Xitop
ItalyTable of Contents
PACKAGE LEAFLET: INFORMATION FOR THE USER
Topiramato Tecnimede 25 mg film-coated tablets
Generic medicine
Please read this leaflet carefully before taking this medicine because it contains
important information for you.
- Keep this leaflet. You may need to read it again.
- If you have any questions, ask your doctor, pharmacist, or nurse.
- This medicine has been prescribed for you only. Do not give it to others, even if they have the same symptoms as you, because it could be harmful.
- If you experience any side effect, including those not listed in this leaflet, contact your doctor, pharmacist, or nurse.
Contents of this leaflet:
- What Topiramato Tecnimede is and what it is used for
- What you need to know before taking Topiramato Tecnimede
- How to take Topiramato Tecnimede
- Possible side effects
- How to store Topiramato Tecnimede
- Contents of the pack and other information
1. WHAT TOPIRAMATO TECNIMEDE IS AND WHAT IT IS USED FOR:
Topiramato Tecnimede belongs to a group of medicines called "antiepileptic drugs". It is used:
- alone for the treatment of epileptic seizures in adults and children over 6 years of age.
- in combination with other medicines for the treatment of epileptic seizures in adults and children over 2 years of age.
- for the prevention of migraine in adults.
2. WHAT YOU SHOULD KNOW BEFORE TAKING TOPIRAMATE TECNIMEDE
Do not take Topiramate Tecnimede
- if you are allergic (hypersensitive) to topiramate or to any of the other ingredients of this medicine (listed in section 6).
- for migraine prevention if you are pregnant or of childbearing age but are not using an effective contraceptive method (see section “Pregnancy and breastfeeding” for more information).
If you are unsure whether any of the above conditions apply to you, speak with your doctor or pharmacist before using Topiramate Tecnimede.
- Warnings and precautions
Talk to your doctor, pharmacist, or nurse before taking Topiramate Tecnimede.
Consult your doctor or pharmacist before taking Topiramate Tecnimede if:
- you have kidney problems, especially kidney stones, or if you are undergoing renal dialysis
- you have a history of blood or body fluid abnormalities (metabolic acidosis)
- you have liver problems
- you have eye problems, particularly glaucoma
- you have growth problems
- your diet is high in fat (ketogenic diet)
If you are unsure whether any of the above conditions apply to you, speak with your doctor or pharmacist before starting treatment with Topiramate Tecnimede.
It is important that you do not stop taking this medicine without first consulting your doctor.
You should also speak with your doctor before taking any other topiramate-containing medicine prescribed as an alternative to Topiramate Tecnimede.
While taking Topiramate Tecnimede, you may lose weight; therefore, your weight should be monitored regularly during treatment. If you lose too much weight, or if a child taking the medicine does not gain sufficient weight, consult your doctor.
A small number of patients treated with antiepileptic medicines such as Topiramate Tecnimede have experienced suicidal thoughts or self-harming thoughts. If at any time you experience such thoughts, contact your doctor immediately.
- Other medicines and Topiramate Tecnimede
Inform your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including those without a prescription, vitamins, and herbal supplements. Topiramate Tecnimede and certain other medicines may affect each other. Sometimes, the dose of either Topiramate Tecnimede or other medicines you are taking may need to be adjusted.
In particular, inform your doctor or pharmacist if you are taking:
- other medicines that impair thinking, concentration, or muscle coordination (e.g., central nervous system depressants such as muscle relaxants and sedatives).
- oral contraceptives. Topiramate Tecnimede may reduce the effectiveness of oral contraceptives.
Inform your doctor if you notice any changes in your menstrual bleeding while taking oral contraceptives and Topiramate Tecnimede.
Keep a list of all medicines you are taking. Show this list to your doctor or pharmacist before starting any new medicine.
Other medicines to discuss with your doctor or pharmacist include other antiepileptic drugs, risperidone, lithium, hydrochlorothiazide, metformin, pioglitazone, gliburide, amitriptyline, propranolol, diltiazem, venlafaxine, flunarizine.
If you are unsure whether any of the above conditions apply to you, speak with your doctor or pharmacist before using Topiramate Tecnimede.
Topiramate Tecnimede with food and drinks
You may take Topiramate Tecnimede during or between meals. Drink plenty of fluids throughout the day when taking Topiramate Tecnimede to help prevent kidney stone formation. Avoid drinking alcohol during treatment with Topiramate Tecnimede.
Pregnancy and breastfeeding
If you are pregnant, suspect you may be pregnant, planning to become pregnant, or breastfeeding, consult your doctor before taking this medicine.
Your doctor will decide whether you can take this medicine. As with other antiepileptic medicines, there is a risk of congenital malformations in the fetus if Topiramate Tecnimede is taken during pregnancy. Make sure you are fully informed about the risks and benefits of using Topiramate Tecnimede for epilepsy treatment during pregnancy.
You must not take Topiramate Tecnimede for migraine prevention if you are pregnant or of childbearing age and not using an effective contraceptive method.
Breastfeeding mothers taking Topiramate Tecnimede should inform their doctor as soon as possible if the baby shows any unusual symptoms.
Ask your doctor or pharmacist for advice before taking any medicine.
Driving and using machines
Dizziness, fatigue, and vision problems may occur during treatment with Topiramate Tecnimede. Do not drive or operate tools or machinery without first discussing this with your doctor.
Topiramate Tecnimede contains lactose
If your doctor has informed you that you have an intolerance to certain sugars, contact them before taking this medicine.
3. HOW TO TAKE TOPIRAMATE TECNIMEDE
Take this medicine exactly as prescribed by your doctor. If you have
any doubts, consult your doctor or pharmacist.
- Take Topiramate Tecnimede exactly as directed. Your doctor will usually start you on a low dose of Topiramate Tecnimede, gradually increasing it until the optimal dose for you is reached.
- Topiramate Tecnimede tablets must be swallowed whole. Avoid chewing the tablets as they may leave a bitter taste.
- Topiramate Tecnimede can be taken before, during, or after a meal. Drink plenty of fluids throughout the day to reduce the risk of kidney stone formation while taking Topiramate Tecnimede.
If you take more Topiramate Tecnimede than you should
- Contact a doctor immediately. Take the medicine package with you.
- Signs and symptoms of overdose may include seizures, drowsiness, speech disorders, double vision, impaired thinking, abnormal coordination, reduced level of consciousness, low blood pressure, abdominal pain, agitation, dizziness, and depression.
If you are taking other medicines together with Topiramate Tecnimede, overdose may occur.
If you forget to take Topiramate Tecnimede
- If you forget to take a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. If you miss two or more doses, contact your doctor.
- Do not take a double dose (two doses at the same time) to make up for a forgotten dose.
