Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
TOPIRAMATE
LABORATORIES TORRENT (MALAYSIA) SDN. BHD.
TOPIRAMATE
30 Tablet Tablets; 100Tablet Tablets
TORRENT PHARMACEUTICALS LTD.
EPIMATE TABLET _ _ Topiramate (50 mg, 100 mg) _ _ _ _ 1 _ CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ WHAT IS IN THIS LEAFLET 1. What is Epimate used for 2. How Epimate works 3. Before you use Epimate 4. How to use Epimate 5. While you are using it 6. Side effects 7. Storage and Disposal of Epimate 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT EPIMATE IS USED FOR Epimate tablet is indicated as adjunctive therapy in adults and children age between 2-16 years seizure with partial onset seizures, or primary generalized tonic-clonic seizures. Epimate tablet is also indicated as adjunctive therapy in adults and children for the treatment of seizures associated with Lennox-Gastaut syndrome (a type of epilepsy). HOW EPIMATE WORKS Topiramate belongs to a group of medicines called “antiepileptic medicines.” An epileptic seizure occurs as the result of abnormal electrical signals in the brain. Topiramate prevents fits by stabilising the electrical signals in the brain. BEFORE YOU USE EPIMATE - _When you must not use it _ Do not take Epimate if: • You are allergic (hypersensitive) to topiramate or any of the other ingredients. _Pregnancy and lactation _ _ _ _ _ Do not take Epimate if you are pregnant, trying to get pregnant or think you may be pregnant. Do not take Epimate if you are breast- feeding. Ask your doctor or pharmacist for advice before taking any medicine. - _Before you start use it _ You must tell your doctor or pharmacist if you: • Have kidney problems, especially kidney stones, or are getting kidney dialysis. • Have personality disorder or mental illness. • Have liver problems. • Have eye problems, especially glaucoma. • Have decreased sweating and an elevation in body temperature. - _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 or pharmacist if you are taking: • Other medicines for epi Baca dokumen lengkap
PRODUCT NAME : ITEM / PACK : DESIGN STYLE : CODE : DIMENSIONS (MM) : ART WORK SIZE : DATE : Reviewed By NO. OF COLORS: 1 COUNTRY : Malaysia_Brunei Front / Back Epimate Insert S/S 150 x 540 xxxxxxxxxx-5253 Black 28-08-2020 PANTONE SHADE NOS.: ACTIVITIES DEPARTMENT NAME SIGNATURE DATE Prepared By PKG.DEV PKG.DEV LOCATION : Indrad QUALITY Approved By COMPOSITION Each tablet contains: Topiramate 50/100 mg DESCRIPTION Topiramate is a sulfamate-substituted monosaccharide that is intended for use as an antiepileptic drug. Topiramate is a white crystalline powder with a bitter taste. Topiramate is most soluble in alkaline solutions containing sodium hydroxide or sodium phosphate and having 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 has the molecular formula C 12 H 21 NO 8 S and a molecular weight of 339.37. Topiramate is designated chemically as 2,3:4,5-Di-O-isopropylidene- β -D-fructopyranose sulfamate and has the following structural formula: CLINICAL PHARMACOLOGY Mechanism of action The precise mechanism by which topiramate exerts its antiseizure effect is unknown; however, electrophysiological and biochemical studies of the effects of topiramate on cultured neurons have revealed three properties that may contribute to topiramate’s antiepileptic efficacy. First, action potentials elicited repetitively by a sustained depolarization of the neurons are blocked by topiramate in a time-dependent manner, suggestive of a state-dependent sodium channel blocking action. Second, topiramate increases the frequency at which γ -aminobutyrate (GABA) activates GABA A receptors, and enhances the ability of GABA to induce a flux of chloride ions into neurons, suggesting that topiramate potentiates the activity of this inhibitory neurotransmitter. This effect was not blocked by flumazenil, a benzodiazepine antagonist, nor did topiramate increase the duration of the channel open time, differenti Baca dokumen lengkap