)
Brand Name: Valtoco

Medically reviewed by Drugs.com. Last updated on Feb 26, 2020.

Warning

  • This medicine is a benzodiazepine. The use of a benzodiazepine drug along with opioid drugs has led to very bad side effects. Side effects that have happened include slowed or trouble breathing and death. Opioid drugs include drugs like codeine, oxycodone, and morphine. Opioid drugs are used to treat pain and some are used to treat cough. Talk with the doctor.
  • If you are taking Valtoco (diazepam nasal spray) with an opioid drug, get medical help right away if you feel very sleepy or dizzy; if you have slow, shallow, or trouble breathing; or if you pass out. Caregivers or others need to get medical help right away if the patient does not respond, does not answer or react like normal, or will not wake up.

Uses of Valtoco:

  • It is used to help control certain kinds of seizures.

What do I need to tell my doctor BEFORE I take Valtoco?

  • If you are allergic to Valtoco (diazepam nasal spray); any part of Valtoco (diazepam nasal spray); or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had.
  • If you have any of these health problems: Breathing problems, glaucoma, liver disease, myasthenia gravis, or sleep apnea.
  • If you have psychosis.
  • If you have recently drunk a lot of alcohol or taken a big amount of drugs that may slow your actions like phenobarbital or some pain drugs like oxycodone.
  • If the patient is a child. This medicine may not be for use in all ages of children.

This is not a list of all drugs or health problems that interact with Valtoco (diazepam nasal spray).

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Valtoco (diazepam nasal spray) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take Valtoco?

  • Tell all of your health care providers that you take Valtoco (diazepam nasal spray). This includes your doctors, nurses, pharmacists, and dentists.
  • Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight until you see how Valtoco (diazepam nasal spray) affects you.
  • Avoid drinking alcohol while taking Valtoco (diazepam nasal spray).
  • Talk with your doctor before you use other drugs and natural products that slow your actions.
  • This medicine is not meant for regular, daily use. Talk with the doctor.
  • Some products have benzyl alcohol. Do not give a product that has benzyl alcohol in it to a newborn or infant. Talk with the doctor to see if this product has benzyl alcohol in it.
  • If you are 65 or older, use Valtoco (diazepam nasal spray) with care. You could have more side effects.
  • Use with care in children. Talk with the doctor.
  • This medicine may cause harm to the unborn baby if you take it while you are pregnant. If you are pregnant or you get pregnant while taking Valtoco (diazepam nasal spray), call your doctor right away.
  • Tell your doctor if you are breast-feeding or plan to breast-feed. This medicine passes into breast milk and may harm your baby.

How is this medicine (Valtoco) best taken?

Use Valtoco (diazepam nasal spray) as ordered by your doctor. Read all information given to you. Follow all instructions closely.

  • If you will be using Valtoco (diazepam nasal spray) at home, your doctor or nurse will teach you how to use it.
  • Do not take Valtoco (diazepam nasal spray) by mouth. Use in your nose only. Keep out of your mouth and eyes (may burn).
  • Be sure you know how to use before an emergency happens. Read the package insert and instructions for use that come with Valtoco (diazepam nasal spray). If you have any questions about how to use Valtoco (diazepam nasal spray), talk with the doctor or pharmacist.
  • Keep Valtoco (diazepam nasal spray) with you at all times. You may want to keep extra ones at work, school, and home.
  • Someone else may have to give Valtoco (diazepam nasal spray). Be sure others know where Valtoco (diazepam nasal spray) is stored and how to give it if needed.
  • Do not test or prime before using.
  • If needed, a second dose may be used at least 4 hours after the first dose if your doctor has told you to. Do not use more than 2 doses for the same seizure.
  • If the seizure does not stop after using Valtoco (diazepam nasal spray), get medical help right away.
  • Each container is for one use only. Use right after opening. Throw away any part of the opened container after the dose is given.

What do I do if I miss a dose?

  • If you take Valtoco (diazepam nasal spray) on a regular basis, take a missed dose as soon as you think about it.
  • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
  • Do not take 2 doses at the same time or extra doses.
  • Many times Valtoco (diazepam nasal spray) is taken on an as needed basis. Do not take more often than told by the doctor.
  • Get medical help right away.

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Shortness of breath.
  • Change in balance.
  • Feeling confused.
  • Hallucinations (seeing or hearing things that are not there).
  • Memory problems or loss.
  • Very bad dizziness or passing out.
  • If seizures are worse or not the same after starting Valtoco (diazepam nasal spray).
  • Muscle spasm.
  • Twitching.
  • Trouble sleeping.
  • Change in eyesight.
  • Like other drugs that may be used for seizures, Valtoco (diazepam nasal spray) may rarely raise the risk of suicidal thoughts or actions. The risk may be higher in people who have had suicidal thoughts or actions in the past. Call the doctor right away about any new or worse signs like depression; feeling nervous, restless, or grouchy; panic attacks; or other changes in mood or behavior. Call the doctor right away if any suicidal thoughts or actions occur.

What are some other side effects of Valtoco?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

  • Feeling sleepy.
  • Feeling tired or weak.
  • Muscle weakness.
  • Headache.
  • Nose irritation.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch.

If OVERDOSE is suspected:

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

How do I store and/or throw out Valtoco?

  • Store at room temperature in a dry place. Do not store in a bathroom.
  • Store in the original container to protect from light.
  • Do not freeze.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

Consumer information use

  • If your symptoms or health problems do not get better or if they become worse, call your doctor.
  • Do not share your drugs with others and do not take anyone else's drugs.
  • This medicine comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time Valtoco (diazepam nasal spray) is refilled. If you have any questions about Valtoco (diazepam nasal spray), please talk with the doctor, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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