If you stop taking Topiramate Tecnimede
Do not stop taking this medicine unless your doctor tells you to. Your symptoms may return. If your doctor decides to discontinue this medicine, your dose may be gradually reduced over several days.
If you have any questions about the use of this medicine, consult your doctor, pharmacist, or nurse.
4. POSSIBLE ADVERSE REACTIONS
Like all medicines, this medicine can cause adverse reactions, although not everyone experiences them.
The frequency of the possible adverse reactions listed below is defined using the following convention:
- very common (affects more than 1 in 10 people)
- common (affects from 1 to 10 in 100 people)
- uncommon (affects from 1 to 10 in 1,000 people)
- rare (affects from 1 to 10 in 10,000 people)
- very rare (affects fewer than 1 in 10,000 people)
- not known (cannot be estimated from the available data)
Very common adverse reactions include:
- Weight loss
- Tingling in arms and legs
- Numbness or drowsiness
- Dizziness
- Diarrhea
- Nausea
- Stuffy, runny nose, and sore throat
- Fatigue
- Depression
Common adverse reactions include:
- Changes in mood or behavior, including anger, nervousness, sadness
- Weight gain
- Decreased or loss of appetite
- Reduction in red blood cell count
- Changes in thinking and alertness, including confusion, problems with concentration, memory, or slowed thinking
- Slurred speech
- Clumsiness, or difficulty walking
- Involuntary tremor of arms, hands, or legs
- Reduced sense of touch or sensation
- Involuntary eye movements
- Altered taste
- Vision disturbances, blurred vision, double vision
- Ringing in the ears
- Ear pain
- Shortness of breath
- Nosebleeds
- Vomiting
- Constipation
- Stomach pain
- Indigestion
- Dry mouth
- Tingling or numbness of the mouth
- Kidney stones
- Frequent need to urinate
- Pain when urinating
- Hair loss
- Skin rash and/or itching
- Joint pain
- Muscle spasms, muscle contractions, or muscle weakness
- Chest pain
- Fever
- Loss of strength
- General feeling of malaise
- Allergic reaction
Uncommon adverse reactions include:
- Crystals in urine
- Abnormal blood count, including reduced white blood cell or platelet count, or increased eosinophils
- Irregular heartbeat or slowed heart rate
- Swelling of glands in the neck, armpits, or groin
- Increased frequency of epileptic seizures
- Problems with verbal communication
- Loss of saliva
- Inability to stay still or increased mental and physical activity
- Loss of consciousness
- Fainting
- Slowed or reduced movements
- Poor or disturbed sleep quality
- Distorted or impaired sense of smell
- Problems with writing
- Sensation of movement under the skin
- Eye problems, including dry eyes, light sensitivity, involuntary contractions, tearing, and decreased vision
- Decreased or loss of hearing
- Hoarseness
- Inflammation of the pancreas
- Gas
- Heartburn
- Loss of sensitivity to touch in the mouth
- Bleeding gums
- Feeling of fullness or bloating
- Sensation of pain or burning in the mouth
- Bad breath
- Loss of urine and/or feces
- Urgent need to urinate
- Pain in the kidney and/or bladder area due to kidney stones
- Decreased or absent sweating
- Discoloration of the skin
- Localized skin swelling
- Facial swelling
- Joint swelling
- Musculoskeletal stiffness
- Increased levels of acids in the blood
- Low potassium levels in the blood
- Increased appetite
- Increased thirst and excessive intake of fluids
- Low blood pressure or drop in blood pressure upon standing
- Hot flushes
- Flu-like malaise
- Cold extremities (e.g., hands and face)
- Learning difficulties
- Sexual dysfunction (erectile dysfunction, loss of libido)
- Hallucinations
- Decreased verbal communication
Rare adverse reactions include:
- Excessive skin sensitivity
- Impaired sense of smell
- Glaucoma, which involves fluid retention in the eye leading to increased intraocular pressure, pain, and decreased vision
- Renal tubular acidosis
- Severe skin reaction, including Stevens-Johnson syndrome, a potentially life-threatening skin condition in which the outer layer of skin separates from the underlying layers, and erythema multiforme, a condition characterized by the appearance of red spots that may turn into blisters
- Unusual odor
- Swelling of tissues around the eye
- Raynaud's syndrome: a disorder affecting blood vessels in fingers, thumbs, and ears, causing pain and cold sensations
- Tissue calcifications (calcinosis)
Adverse reactions with unknown frequency
- Maculopathy, a disease of the macula—the small part of the retina where vision is sharpest. If you notice any change or decrease in vision, contact your doctor.
- Swelling of the eye conjunctiva
- Toxic epidermal necrolysis, a more severe form of Stevens-Johnson syndrome (see uncommon adverse reactions).
If you experience any adverse reaction, including those not listed in this leaflet, contact your doctor, pharmacist, or nurse.
5. HOW TO STORE TOPIRAMATE TECNIMEDE
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date stated on the carton after "Exp.".
The expiry date refers to the last day of that month.
This medicine does not require any special storage conditions.
Do not dispose of any medicine via wastewater or household waste. Ask your pharmacist how to dispose of medicines you no longer use. This will help protect the environment.
6. PACK CONTENTS AND OTHER INFORMATION
What Topiramato Tecnimede contains
- The active substance is topiramate. Each film-coated tablet contains 25 mg of topiramate.
- The other components are (tablet core): monohydrate lactose, pregelatinized corn starch, sodium starch glycolate (Type A), microcrystalline cellulose, magnesium stearate; and (tablet coating): basic butylated methacrylic copolymer, sodium lauryl sulfate, magnesium stearate, stearic acid, talc, titanium dioxide (E171).
Description of the appearance of Topiramato Tecnimede and pack contents
Topiramato Tecnimede is available as film-coated tablets.
Topiramato Tecnimede "25 mg film-coated tablets" consists of white, round, convex tablets.
Topiramato Tecnimede is available in packs of 10 and 60 tablets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder:
TECNIMEDE – Sociedade Técnico-Medicinal S.A
Rua da Tapada Grande nº 2,
Abrunheira
2710-089 Sintra, Portugal
Manufacturers responsible for batch release:
West Pharma – Produções de Especialidades Farmacêuticas, S.A.
Rua João de Deus, nº11, Venda Nova, 2700-486 Amadora, Portugal
Rafarm S.A.
Thesi Pousi-Xatzi Agiou Louka, Paiania Attiki, 19002, Greece
This medicinal product is authorised in the European Economic Area countries under the following names:
Italy: Topiramato Tecnimede 25, 50, 100, 200 mg Film-coated tablets
Greece: JADIX 25, 50, 100, 200 mg film-coated tablets
Portugal: Topiramato Clindonim
United Kingdom: Topiramate 25, 50, 100, 200 mg Film-coated tablets
This leaflet was last updated in 06/2013
PATIENT INFORMATION LEAFLET
Topiramato Tecnimede 50 mg film-coated tablets
Generic medicine
Please read this leaflet carefully before taking this medicine because it contains important information for you.
