Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
LEVETIRACETAM
EUCOGEN SDN BHD
LEVETIRACETAM
150 ml; 150 ml; 300 ml
Remedica Ltd.
QUETRA 100MG/ML ORAL SOLUTION Levetiracetam 100mg/mL 1 _CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ WHAT IS IN THIS LEAFLET 1. What Quetra is used for 2. How Quetra works 3. Before you use Quetra 4. How to use Quetra 5. While you are using it 6. Side effects 7. Storage and Disposal of Quetra 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT QUETRA IS USED FOR Quetra is used: • on its own in adults and adolescents from 16 years of age with newly diagnosed epilepsy, to treat a certain form of epilepsy. Epilepsy is a condition where the patients have repeated fits (seizures). Levetiracetam is used for the epilepsy form in which the fits initially affect only one side of the brain, but could thereafter extend to larger areas on both sides of the brain (partial onset seizures with or without secondary generalization). Levetiracetam has been given to you by your doctor to reduce the number of fits. • as an add-on to other antiepileptic medicines to treat: a). partial onset seizures with or without generalization in adults, adolescents children and children from 4 years of age with epilepsy. b). myoclonic seizures (short, shock- like jerks of a muscle or group of muscles) in adults and adolescents from 12 years of age with juvenile myoclonic epilepsy. c). primary generalized tonic-clonic seizures (major fits, including loss of consciousness) in adults and adolescents from 12 years of age with idiopathic generalized epilepsy (the type of epilepsy that is thought to have a genetic cause). HOW QUETRA WORKS Quetra contains the active substance Levetiracetam. Levetiracetam is an antiepileptic medicine (a medicine used to treat seizures in epilepsy). BEFORE YOU USE QUETRA - _When you must not use it _ If you are allergic to levetiracetam, pyrrolidone derivatives or any of the other ingredients of this medicine. _Children and adolescents _ Quetra is not indicated in children and adolescents below 16 years on its own (monotherapy). _ _ - _Before you start to use it _ • I Baca dokumen lengkap
my-pi-quetra-oral-sol-a12 page 1 of 16 PACKAGE INSERT 1. NAME OF THE PRODUCT Quetra 100 mg/ml oral solution 2. NAME AND STRENGTH OF ACTIVE INGREDIENT Each ml contains 100 mg levetitacetam. 3. DOSAGE FORM Oral solution. Clear, colourless liquid with sweet fruity odour and bitter raspberry flavour. 4. PHARMACOLOGICAL PROPERTIES PHARMACODYNAMICS Pharmacotherapeutic group: Antiepileptics, ATC code: N03AX14 The active substance, levetiracetam, is a pyrrolidone derivative (S-enantiomer of α-ethyl- 2-oxo-1-pyrrolidine acetamide), chemically unrelated to existing antiepileptic active substances. Mechanism of action The mechanism of action of levetiracetam still remains to be fully elucidated. Levetiracetam does not alter basic cell characteristics and normal neurotransmission. Levetiracetam affects intraneuronal Ca 2+ levels by partial inhibition of N-type Ca 2+ currents and by reducing the release of Ca 2+ from intraneuronal stores. In addition, it partially reverses the reductions in GABA- and glycine-gated currents induced by zinc and β-carbolines. Furthermore, levetiracetam binds to a specific site in rodent brain tissue. This binding site is the synaptic vesicle protein 2A, believed to be involved in vesicle fusion and neurotransmitter exocytosis. Levetiracetam and related analogues show a rank order of affinity for binding to the synaptic vesicle protein 2A which correlates with the potency of their anti-seizure protection in the mouse audiogenic model of epilepsy. This finding suggests that the interaction between levetiracetam and the synaptic vesicle protein 2A seems to contribute to the antiepileptic mechanism of action of the medicinal product. Pharmacodynamic effects Levetiracetam induces seizure protection and primary generalised seizures without having a pro-convulsant effect. The primary metabolite is inactive. my-pi-quetra-oral-sol-a12 page 2 of 16 An activity in both partial and generalised epilepsy conditions (epileptiform discharge/photoparoxysmal response) has confirmed the broad spectrum pharmacolo Baca dokumen lengkap