Topiramate

DRUG ABUSE AND DEPENDENCE

OVERDOSAGE

DOSAGE & ADMINISTRATION

HOW SUPPLIED

STORAGE AND HANDLING

INFORMATION FOR PATIENTS

• ●     alone to treat seizures in patients 10 years and older

• ●     with other medicines to treat seizures in adults and children over age 2

• ●     have kidney problems, especially kidney stones, or are getting kidney dialysis

• ●     have a history of metabolic acidosis (blood and body fluid abnormality)

• ●     have liver problems

• ●     have osteoporosis (weak or brittle bones) and/or soft bones (osteomalacia) or decreased bone density (osteopenia)

• ●     have lung or breathing problems

• ●     have eye problems, especially glaucoma

• ●     have diarrhea

• ●     have a growth problem

• ●     are on a diet high in fat called a ketogenic diet

• ●     are having surgery

• ●     are pregnant or planning to become pregnant. It is not known if TOPIRAMATE can harm your unborn baby.

• ●     are breastfeeding. TOPIRAMATE may pass into your milk. Talk to your healthcare professional about the best way to feed your baby while taking TOPIRAMATE.

• ●     suffer from depression, mood problems or suicidal thoughts or behavior

• ●     other medicines that impair or decrease your thinking, concentration, or muscle coordination (e.g. central nervous system depressant medicines).

• ●     birth control pills. TOPIRAMATE may make your birth control pills less effective. Tell your healthcare professional if your menstrual bleeding changes while you are taking birth control pills and TOPIRAMATE.

• ●     Take TOPIRAMATE exactly as prescribed. Your healthcare professional will usually start you on a low dose of TOPIRAMATE and slowly increase your dose until the best dose is found for you.

• ●     TOPIRAMATE Tablets should be swallowed whole. Avoid, chewing the tablets as they may leave a bitter taste.

• ●     Never store any medicine and food mixture for use at a later time.

• ●     TOPIRAMATE can be taken before, during, or after a meal. Drink plenty of fluids during the day to prevent kidney stones while taking TOPIRAMATE.

• ●     If you take too much TOPIRAMATE, call your healthcare professional or poison control center right away or go to an emergency room.

• ●     If you miss a single dose of TOPIRAMATE, take it as soon as you can. However, if you are within 6 hours of taking your next scheduled dose, wait until then to take your usual dose of TOPIRAMATE, and skip the missed dose. Do not double your dose. If you have missed more than one dose, you should call your healthcare professional for advice.

• ●     Do not stop taking TOPIRAMATE unless a healthcare professional tells you to stop taking TOPIRAMATE. Your healthcare professional will tell you how to slowly stop taking TOPIRAMATE.

• ●     If you are taking Topiramate or other antiepileptic drugs for epilepsy or seizures, you may need to avoid activities where loss of consciousness (passing out) could result in serious danger to yourself or those around you (including swimming, driving a car, climbing in high places, etc.). Talk to your doctor before engaging in such activities.

• ●     Unless prescribed by your healthcare professional, you should avoid other medicines that also impair or decrease your thinking, concentration, or muscle coordination (e.g. central nervous system depressant medicines).

• ●     You should avoid drinking alcohol while taking TOPIRAMATE. Alcohol with TOPIRAMATE can make side effects such as sleepiness and dizziness worse.

• ●     Do not drive a car or operate heavy machinery until you know how TOPIRAMATE affects you. TOPIRAMATE can impair your thinking, motor skills, and/or vision.

• ●      metabolic acidosis.Metabolic acidosis is a condition that happens when there is too much acid in your blood. Metabolic acidosis can cause symptoms such as tiredness, loss of appetite, irregular heartbeat, and impaired consciousness.Call your healthcare professional right away if you get these symptoms with TOPIRAMATE.Your healthcare professional should do a blood test (measurement of serum bicarbonate) to monitor your bicarbonate level while you are taking TOPIRAMATE.

• ●      eye problems.Serious eye problems include:

• ●               a sudden decrease in vision (acute myopia) with or without eye pain and

• ●               a blockage of fluid in the eye causing increased pressure in the eye (secondary angle closure glaucoma).

• ●      decreased sweating (oligohidrosis) and increased body temperature (fever).Patients, especially children, should be watched closely for signs of decreased sweating and fever (increased body temperature), especially in hot temperatures. Some patients may need hospital treatment for this condition.

• ●      effects on thinking and alertness.TOPIRAMATE may affect thinking skills and cause confusion, problems with concentration, attention, memory, and/or speech. TOPIRAMATE may cause depression or mood problems, tiredness, and sleepiness. Call your healthcare professional right away if you experience any of these side effects.

• ●      dizziness or loss of muscle coordinationin patients who take TOPIRAMATE alone or with other seizure medicines.

• ●      high blood ammonia levels and effects on mental activities.High ammonia in the blood can affect your mental activities and decrease alertness, can make you feel tired or fatigued, or can cause vomiting. This has happened when TOPIRAMATE has been used with a medicine called valproic acid.

• ●      kidney stones.Drink plenty of fluids when taking TOPIRAMATE to decrease your chances of getting kidney stones.

• ●      tingling of the arms and legs(paresthesia) is a common side effect of TOPIRAMATE.

• ●     Store at 20to 25(6877

• ●      Keep TOPIRAMATE and all medicines out of the reach of children.

• ●     Tablets - lactose monohydrate, microcrystalline cellulose, pre-gelatinized starch, lactose monohydrate, sodium starch glycolate, magnesium stearate, opadry white (titanium dioxide, hypromellose 3cp, hypromellose 6cp, PEG 400, polysorbate 80) for 25 mg tablets, opadry yellow (titanium dioxide, hypromellose 3cp, hypromellose 6cp, PEG 400, polysorbate 80, iron oxide yellow) for 50 mg tablets, opadry yellow, hypromellose 6cp titanium dioxide, PEG 400, iron oxide yellow, polysorbate 80, iron oxide red) for 100 mg tablets and), opadry pink (titanium dioxide, hypromellose 6cp, PEG 400, iron oxide red) for 200 mg tablets.

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL SECTION