- Keep this leaflet. You may need to read it again.
- If you have any questions, ask your doctor, pharmacist, or nurse.
- This medicine has been prescribed for you only. Never give it to other people, even if they have the same symptoms as you, because it may be harmful.
- If you experience any side effects, including those not listed in this leaflet, tell your doctor, pharmacist, or nurse.
Contents of this leaflet:
- What Topiramato Tecnimede is and what it is used for
- What you need to know before taking Topiramato Tecnimede
- How to take Topiramato Tecnimede
- Possible side effects
- How to store Topiramato Tecnimede
- Contents of the pack and other information
1. WHAT TOPAMATE TECNIMEDE IS AND WHAT IT IS USED FOR:
Topiramato Tecnimede belongs to a group of medicines called "antiepileptic drugs". It is used:
- as monotherapy for the treatment of epileptic seizures in adults and children over 6 years of age.
- in combination with other medications for the treatment of epileptic seizures in adults and children over 2 years of age.
- for the prevention of migraine in adults.
2. WHAT YOU SHOULD KNOW BEFORE TAKING TOPIRAMATE TECNIMEDE
Do not take Topiramate Tecnimede
- if you are allergic (hypersensitive) to topiramate or to any of the other ingredients of this medicine (listed in section 6).
- for migraine prevention if you are pregnant or of childbearing age but are not using an adequate contraceptive method (see section "Pregnancy and breastfeeding" for more information).
If you are unsure whether any of the above conditions apply to you, speak with your doctor or pharmacist before using Topiramate Tecnimede.
Warnings and precautions
Talk to your doctor, pharmacist, or nurse before taking Topiramate Tecnimede.
Consult your doctor or pharmacist before taking Topiramate Tecnimede if:
- you have kidney problems, especially kidney stones, or if you are undergoing renal dialysis
- you have a history of blood or body fluid abnormalities (metabolic acidosis)
- you have liver problems
- you have eye problems, especially glaucoma
- you have growth problems
- your diet is high in fat (ketogenic diet)
If you are unsure whether any of the above conditions apply to you, speak with your doctor or pharmacist before starting treatment with Topiramate Tecnimede.
It is important that you do not stop taking this medicine without first consulting your doctor.
You should also speak with your doctor before taking any other topiramate-containing medicine that may be prescribed as an alternative to Topiramate Tecnimede.
Use of Topiramate Tecnimede may lead to weight loss. Therefore, while taking this medicine, your weight should be monitored regularly. If you lose too much weight, or if a child taking this medicine does not gain sufficient weight, consult your doctor.
A small number of patients treated with antiepileptic medicines such as Topiramate Tecnimede have experienced suicidal thoughts or thoughts of self-harm. If at any time you experience such thoughts, contact your doctor immediately.
- Other medicines and Topiramate Tecnimede
Inform your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including those not requiring a prescription, vitamins, or herbal supplements. Topiramate Tecnimede and certain other medicines may interact with each other. Sometimes, the dose of one or more of the medicines you are taking, including Topiramate Tecnimede, may need to be adjusted.
In particular, inform your doctor or pharmacist if you are taking:
- other medicines that impair thinking, concentration, or muscle coordination (e.g., central nervous system depressants such as muscle relaxants and sedatives).
- oral contraceptives. Topiramate Tecnimede may reduce the effectiveness of oral contraceptives.
Inform your doctor if you notice any changes in your menstrual bleeding while taking oral contraceptives and Topiramate Tecnimede.
Keep a list of all the medicines you are taking. Show this list to your doctor or pharmacist before starting any new medicine.
Other medicines to discuss with your doctor or pharmacist include other antiepileptic drugs, risperidone, lithium, hydrochlorothiazide, metformin, pioglitazone, gliburide, amitriptyline, propranolol, diltiazem, venlafaxine, and flunarizine.
If you are unsure whether any of the above conditions apply to you, speak with your doctor or pharmacist before using Topiramate Tecnimede.
Topiramate Tecnimede with food and drink
You may take Topiramate Tecnimede with or without food. Drink plenty of fluids throughout the day when taking Topiramate Tecnimede to help prevent kidney stone formation. Avoid drinking alcohol during treatment with Topiramate Tecnimede.
Pregnancy and breastfeeding
If you are pregnant, suspect you may be pregnant, planning to become pregnant, or breastfeeding, consult your doctor before taking this medicine.
Your doctor will decide whether you can take this medicine. As with other antiepileptic medicines, taking Topiramate Tecnimede during pregnancy may increase the risk of congenital malformations in the unborn child. Make sure you are fully informed about the risks and benefits of using Topiramate Tecnimede for epilepsy treatment during pregnancy.
You must not take Topiramate Tecnimede for migraine prevention if you are pregnant or of childbearing age and not using an effective contraceptive method.
Breastfeeding mothers taking Topiramate Tecnimede should inform their doctor as soon as possible if the baby shows any unusual symptoms.
Ask your doctor or pharmacist for advice before taking any medicine.
Driving and using machines
Dizziness, tiredness, and vision problems may occur during treatment with Topiramate Tecnimede. Do not drive or operate machinery without first discussing this with your doctor.
Topiramate Tecnimede contains lactose
If your doctor has informed you that you have an intolerance to certain sugars, contact them before taking this medicine.
3. HOW TO TAKE TOPIRAMATE TECNIMEDE
Take this medicine exactly as directed by your doctor. If you have
any doubts, consult your doctor or pharmacist.
- Take Topiramate Tecnimede exactly as prescribed. Your doctor will usually start you on a low dose of Topiramate Tecnimede and then gradually increase it until the best dose for you is reached.
- The Topiramate Tecnimede tablets must be swallowed whole. Avoid chewing the tablets, as they may leave a bitter taste.
- Topiramate Tecnimede may be taken before, during, or after a meal. Drink plenty of fluids throughout the day to help prevent kidney stone formation while taking Topiramate Tecnimede.
If you take more Topiramate Tecnimede than you should
- Contact a doctor immediately. Take the medicine package with you.
- Signs and symptoms of overdose may include seizures, drowsiness, speech disorders, double vision, impaired thinking, abnormal coordination, reduced consciousness, low blood pressure, abdominal pain, agitation, dizziness, and depression.
If you are taking other medicines together with Topiramate Tecnimede, an
overdose may occur.
If you forget to take Topiramate Tecnimede
- If you forget to take a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. If you miss two or more doses, contact your doctor.
- Do not take a double dose (two doses at the same time) to make up for a missed dose.
If you stop taking Topiramate Tecnimede
Do not stop taking this medicine unless your doctor tells you to. Your
symptoms may return. If your doctor decides to discontinue this medicine, your
dose may be gradually reduced over several days.
