Ipramax Topiramate 100mg 60 Tablets Topiramate is a medicine used to treat indications of certain types of seizures (partial seizures and generalized primary tonic-clonic seizures) in adults and children 2 years of age and older.
In combination with other medicines in the treatment of some types of seizures (partial seizures, primary generalized tonic-clonic seizures and seizures associated with Lennox-Gastaut syndrome) in adults and children 2 years of age and older.
- Migraine prevention in adults and adolescents 12 years and older.
It is dispensed by medical prescription
Do not take topiramate:
- If you are allergic to topiramate or any of the ingredients of this medication. Tell your doctor about your allergy and signs.
Warnings and precautions:
- Stop taking the medicine immediately and talk to your doctor or pharmacist if you develop allergic reactions such as shortness of breath, rash, swelling of the face or neck, low blood pressure, or dizziness.
- This medication may cause serious eye problems such as fluid blockage in the eye resulting in increased eye pressure (secondary angle-closure glaucoma) and a sudden decrease in vision with or without pain and redness in the eye.
- These eye problems may cause permanent vision loss if not treated properly. Contact your healthcare provider right away if you experience any new eye symptoms, including any new vision problems.
- This medication may decrease sweating and may cause fever (high body temperature). You should be monitored for signs of decreased sweating and fever, especially at high temperatures.
- This is especially important in children. Some patients may need to be hospitalized if this occurs.
- Call your healthcare provider right away if you have decreased sweating, high temperature, or a fever that does not go down.
- This medicine can cause an increased level of acid in your blood (metabolic acidosis) which may lead to kidney stones, brittle bones (osteomalacia, osteopenia, osteopenia), and delayed growth in children. It may cause harm to your baby if you take this medicine during pregnancy. When metabolic acidosis is left untreated. This medical condition can occur with or without symptoms.
- Symptoms of metabolic acidosis you may experience include loss of appetite, feeling changes in heartbeat, difficulty thinking clearly, and fatigue. Your healthcare provider should order a blood test to monitor the pH level of your blood before and during your treatment with topiramate. If you are pregnant, be sure to talk to your healthcare provider to check if you have metabolic acidosis.
- This medicine may cause suicidal behavior or thoughts (like all anticonvulsants) in a small number of patients (1 in 500 patients). Contact your healthcare provider right away if you experience any of these symptoms, especially if these symptoms are new, worse, or worry you; Suicidal thoughts, thoughts of death, suicide attempts, agitation or anxiety, difficulty sleeping, new or worse irritability, panic attacks, new or worse depression/anxiety, feeling angry or violent, aggressive, acting out, mania (extreme increase in activity (talking) and other unusual mood or behavioral changes.
- Suicidal behavior or thoughts may be caused by things other than medications. Your healthcare provider may check other factors. Monitor yourself closely for any changes, especially changes in thoughts, mood, feelings, or behaviors. Do not miss scheduled follow-up appointments with your health care provider. Call your health care provider between visits as needed, especially when you are concerned about symptoms.
- Talk to your doctor before starting this medication if you currently have or have previously had mood problems, depression, or suicidal behavior/thoughts.
- Talk to your doctor before starting this medication if you have kidney problems including kidney stones, are on dialysis, and other kidney problems.
- Talk to your doctor before starting this medication if you have ever had metabolic acidosis (high blood acidity) or if you have liver problems.
- Talk to your doctor before starting this medication if you have low bone density or brittle, weak, or loose bones (osteomalacia, osteoporosis).
- Talk to your doctor before starting this medication if you have respiratory or lung problems, eye problems (especially glaucoma caused by increased eye pressure), diarrhea, or if you are having surgery.
- Talk to your doctor before starting this medication if you are on a ketogenic diet (high-fat, low-carb).
- Talk to your doctor before starting this medication if you are pregnant, plan to become pregnant, or if you are breastfeeding.
- Do not drink alcohol while taking topiramate. Concomitant use of alcohol and topiramate may increase side effects such as drowsiness and dizziness.
Possible side effects:
- Possible side effects include an allergic reaction, serious eye problems (such as a sudden decrease in vision with or without pain and redness in the eye, new eye symptoms, including any new vision problems), decreased sweating, high temperature, or A high temperature that does not go down, signs of metabolic acidosis (such as loss of appetite, feeling your heart beat, difficulty thinking clearly and fatigue), changes in mood and behavior especially if these symptoms are new or worse or worry you (such as suicidal thoughts, thoughts of death, and attempts to Suicidality, agitation or restlessness, difficulty sleeping, new or worse irritability, panic attacks, new or worse depression/anxiety, feeling angry or violent, aggressive, acting out on dangerous impulses, mania (extreme increase in activity and talking) and other mood or behavioral changes unusual),
- Signs of high blood ammonia levels (such as worsening mental activities, slowed alertness, fatigue, or vomiting) when taking a medication known as valproic acid, kidney stones, loss of muscle coordination or dizziness, low body temperature, drowsiness, impaired ability to think. , fatigue, problems with concentration and attention, confusion, memory or speech problems, and decreased alertness.
- The most common side effects include tingling in the arms and legs, loss of appetite, nausea, taste changes, diarrhea, nervousness, weight loss, speech problems, memory problems, upper respiratory tract infection, fatigue, dizziness, decreased feeling especially in the skin, drowsiness, reactions. Sluggishness, abdominal pain, abnormal vision and fever.
Other medicines and topiramate:
- Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines including prescription drugs, non-prescription drugs, herbs, vitamins, and supplements.
- If you are taking valproic acid (an anticonvulsant).
- If you are taking medications that may affect or reduce your thinking, muscle coordination, or concentration.
- If you are taking birth control pills. Topiramate may decrease the effectiveness of birth control pills.
- Talk to your healthcare provider if you experience changes in menstrual bleeding when taking topiramate and birth control pills concomitantly.
- Talk to your healthcare provider if you are not sure if the medication you are taking is listed above.
- Keep a list of the medications you take and take it with you during visits to your health care provider. Make sure you do not start new medications without talking to your healthcare provider first.
How to take topiramate:
- Take your medication exactly as prescribed by your doctor. Your doctor will determine the dose you need to take and may change your dose if needed.
- Take your medicine before, during, or after food.
- This medication is intended for oral use only.
- Swallow the tablet whole. Do not chew the tablet.
- The tablets may leave a bitter taste.
- Swallow topiramate spray capsules whole or open the capsule and sprinkle its contents onto a teaspoon of soft food. Make sure you swallow the medication completely by drinking fluids immediately after taking the food-drug mixture.
- Do not chew the food and medicine mixture. Do not save the mixture for later use.
- Make sure to drink plenty of fluids during the day in order to prevent kidney stones when treated with topiramate.
- Your doctor may order blood tests during your treatment with topiramate.
How to store topiramate:
- Keep the medicine out of the reach of children and pets.
- Store topiramate tablets at room temperature (15 to 30°C).
- Store topiramate spray capsules at 25°C or lower.
- Do not use the medicine after the expiry date stated on the package.
- Keep the medicine in its original container (tightly closed) to protect it from moisture and light.
- Do not dispose of medicines in wastewater or household waste.
