How do I use Valtoco (intranasal diazepam) for a seizure?
Valtoco is a rescue medicine given through the nose. Use it at the first sign of a prolonged seizure cluster (or as directed by your prescriber). The key is to follow your exact prescription instructions and the medication’s directions for use.
To use it:
1. Get the dosing device ready (each Valtoco dose comes as a single use intranasal device).
2. Keep the person’s head upright.
3. Insert the nozzle into one nostril (follow the device instructions).
4. Press the plunger to deliver the dose.
5. If a second dose is prescribed, give it only at the time your clinician told you (do not give extra doses sooner than directed).
What should I do right after giving Valtoco?
After giving Valtoco, monitor the person closely. Rescue medicines are intended to stop ongoing seizures or reduce how long they last, but you should also watch for symptoms that need urgent care, including continued seizures or breathing problems.
If the seizures do not stop as your doctor told you to expect, or if you gave the full rescue plan and the person is still seizing, follow your emergency instructions (for example, calling emergency services).
How much Valtoco do I use (dose and how many sprays)?
Valtoco comes in different strengths, and the correct number of devices (and the timing of any repeat dose) depends on:
- the prescribed dose for the patient, and
- whether a second dose is part of the plan.
Check the strength on the package and the specific directions your clinician gave you. Using the wrong strength or giving doses at the wrong time is a common risk.
Common mistakes that can make Valtoco less effective
To avoid dosing errors:
- Do not use it before the seizure situation your prescription targets.
- Do not give more than what your prescription says.
- Do not delay emergency care if seizures continue after the rescue plan.
- Make sure you use the device as described for that particular product (each intranasal device has its own steps).
What if I need to give Valtoco to someone else (caregiver use)?
If you’re a caregiver, make sure you have:
- the person’s seizure action plan (how long is too long, whether a second dose is allowed),
- the correct prescribed dose(s),
- and clear instructions on when to call emergency services.
Practicing the steps with the package directions can help you feel prepared.
Safety: who should avoid Valtoco or use extra caution?
Intranasal diazepam can cause sedation and has risks tied to breathing and other benzodiazepine effects. Follow your prescriber’s guidance if the person has:
- breathing problems,
- sleep apnea,
- severe liver disease, or
- a history of drug sensitivity to benzodiazepines,
and ensure you’re aware of any drug interactions your clinician discussed.
Where can I see the official instructions?
For the most accurate, up-to-date step-by-step use instructions, check the prescribing information and patient instructions included with your specific Valtoco product (strength and device configuration). If you want, tell me the strength on your box (for example, 5 mg, 10 mg, 15 mg, etc.) and whether your plan includes a second dose, and I’ll help you map your situation to the usual dosing/timing approach based on typical seizure action plans.