If you have any questions about using this medicine, consult your doctor, pharmacist, or
nurse.
4. POSSIBLE ADVERSE REACTIONS
Like all medicines, this medicine can cause adverse reactions, although not everyone experiences them.
The frequency of the possible adverse reactions listed below is defined using the following convention:
- very common (affects more than 1 in 10 people)
- common (affects from 1 to 10 in 100 people)
- uncommon (affects from 1 to 10 in 1,000 people)
- rare (affects from 1 to 10 in 10,000 people)
- very rare (affects fewer than 1 in 10,000 people)
- not known (cannot be estimated from available data)
Very common adverse reactions include:
- Weight loss
- Tingling in arms and legs
- Numbness or drowsiness
- Dizziness
- Diarrhea
- Nausea
- Stuffy or runny nose, and sore throat
- Fatigue
- Depression
Common adverse reactions include:
- Changes in mood or behavior, including anger, nervousness, sadness
- Weight gain
- Decreased or loss of appetite
- Reduction in red blood cell count
- Changes in thought and alertness, including confusion, problems with concentration, memory, or slowed thinking
- Slurred speech
- Clumsiness, or difficulty walking
- Involuntary tremor of arms, hands, or legs
- Reduced sense of touch or sensation
- Involuntary eye movements
- Altered taste
- Vision disturbances, blurred vision, double vision
- Ringing in the ears
- Ear pain
- Shortness of breath
- Nosebleeds
- Vomiting
- Constipation
- Stomach pain
- Indigestion
- Dry mouth
- Tingling or numbness of the mouth
- Kidney stones
- Frequent need to urinate
- Pain when urinating
- Hair loss
- Skin rash and/or skin itching
- Joint pain
- Muscle spasms, muscle contractions, or muscle weakness
- Chest pain
- Fever
- Loss of strength
- General feeling of malaise
- Allergic reaction
Uncommon adverse reactions include:
- Crystals in urine
- Abnormal blood count, including reduced white blood cell or platelet count, or increased eosinophils
- Irregular heartbeat or slowed heart rate
- Swelling of glands in the neck, armpits, or groin
- Increased frequency of epileptic seizures
- Problems with verbal communication
- Loss of saliva
- Inability to remain still or increased mental and physical activity
- Loss of consciousness
- Fainting
- Slowed or reduced movements
- Poor or disturbed sleep quality
- Distorted or impaired sense of smell
- Problems with writing
- Sensation of movement under the skin
- Eye problems, including dry eyes, light sensitivity, involuntary contractions, tearing, and decreased vision
- Decreased or loss of hearing
- Hoarseness
- Inflammation of the pancreas
- Gas
- Heartburn
- Loss of sensitivity to touch in the mouth
- Bleeding gums
- Feeling of fullness or bloating
- Sensation of pain or burning in the mouth
- Bad breath
- Involuntary loss of urine and/or feces
- Urgent need to urinate
- Pain in the kidney and/or bladder area due to kidney stones
- Decreased or absent sweating
- Skin discoloration
- Localized skin swelling
- Facial swelling
- Joint swelling
- Musculoskeletal stiffness
- Increased levels of acids in the blood
- Low potassium levels in the blood
- Increased appetite
- Increased thirst and excessive intake of fluids
- Low blood pressure or drop in blood pressure upon standing
- Hot flushes
- Flu-like malaise
- Cold extremities (e.g., hands and face)
- Learning difficulties
- Sexual dysfunction (erectile dysfunction, loss of libido)
- Hallucinations
- Decreased verbal communication
Rare adverse reactions include:
- Excessive skin sensitivity
- Impaired sense of smell
- Glaucoma, which involves fluid retention in the eye leading to increased intraocular pressure, pain, and vision loss
- Renal tubular acidosis
- Severe skin reaction, including Stevens-Johnson syndrome, a potentially life-threatening skin condition in which the upper layer of skin separates from the lower layer, and erythema multiforme, a condition characterized by red spots that may develop into blisters
- Odor
- Swelling of tissues around the eye
- Raynaud's syndrome. A disorder affecting blood vessels in fingers, thumbs, and ears, causing pain and cold sensation
- Tissue calcifications (calcinosis)
Adverse reactions with frequency not known
- Maculopathy, a disease of the macula, the small part of the retina where vision is sharpest. If you notice any change or decrease in vision, contact your doctor.
- Swelling of the eye conjunctiva
- Toxic epidermal necrolysis, representing a more severe form of Stevens-Johnson syndrome (see uncommon adverse reactions).
If you experience any adverse reaction, including those not listed in this leaflet, contact your doctor, pharmacist, or nurse.
5. HOW TO STORE TOPIRAMATE TECNIMEDE
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date stated on the carton after "Exp.". The expiry date refers to the last day of the month.
This medicine requires no special storage conditions.
Do not dispose of medicines via wastewater or household waste. Ask your pharmacist how to dispose of medicines you no longer use. This will help protect the environment.
6. PACKAGING CONTENTS AND OTHER INFORMATION
What Topiramato Tecnimede contains
- The active substance is topiramate. Each film-coated tablet contains 50 mg of topiramate.
- The other components are (tablet core): monohydrate lactose, pregelatinized corn starch, sodium starch glycolate (Type A), microcrystalline cellulose, magnesium stearate; and (tablet coating): basic butylated methacrylic copolymer, sodium lauryl sulfate, magnesium stearate, stearic acid, talc, titanium dioxide (E171), and yellow iron oxide (E172).
Description of the appearance of Topiramato Tecnimede and packaging contents
Topiramato Tecnimede is available as film-coated tablets.
Topiramato Tecnimede “50 mg film-coated tablets” consists of yellow, round, convex tablets.
Topiramato Tecnimede is available in packs of 10 and 60 tablets.
Not all pack sizes may be marketed.
Marketing Authorization Holder and Manufacturer
Marketing Authorization Holder:
TECNIMEDE – Sociedade Técnico-Medicinal S.A
Rua da Tapada Grande nº 2,
Abrunheira
2710-089 Sintra, Portugal
Responsible manufacturers for batch release:
West Pharma – Produções de Especialidades Farmacêuticas, S.A.
Rua João de Deus, nº11, Venda Nova, 2700-486 Amadora, Portugal
Rafarm S.A.
Thesi Pousi-Xatzi Agiou Louka, Paiania Attiki, 19002, Greece
This medicinal product is authorized in the Member States of the European Economic Area under the following names:
Italy: Topiramato Tecnimede 25, 50, 100, 200 mg Film-coated tablets
Greece: JADIX 25, 50, 100, 200 mg επικαλυμμένα με λεπτό υμένιο δισκία
Portugal: Topiramato Clindonim
United Kingdom: Topiramate 25, 50, 100, 200 mg Film-coated tablets
This leaflet was last updated on 06/2013
PACKAGE LEAFLET: INFORMATION FOR THE USER
Topiramato Tecnimede 100 mg film-coated tablets
Generic medicine
Read this leaflet carefully before taking this medicine because it contains important information for you.
