Understanding Valtoco: A Rescue Medication
Valtoco (diazepam nasal spray) is a prescription medicine used for the acute treatment of intermittent, stereotypic episodes of frequent seizure activity, commonly known as seizure clusters or acute repetitive seizures. It is not a daily preventative medication but rather a rescue treatment to be used only when a seizure cluster occurs. The medication is formulated with Intravail technology, which facilitates rapid absorption through the nasal mucosa to help stop seizure activity quickly.
Important warnings before administration
Before using Valtoco, all caregivers must receive training from a healthcare professional on how to identify seizure clusters and administer the medication correctly. Key warnings to remember include:
- Single-use device: Each Valtoco nasal spray device is for single use only and delivers its entire dose when activated. Avoid testing or priming the device, as this will waste the medication.
- Controlled substance: As a benzodiazepine, Valtoco is a controlled substance with potential for abuse and dependence. Keep it secure and never share it.
- Interactions: Combining Valtoco with opioids, alcohol, or other CNS depressants can lead to serious or fatal side effects like severe drowsiness and respiratory depression.
Step-by-step guide to using Valtoco spray
Accurate administration is vital for Valtoco to be effective during a seizure cluster. Follow these steps precisely:
Preparation and Positioning
- Remove from packaging: When needed, take one blister pack from the box and peel the corner tab to access the device. Do not open until ready to administer.
- Ensure safety: Move the person to a safe spot away from potential hazards and gently position them on their side.
- Hold the device: Grip the device with your thumb on the plunger and index/middle fingers on the sides of the nozzle. Do not press the plunger yet.
- Prepare the nose: If the person has a runny nose, clear it gently beforehand to help with medication absorption.
Administration for Different Doses
- For 5 mg or 10 mg doses: Insert the nozzle tip into one nostril until your fingers touch the bottom of the nose. Press the plunger firmly to deliver the dose. Deep breathing is not required.
- For 15 mg or 20 mg doses: This dose requires two devices, one for each nostril. Administer the first spray into one nostril as described above, then immediately use the second device for the other nostril.
After administering Valtoco
After giving Valtoco, follow these steps:
- Remove the device: Take the nasal spray device(s) out of the person's nose.
- Discard devices: Properly dispose of all used devices and packaging.
- Monitor the person: Stay with and observe the person closely, noting the time of administration.
- Call for help: If the seizure cluster continues or if there are concerns about the person's breathing, call emergency services immediately.
- Second dose: If a second dose is prescribed, wait at least four hours after the first dose before administering it, using a new blister pack.
- Frequency limit: Do not use Valtoco more often than once every five days or more than five times in a month.
Valtoco vs. Rectal Diazepam Gel: A Comparison
Both Valtoco nasal spray and diazepam rectal gel (Diastat) are rescue seizure treatments, but they differ in administration method and patient experience. Consult a healthcare provider to determine the best option.
| Feature | Valtoco (diazepam nasal spray) | Diazepam rectal gel (Diastat) |
|---|---|---|
| Route of Administration | Intranasal | Rectal |
| Speed of Absorption | Rapid via nasal mucosa | Rapid via rectal mucosa |
| Ease of Administration | Simple, no privacy needed | Requires privacy, can be more complex |
| Single-Use Device | Yes | Yes |
| Age Range | 2 years and older | 2 years and older |
| Social Comfort | Less intrusive, more socially acceptable | Can be embarrassing, especially in public |
Conclusion
Valtoco provides a rapid, effective, and less invasive option for managing acute repetitive seizures. By following the clear instructions for preparation, administration, and post-dose care, caregivers can confidently deliver timely treatment during a seizure cluster. It is essential to receive proper training from a healthcare provider and be aware of dosage limits and potential interactions. Always discard used devices immediately and have a replacement available. For more information, including full prescribing details, visit the manufacturer's website Valtoco.com.
Disclaimer: This article is for informational purposes only and does not replace medical advice. Always consult a healthcare professional for guidance on medication use.
