THIS INVENTION IS DIRECTED TO SPIROHETEROCYCLIC COMPOUNDS OF FORMULA (I) WHEREIN K, J, P, Q, R1- R3A, R3B, R3C , AND R3D ARE AS DEFINED HEREIN, AS A STEREOISOMER, ENANTIOMER, TAUTOMER THEREOF OR MIXTURES THEREOF; OR A PHARMACEUTICALLY ACCEPTABLE SALT, SOLVATE OR PRODRUG THEREOF, THAT ARE USEFUL FOR THE TREATMENT AND/OR PREVENTION OF SODIUM CHANNEL-MEDIATED DISEASES OR CONDITIONS, SUCH AS PAIN. PHARMACEUTICAL COMPOSITIONS COMPRISING THE COMPOUNDS AND METHODS OF USING THE COMPOUNDS ARE ALSO DISCLOSED.