- Keep this leaflet. You may need to read it again.
- If you have any questions, ask your doctor, pharmacist, or nurse.
- This medicine has been prescribed for you only. Do not give it to others, even if their symptoms are the same as yours, as it may be harmful.
- If you experience any side effect, including those not listed in this leaflet, inform your doctor, pharmacist, or nurse.
Contents of this leaflet:
- What Topiramato Tecnimede is and what it is used for
- What you need to know before taking Topiramato Tecnimede
- How to take Topiramato Tecnimede
- Possible side effects
- How to store Topiramato Tecnimede
- Contents of the pack and other information
1. WHAT TOPIRAMATE TECNIMEDE IS AND WHAT IT IS USED FOR:
Topiramate Tecnimede belongs to a group of medicines called "antiepileptic drugs". It is used:
- as monotherapy for the treatment of epileptic seizures in adults and children over 6 years of age.
- in combination with other medicines for the treatment of epileptic seizures in adults and children over 2 years of age.
- for the prevention of migraine in adults.
2. WHAT YOU NEED TO KNOW BEFORE TAKING TOPIRAMATE TECNIMEDE
Do not take Topiramato Tecnimede
- if you are allergic (hypersensitive) to topiramate or to any of the other ingredients of this medicine (listed in section 6).
- for migraine prevention if you are pregnant or of childbearing age but are not using an adequate contraceptive method (see section "Pregnancy and breastfeeding" for more information).
If you are unsure whether any of the above conditions apply to you, speak with your doctor or pharmacist before using Topiramato Tecnimede.
Warnings and precautions
Talk to your doctor, pharmacist, or nurse before taking Topiramato Tecnimede.
Consult your doctor or pharmacist before taking Topiramato Tecnimede if:
- you have kidney problems, particularly kidney stones, or if you are undergoing renal dialysis
- you have a history of blood or body fluid abnormalities (metabolic acidosis)
- you have liver problems
- you have eye problems, particularly glaucoma
- you have growth problems
- your diet is high in fat (ketogenic diet)
If you are unsure whether any of the above conditions apply to you, speak with your doctor or pharmacist before starting treatment with Topiramato Tecnimede.
It is important that you do not stop taking this medicine without first consulting your doctor.
You should also speak with your doctor before taking any other topiramate-containing medicine prescribed as an alternative to Topiramato Tecnimede.
While taking Topiramato Tecnimede, you may lose weight. Therefore, your weight should be monitored regularly during treatment. If you lose too much weight, or if a child taking this medicine does not gain sufficient weight, consult your doctor.
A small number of patients treated with antiepileptic medicines such as Topiramato Tecnimede have experienced suicidal thoughts or self-harming thoughts. If at any time you experience such thoughts, contact your doctor immediately.
- Other medicines and Topiramato Tecnimede
Inform your doctor or pharmacist if you are currently taking, have recently taken, or might take any other medicines, including those without a prescription, vitamins, and herbal supplements. Topiramato Tecnimede and other medicines may affect each other. Sometimes, the dose of either Topiramato Tecnimede or your other medicines may need to be adjusted.
In particular, inform your doctor or pharmacist if you are taking:
- other medicines that impair thinking, concentration, or muscle coordination (e.g., central nervous system depressants such as muscle relaxants and sedatives)
- oral contraceptives. Topiramato Tecnimede may reduce the effectiveness of oral contraceptives.
Inform your doctor if you notice any changes in your menstrual bleeding while taking oral contraceptives and Topiramato Tecnimede.
Keep a list of all the medicines you are taking. Show this list to your doctor or pharmacist before starting any new medicine.
Other medicines to discuss with your doctor or pharmacist include other antiepileptic drugs, risperidone, lithium, hydrochlorothiazide, metformin, pioglitazone, gliburide, amitriptyline, propranolol, diltiazem, venlafaxine, and flunarizine.
If you are unsure whether any of the above conditions apply to you, speak with your doctor or pharmacist before using Topiramato Tecnimede.
Topiramato Tecnimede with food and drink
You may take Topiramato Tecnimede during or between meals. Drink plenty of fluids throughout the day when taking Topiramato Tecnimede to help prevent the formation of kidney stones. Avoid drinking alcohol during treatment with Topiramato Tecnimede.
Pregnancy and breastfeeding
If you are pregnant, suspect you may be pregnant, planning to become pregnant, or breastfeeding, consult your doctor before taking this medicine.
Your doctor will decide whether you can take this medicine. As with other antiepileptic medicines, if Topiramato Tecnimede is taken during pregnancy, there is a risk of congenital malformations in the unborn child. Make sure you are fully informed about the risks and benefits of using Topiramato Tecnimede for epilepsy treatment during pregnancy.
You must not take Topiramato Tecnimede for migraine prevention if you are pregnant or of childbearing age and not using an effective contraceptive method.
Breastfeeding mothers taking Topiramato Tecnimede should inform their doctor as soon as possible if the infant shows any unusual symptoms.
Ask your doctor or pharmacist for advice before taking any medicine.
Driving and using machines
During treatment with Topiramato Tecnimede, dizziness, fatigue, and vision problems may occur. Do not drive or operate tools or machinery without first discussing this with your doctor.
Topiramato Tecnimede contains lactose
If your doctor has informed you that you have an intolerance to certain sugars, contact him or her before taking this medicine.
3. HOW TO TAKE TOPIRAMATE TECNIMEDE
Take this medicine exactly as prescribed by your doctor. If you have
any doubts, consult your doctor or pharmacist.
- Take Topiramate Tecnimede exactly as directed. Your doctor will usually start you on a low dose of Topiramate Tecnimede, gradually increasing it until the optimal dose for you is reached.
- Topiramate Tecnimede tablets must be swallowed whole. Avoid chewing the tablets, as they may leave a bitter taste.
- Topiramate Tecnimede can be taken before, during, or after a meal. Drink plenty of fluids throughout the day to help prevent the formation of kidney stones while taking Topiramate Tecnimede.
If you take more Topiramate Tecnimede than you should
- Contact a doctor immediately. Take the medicine package with you.
- Signs and symptoms of overdose may include seizures, drowsiness, speech disorders, double vision, impaired thinking, abnormal coordination, reduced level of consciousness, low blood pressure, abdominal pain, restlessness, dizziness, and depression.
If you are taking other medicines together with Topiramate Tecnimede, an
overdose may occur.
If you forget to take Topiramate Tecnimede
- If you forget to take a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. If you miss two or more doses, contact your doctor.
