Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
LAMOTRIGINE
PHARMAFORTE (MALAYSIA) SDN. BHD.
LAMOTRIGINE
30Tablet Tablets; 100 Tablet Tablets
APOTEX INC
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ _ _ APO-LAMOTRIGINE TABLET _ _ Lamotrigine (25mg and 100mg) 1 WHAT IS IN THIS LEAFLET 1. What Apo-Lamotrigine is used for 2. How Apo-Lamotrigine works 3. Before you use Apo-Lamotrigine 4. How to use Apo-Lamotrigine 5. While you are using it 6. Side effects 7. Storage and Disposal of Apo- Lamotrigine 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT APO-LAMOTRIGINE IS USED FOR Apo-Lamotrigine is used alone or in combination with other medicines to treat epilepsy or seizures. HOW APO-LAMOTRIGINE WORKS This product contains active ingredient lamotrigine, which is an antiepileptic, that stabilizes electrical signals in the brain to stop seizures. BEFORE YOU USE APO-LAMOTRIGINE _-When you must not take it _ Do not use Apo-Lamotrigine if you are: - Allergic to lamotrigine or any other ingredients (listed in Product description) _-Before you start to take it _ Tell your doctor if you have: - a condition called Brugada syndrome (a genetic disease that affects the heart) -kidney impairment -any medical problems _Pregnancy and lactation _ If you are pregnant, planning to get pregnant or think you may be pregnant, discuss with your doctor before starting any epilepsy medicine. Lamotrigine must only be used during pregnancy if the benefits is more than the risks to the fetus. Women of child- bearing age are encouraged to use effective alternative non-hormonal methods of contraception. Lamotrigine is secreted into breast milk and may affect your baby. Your doctor will discuss the risks and benefits of breast feeding while you’re taking lamotrigine. _-Taking other medicines _ Tell your doctor if you are taking any other medicines, including any that you buy without a prescription from a pharmacy, supermarket or health food shop. Tell your doctor if you are taking: -other medicines used to treat epilepsy such as carbamazepine, valproate, phenytoin, phenobarbitone, and primidone. - hormonal contraceptives pills -rifampicin (medicin Baca dokumen lengkap
APO–LAMOTRIGINE Lamotrigine 25 and 100mg Tablets Antiepileptic Apo-Lamotrigine 25 mg: each white, shield-shaped, flat-faced, radial edged tablet, scored and engraved “25” on one side, other side “APO” contains 25mg of lamotrigine. Apo-Lamotrigine 100 mg: each peach, shield-shaped, flat-faced, bevelled edged tablet, scored and engraved “LAM over 100” on one side, other side “APO” contains 100mg of lamotrigine. CLINICAL PHARMACOLOGY MODE OF ACTION The results of pharmacological studies suggest that lamotrigine is a use-dependent blocker of voltage gated sodium channels. It produces a use- and voltage dependent block of sustained repetitive firing in cultured neurones and inhibits pathological release of glutamate (the amino acid which plays a key role in the generation of epileptic seizures), as well as inhibiting glutamate-evoked bursts of action potentials. PHARMACODYNAMICS In tests designed to evaluate the central nervous system effects of drugs, the results obtained using doses of 240 mg lamotrigine administered to healthy volunteers did not differ from placebo, whereas both 1000 mg phenytoin and 10 mg diazepam each significantly impaired fine visual motor co- ordination and eye movements, increased body sway and produced subjective sedative effects. In another study, single oral doses of 600mg carbamazepine significantly impaired fine visual motor co-ordination and eye movements, while increasing both body sway and heart rate, whereas results with lamotrigine at doses of 150mg and 300mg did not differ from placebo. PHARMACOKINETICS PROPERTIES Lamotrigine is rapidly and completely absorbed from the gut with no significant first pass metabolism. Peak plasma concentrations occur approximately 2.5 hours after oral drug administration. Time to maximum concentration is slightly delayed after food but the extent of absorption is unaffected. The pharmacokinetics are linear up to 450mg, the highest single dose tested. There is considerable inter-individual variation in steady state maximum concentrati Baca dokumen lengkap