Land: Ástralía
Tungumál: enska
Heimild: Department of Health (Therapeutic Goods Administration)
topiramate
Sandoz Pty Ltd
Topiramate
Registered
Topiramate GH CMI v1 Oct13 Page 1 of 5 CONSUMER MEDICINE INFORMATION TOPIRAMATE GH _TOPIRAMATE FILM-COATED TABLETS _ WHAT IS IN THIS LEAFLET This leaflet answers some common questions about Topiramate GH. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist. All medicines have risks and benefits. Your doctor has weighed the risk of you taking Topiramate GH against the benefits it is expected to have for you. IF YOU HAVE ANY CONCERNS ABOUT TAKING THIS MEDICINE, ASK YOUR DOCTOR OR PHARMACIST. KEEP THIS LEAFLET WITH THE MEDICINE. You may need to read it again. WHAT TOPIRAMATE GH IS USED FOR Topiramate GH is used for the treatment of various types of seizures in adults and children, aged 2 years and over. This medicine can also be used for the prevention of migraines in adults. Topiramate GH is not used to treat severe migraines that come on suddenly (acute). Topiramate GH contains the active ingredient topiramate. Topiramate belongs to a group of medicines known as anti- epileptics. It prevents seizures and migraines by acting on the nerves and chemicals in the brain. Your doctor may prescribe Topiramate GH on its own, or in addition to another medicine for controlling your seizures or migraines. ASK YOUR DOCTOR IF YOU HAVE ANY QUESTIONS ABOUT WHY THIS MEDICINE HAS BEEN PRESCRIBED FOR YOU. Your doctor may have prescribed it for another reason. BEFORE YOU TAKE TOPIRAMATE GH _ _ _WHEN YOU MUST NOT TAKE IT _ DO NOT TAKE THIS MEDICINE IF YOU HAVE AN ALLERGY TO: • the active ingredient topiramate or to any of the other ingredients listed at the end of this leaflet under Product Description • any other similar medicines. Some of the symptoms of an allergic reaction may include: • shortness of breath • wheezing or difficulty breathing • swelling of the face, lips, tongue or other parts of the body • rash, itching or hives on the skin. DO NOT TAKE THIS MEDICINE AFTER THE EXPIRY DATE PRINTED ON THE PACK OR IF THE PACKAGING IS TORN OR SHOWS SIGNS OF Lestu allt skjalið
Topiramate GH PI April 2016 v5 Page 1 of 32 _ _ PRODUCT INFORMATION TOPIRAMATE GH TOPIRAMATE FILM-COATED TABLETS NAME OF THE MEDICINE _ _ Generic name: topiramate. Chemical name: 2,3:4,5-bis-O-(1-methylethylidene)-beta-D-fructopyranose sulfamate. Chemical structure: _ _ CAS: 97240-79-4 Empirical formula: C 12 H 21 NO 8 S MW: 339.36 DESCRIPTION Topiramate is a white crystalline powder with a bitter taste. It is most soluble in alkaline solutions containing sodium hydroxide or sodium phosphate and has a pH of 9 to 10. It is freely soluble in acetone, chloroform, dimethylsulfoxide and ethanol. The solubility in water is 9.8 mg/mL. Its saturated solution has a pH of 6.3. Topiramate GH tablets contain 25 mg, 50 mg, 100 mg or 200 mg topiramate. All tablets contain the inactive ingredients lactose, pregelatinised maize starch, microcrystalline cellulose, sodium starch glycollate, magnesium stearate, titanium dioxide, hypromellose, macrogol 400 and polysorbate 80. In addition, Topiramate GH 50 mg and 200 mg tablets contain iron oxide yellow. _ _ _ _ PHARMACOLOGY Topiramate is classified as a sulfamate substituted monosaccharide. Three pharmacological properties of topiramate have been identified that may contribute to its anticonvulsant activity: Topiramate reduces the frequency at which action potentials are generated when neurons are subjected to a sustained depolarisation, which is indicative of a state-dependent blockade of voltage-sensitive sodium channels. Topiramate markedly enhances the activity of gamma-aminobutyric acid (GABA) at some types of GABA A receptors. This effect was not blocked by flumazenil, a benzodiazepine antagonist, nor did topiramate increase the duration of the channel open time, differentiating topiramate from barbiturates that modulate GABA A receptors. Because the antiepileptic profile of topiramate Topiramate GH PI April 2016 v5 Page 2 of 32 _ _ differs markedly from that of the benzodiazepines, it may modulate a benzodiazepine-insensitive subtype of GABA A receptor. Topiramate GH Lestu allt skjalið