- Do not take a double dose (two doses at the same time) to make up for a missed dose.
If you stop taking Topiramate Tecnimede
Do not stop taking this medicine unless your doctor tells you to. Your
symptoms may return. If your doctor decides to discontinue this medicine, your
dose may be gradually reduced over several days.
If you have any questions about the use of this medicine, consult your doctor, pharmacist, or
nurse.
4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause side effects, although not everybody gets them.
The frequency of the possible side effects listed below is defined using the following convention:
- very common (affects more than 1 in 10 people)
- common (affects 1 to 10 in 100 people)
- uncommon (affects 1 to 10 in 1,000 people)
- rare (affects 1 to 10 in 10,000 people)
- very rare (affects fewer than 1 in 10,000 people)
- not known (cannot be estimated from the available data)
Very common side effects include:
- Weight loss
- Tingling in the arms and legs
- Numbness or drowsiness
- Dizziness
- Diarrhea
- Nausea
- Stuffy, runny nose, and sore throat
- Fatigue
- Depression
Common side effects include:
- Changes in mood or behaviour, including anger, nervousness, sadness
- Weight gain
- Decreased or loss of appetite
- Reduction in red blood cell count
- Changes in thinking and alertness, including confusion, problems with concentration, memory or slowed thinking
- Slurred speech
- Clumsiness, or problems walking
- Involuntary tremor of the arms, hands or legs
- Reduced sense of touch or sensation
- Involuntary eye movements
- Altered taste
- Vision disturbances, blurred vision, double vision
- Ringing in the ears
- Ear pain
- Shortness of breath
- Nosebleeds
- Vomiting
- Constipation
- Stomach pain
- Indigestion
- Dry mouth
- Tingling or numbness of the mouth
- Kidney stones
- Frequent need to urinate
- Pain when urinating
- Hair loss
- Skin rash and/or skin itching
- Joint pain
- Muscle spasms, muscle contractions or muscle weakness
- Chest pain
- Fever
- Loss of strength
- General feeling of being unwell
- Allergic reaction
Uncommon side effects include:
- Crystals in the urine
- Abnormal blood count, including reduced white blood cell or platelet count, or increased eosinophils
- Irregular heartbeat or slowed heartbeat
- Swelling of the glands in the neck, armpits or groin
- Increased frequency of epileptic seizures
- Problems with verbal communication
- Reduced saliva production
- Inability to stay still or increased mental and physical activity
- Loss of consciousness
- Fainting
- Slowed or reduced movements
- Poor or disturbed quality of sleep
- Distorted or impaired sense of smell
- Problems with writing
- Sensation of movement under the skin
- Eye problems, including dry eyes, light sensitivity, involuntary contractions, tearing, and decreased vision
- Decreased or loss of hearing
- Hoarseness
- Inflammation of the pancreas
- Gas
- Heartburn
- Loss of touch sensitivity in the mouth
- Bleeding gums
- Feeling of fullness or bloating
- Sensation of pain or burning in the mouth
- Bad breath
- Loss of urine and/or faeces
- Urgent need to urinate
- Pain in the kidney and/or bladder area due to kidney stones
- Reduced or absent sweating
- Skin discoloration
- Localised skin swelling
- Facial swelling
- Joint swelling
- Musculoskeletal rigidity
- Increased levels of acids in the blood
- Low levels of potassium in the blood
- Increased appetite
- Increased thirst and excessive intake of fluids
- Low blood pressure or drop in blood pressure when standing up
- Hot flushes
- Influenza-like malaise
- Coldness in the extremities (e.g., hands and face)
- Learning difficulties
- Sexual function disorders (erectile dysfunction, loss of libido)
- Hallucinations
- Decreased verbal communication
Rare side effects include:
- Excessive skin sensitivity
- Impaired sense of smell
- Glaucoma, which consists of fluid retention in the eye leading to increased intraocular pressure, pain, and vision loss
- Renal tubular acidosis
- Severe skin reaction, including Stevens-Johnson syndrome, a potentially life-threatening skin condition in which the top layer of skin separates from the lower layers, and erythema multiforme, a condition characterised by the appearance of red spots that may develop into blisters
- Odour
- Swelling of tissues around the eye
- Raynaud's syndrome. A disorder affecting blood vessels in the fingers, thumbs, and ears, causing pain and cold sensations
- Tissue calcifications (calcinoses)
Side effects with frequency not known
- Maculopathy, a disease of the macula, the small part of the retina where vision is sharpest. If you notice any change or decrease in vision, contact your doctor.
- Swelling of the eye conjunctiva
- Toxic epidermal necrolysis, which is a more severe form of Stevens-Johnson syndrome (see uncommon side effects).
If you experience any side effect, including those not listed in this leaflet, talk to your doctor, pharmacist or nurse.
5. HOW TO STORE TOPIRAMATE TECNIMEDE
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date stated on the carton after "Exp.". The expiry date refers to the last day of the month.
This medicine does not require any special storage conditions.
Do not dispose of medicines via wastewater or household waste. Ask your pharmacist how to dispose of medicines you no longer use. This will help protect the environment.
6. CONTENTS OF THE PACKAGE AND OTHER INFORMATION
What Topiramato Tecnimede contains
- The active substance is topiramate. Each film-coated tablet contains 100 mg of topiramate.
- The other components are (tablet core): monohydrate lactose, pregelatinized corn starch, sodium starch glycolate (Type A), microcrystalline cellulose, magnesium stearate; and (tablet coating): basic butylated methacrylic copolymer, sodium lauryl sulfate, magnesium stearate, stearic acid, talc, titanium dioxide (E171) and yellow iron oxide (E172).
Description of the appearance of Topiramato Tecnimede and contents of the pack
Topiramato Tecnimede is available as film-coated tablets.
Topiramato Tecnimede "100 mg film-coated tablets" consists of yellow, round, convex tablets.
Topiramato Tecnimede is available in packs of 10 and 60 tablets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder:
TECNIMEDE – Sociedade Técnico-Medicinal S.A
Rua da Tapada Grande nº 2,
Abrunheira
2710-089 Sintra, Portugal
Manufacturers responsible for batch release:
West Pharma – Produções de Especialidades Farmacêuticas, S.A.
Rua João de Deus, nº11, Venda Nova, 2700-486 Amadora, Portugal
Rafarm S.A.
Thesi Pousi-Xatzi Agiou Louka, Paiania Attiki, 19002, Greece
This medicinal product is authorised in the European Economic Area Member States under the following names:
Italy: Topiramato Tecnimede 25, 50, 100, 200 mg Film-coated tablets
Greece: JADIX 25, 50, 100, 200 mg επικαλυμμένα με λεπτό υμένιο δισκία
Portugal: Topiramato Clindonim
United Kingdom: Topiramate 25, 50, 100, 200 mg Film-coated tablets
This leaflet was last updated on 06/2013
PACKAGE LEAFLET: INFORMATION FOR THE USER
Topiramato Tecnimede 200 mg film-coated tablets
Generic medicine
Please read this leaflet carefully before taking this medicine because it contains important information for you.
- Keep this leaflet. You may need to read it again.
- If you have any questions, ask your doctor, pharmacist, or nurse.
- This medicine has been prescribed for you only. Do not give it to other people, even if they have the same symptoms as yours, as it may be harmful.
- If you experience any side effects, including those not listed in this leaflet, tell your doctor, pharmacist, or nurse.
Contents of this leaflet:
- What Topiramato Tecnimede is and what it is used for
- What you need to know before taking Topiramato Tecnimede
- How to take Topiramato Tecnimede
- Possible side effects
- How to store Topiramato Tecnimede
- Contents of the pack and other information
1. WHAT TOPIRAMATE TECNIMIDE IS AND WHAT IT IS USED FOR:
Topiramate Tecnimede belongs to a group of medicines called "antiepileptic drugs". It is used:
- as monotherapy for the treatment of epileptic seizures in adults and children over 6 years of age.
- in combination with other medicines for the treatment of epileptic seizures in adults and children over 2 years of age.
- for the prevention of migraine in adults.
2. WHAT YOU SHOULD KNOW BEFORE TAKING TOPIRAMATE TECNIMEDE
Do not take Topiramate Tecnimede
- if you are allergic (hypersensitive) to topiramate or to any of the other ingredients of this medicine (listed in section 6).
- for migraine prevention if you are pregnant or of childbearing age but not using an adequate contraceptive method (see section "Pregnancy and breastfeeding" for more information).
If you are unsure whether any of the conditions listed above may apply to you, speak with your doctor or pharmacist before using Topiramate Tecnimede.
Warnings and precautions
Talk to your doctor, pharmacist, or nurse before taking Topiramate Tecnimede.
Consult your doctor or pharmacist before taking Topiramate Tecnimede if:
- you have kidney problems, especially kidney stones, or if you are undergoing renal dialysis
- you have a history of blood or body fluid abnormalities (metabolic acidosis)
- you have liver problems
- you have eye problems, especially glaucoma
- you have growth problems
- your diet is high in fat (ketogenic diet)
If you are unsure whether any of the conditions listed above may affect you, speak with your doctor or pharmacist before starting treatment with Topiramate Tecnimede.
It is important that you do not stop taking this medicine without first consulting your doctor.
You should also speak with your doctor before taking any other topiramate-containing medicine prescribed as an alternative to Topiramate Tecnimede.
While taking Topiramate Tecnimede, you may lose weight. Therefore, your weight should be monitored regularly during treatment. If you lose too much weight, or if a child taking this medicine does not gain sufficient weight, consult your doctor.
A small number of patients treated with antiepileptic medicines such as Topiramate Tecnimede have experienced suicidal thoughts or self-harming thoughts. If at any time you experience such thoughts, contact your doctor immediately.
- Other medicines and Topiramate Tecnimede
Inform your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including those without a prescription, vitamins, or herbal supplements. Topiramate Tecnimede and certain other medicines may affect each other. Sometimes, the dose of either Topiramate Tecnimede or your other medicines may need to be adjusted.
In particular, inform your doctor or pharmacist if you are taking:
- other medicines that impair thinking, concentration, or muscle coordination (e.g., central nervous system depressants such as muscle relaxants and sedatives)
- oral contraceptives. Topiramate Tecnimede may reduce the effectiveness of oral contraceptives.
Inform your doctor if you notice any changes in your menstrual bleeding while taking oral contraceptives and Topiramate Tecnimede.
Keep a list of all medicines you are taking. Show this list to your doctor or pharmacist before starting any new medicine.
Other medicines you should discuss with your doctor or pharmacist include other antiepileptic drugs, risperidone, lithium, hydrochlorothiazide, metformin, pioglitazone, gliburide, amitriptyline, propranolol, diltiazem, venlafaxine, flunarizine.
If you are unsure whether any of the conditions listed above apply to you, speak with your doctor or pharmacist before using Topiramate Tecnimede.
Topiramate Tecnimede with food and drinks
You may take Topiramate Tecnimede during or between meals. Drink plenty of fluids throughout the day while taking Topiramate Tecnimede to help prevent kidney stone formation. Avoid drinking alcohol during treatment with Topiramate Tecnimede.
Pregnancy and breastfeeding
If you are pregnant, think you might be pregnant, planning to become pregnant, or breastfeeding, consult your doctor before taking this medicine.
Your doctor will decide whether you can take this medicine. As with other antiepileptic medicines, taking Topiramate Tecnimede during pregnancy may increase the risk of congenital malformations in the unborn child. Make sure you are fully informed about the risks and benefits of using Topiramate Tecnimede for epilepsy treatment during pregnancy.
You must not take Topiramate Tecnimede for migraine prevention if you are pregnant or of childbearing age and not using an effective contraceptive method.
Breastfeeding mothers taking Topiramate Tecnimede should inform their doctor as soon as possible if the baby shows any unusual symptoms.
Consult your doctor or pharmacist before taking any medicine.
Driving and using machines
Dizziness, fatigue, and vision problems may occur during treatment with Topiramate Tecnimede. Do not drive or operate tools or machinery without first discussing this with your doctor.
Topiramate Tecnimede contains lactose
If your doctor has informed you that you have an intolerance to certain sugars, contact them before taking this medicine.
3. HOW TO TAKE TOPIRAMATE TECNIMEDE
Take this medicine exactly as prescribed by your doctor. If you have any doubts, consult your doctor or pharmacist.
- Take Topiramate Tecnimede exactly as directed. Your doctor will usually start you on a low dose of Topiramate Tecnimede and then gradually increase it until the best dose for you is reached.
- The tablets of Topiramate Tecnimede must be swallowed whole. Avoid chewing the tablets, as they may leave a bitter taste.
- Topiramate Tecnimede can be taken before, during, or after a meal. Drink plenty of fluids throughout the day to help prevent the formation of kidney stones while taking Topiramate Tecnimede.
If you take more Topiramate Tecnimede than you should
- Contact a doctor immediately. Take the medicine pack with you.
- Signs and symptoms of overdose may include seizures, drowsiness, speech disorders, double vision, impaired thinking, abnormal coordination, blunted consciousness, low blood pressure, abdominal pain, agitation, dizziness, and depression.
If you are taking other medicines together with Topiramate Tecnimede, an overdose may occur.
If you forget to take Topiramate Tecnimede
- If you forget to take a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. If you miss two or more doses, contact your doctor.
- Do not take a double dose (two doses at the same time) to make up for a missed dose.
If you stop taking Topiramate Tecnimede
Do not stop taking this medicine unless your doctor tells you to. Your symptoms may return. If your doctor decides to discontinue this medicine, your dose may be gradually reduced over several days.
If you have any questions about how to use this medicine, consult your doctor, pharmacist, or nurse.
4. POSSIBLE ADVERSE REACTIONS
Like all medicines, this medicine can cause adverse reactions, although not all people experience them.
The frequency of the possible adverse reactions listed below is defined using the following convention:
- very common (affects more than 1 in 10 people)
- common (affects 1 to 10 in 100 people)
- uncommon (affects 1 to 10 in 1,000 people)
- rare (affects 1 to 10 in 10,000 people)
- very rare (affects fewer than 1 in 10,000 people)
- not known (cannot be estimated from available data)
Very common adverse reactions include:
- Weight loss
- Tingling in arms and legs
- Numbness or drowsiness
- Dizziness
- Diarrhea
- Nausea
- Stuffy or runny nose, and sore throat
- Fatigue
- Depression
Common adverse reactions include:
- Changes in mood or behavior, including anger, nervousness, sadness
- Weight gain
- Decreased or loss of appetite
- Reduction in red blood cell count
- Changes in thinking and alertness, including confusion, problems with concentration, memory, or slowed thinking
- Slurred speech
- Clumsiness, or difficulty walking
- Reduced sense of touch or sensation
- Involuntary eye movements
- Altered taste
- Vision disturbances, blurred vision, double vision
- Ringing in the ears
- Ear pain
- Shortness of breath
- Nosebleeds
- Vomiting
- Constipation
- Stomach pain
- Indigestion
- Dry mouth
- Tingling or numbness of the mouth
- Kidney stones
- Frequent need to urinate
- Pain when urinating
- Hair loss
- Skin rash and/or itching
- Joint pain
- Muscle spasms, muscle contractions, or muscle weakness
- Chest pain
- Fever
- Loss of strength
- General feeling of malaise
- Allergic reaction
Uncommon adverse reactions include:
- Crystals in the urine
- Abnormal blood count, including reduced white blood cell count or platelets, or increased eosinophils
- Irregular heartbeat or slowed heart rate
- Swelling of the glands in the neck, armpits, or groin
- Increased frequency of epileptic seizures
- Problems with verbal communication
- Loss of saliva
- Inability to stay still or increased mental and physical activity
- Loss of consciousness
- Fainting
- Slowed or reduced movements
- Poor or disturbed sleep quality
- Distorted or impaired sense of smell
- Problems with writing
- Sensation of movement under the skin
- Eye problems, including dry eyes, light sensitivity, involuntary contractions, tearing, and decreased vision
- Decreased or loss of hearing
- Hoarseness
- Inflammation of the pancreas
- Gas
- Heartburn
- Loss of touch sensitivity in the mouth
- Bleeding gums
- Feeling of fullness or bloating
- Sensation of pain or burning in the mouth
- Bad breath
- Loss of urine and/or feces
- Urgent need to urinate
- Pain in the kidney and/or bladder area due to kidney stones
- Decreased or absent sweating
- Skin discoloration
- Localized skin swelling
- Facial swelling
- Joint swelling
- Musculoskeletal rigidity
- Increased levels of acids in the blood
- Low levels of potassium in the blood
- Increased appetite
- Increased thirst and excessive intake of fluids
- Low blood pressure or drop in blood pressure upon standing
- Hot flushes
- Influenza-like malaise
- Cold extremities (e.g., hands and face)
- Learning difficulties
- Sexual dysfunction (erectile dysfunction, loss of libido)
- Hallucinations
- Decreased verbal communication
Rare adverse reactions include:
- Excessive skin sensitivity
- Impaired sense of smell
- Glaucoma, which consists of fluid retention in the eye leading to increased intraocular pressure, pain, and decreased vision
- Renal tubular acidosis
- Severe skin reaction, including Stevens-Johnson syndrome, a potentially life-threatening skin condition in which the top layer of skin separates from the lower layer, and erythema multiforme, a condition characterized by red spots that may develop into blisters
- Odor
- Swelling of tissues around the eye
- Raynaud's syndrome. A disorder affecting blood vessels in fingers, thumbs, and ears, causing pain and cold sensation
- Tissue calcifications (calcinosis)
Adverse reactions with frequency not known
- Maculopathy, a disease of the macula, the small part of the retina where vision is sharpest. If you notice any change or decrease in vision, contact your doctor.
- Swelling of the eye conjunctiva
- Toxic epidermal necrolysis, a more severe form of Stevens-Johnson syndrome (see uncommon adverse reactions).
If you experience any adverse reaction, including those not listed in this leaflet, consult your doctor, pharmacist, or nurse.
5. HOW TO STORE TOPIRAMATE TECNIMEDE
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date stated on the carton after "Exp.".
The expiry date refers to the last day of the month.
This medicine requires no special storage conditions.
Do not dispose of medicines via wastewater or household waste. Ask your pharmacist how to dispose of medicines you no longer use. This will help protect the environment.
6. PACK CONTENTS AND OTHER INFORMATION
What Topiramato Tecnimede contains
- The active substance is topiramate. Each film-coated tablet contains 200 mg of topiramate.
- The other components are (tablet core): monohydrate lactose, pregelatinized maize starch, sodium starch glycolate (Type A), microcrystalline cellulose, magnesium stearate; and (tablet coating): basic butyl methacrylate copolymer, sodium lauryl sulfate, magnesium stearate, stearic acid, talc, titanium dioxide (E171) and yellow iron oxide (E172).
Description of the appearance of Topiramato Tecnimede and pack contents
Topiramato Tecnimede is available as film-coated tablets.
Topiramato Tecnimede "200 mg film-coated tablets" consists of yellow, round, convex tablets.
Topiramato Tecnimede is available in packs of 10 or 60 tablets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder:
TECNIMEDE – Sociedade Técnico-Medicinal S.A
Rua da Tapada Grande nº 2,
Abrunheira
2710-089 Sintra, Portugal
Manufacturers responsible for batch release:
West Pharma – Produções de Especialidades Farmacêuticas, S.A.
Rua João de Deus, nº11, Venda Nova, 2700-486 Amadora, Portugal
Rafarm S.A.
Thesi Pousi-Xatzi Agiou Louka, Paiania Attiki, 19002, Greece
This medicinal product is authorised in the European Economic Area countries with the following names:
Italy: Topiramato Tecnimede 25, 50, 100, 200 mg Film-coated tablets
Greece: JADIX 25, 50, 100, 200 mg επικαλυμμένα με λεπτό υμένιο δισκία
Portugal: Topiramato Clindonim
United Kingdom: Topiramate 25, 50, 100, 200 mg Film-coated tablets
This leaflet was last updated on 06/2013