GABAGAMMA 600 mg. 20 tablets

WORWAG PHARMA
GABAGAMMA 600 mg. 20 tablets
€ 25.00
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Gabapentin WHAT AND WHAT IT IS USED
Gabapentin belongs to the group of drugs for the treatment of epilepsy and peripheral neuropathic pain (persistent pain resulting from nerve damage).
The active substance in Gabapentin is gabapentin.

Gabapentin is used for treating:
Various forms of epilepsy (seizures that are initially limited to certain parts of the brain, whether the seizure spreads to other parts of the brain or not). Your doctor will prescribe Gabapentin, for further treatment of your epilepsy when your current treatment is not enough to control your condition. You should take Gabapentin in addition to your treatment, unless you otherwise specified.
Gabapentin may be used alone to treat adults and children over 12 years old.
Peripheral neuropathic pain (persistent pain due to nerve damage). Various diseases such as diabetes or shingles, may lead to peripheral neuropathic pain (initially starting from the feet and / or hands). Painful symptoms can be described as hot, burning, throbbing, shooting, stabbing, sharp, like cramps, pain, tingling, numbness, like needles or pins etc.

2. BEFORE YOU TAKE Gabapentin
Do not take Gabapentin:
in case of hypersensitivity (allergy) to gabapentin, soya, peanut or any of the excipients.
Take special care with Gabapentin:
If you suffer from kidney disease;
If you are on dialysis and feel muscle pain and / or weakness, tell your doctor;
If you develop signs such as persistent stomach pain, feeling sick or worse. Contact your doctor immediately.
In some patients treated with antiepileptic drugs, gabapentin, the ideas of self-harm or suicide. If you have these signs, immediately contact your doctor.

Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
If you are taking any medicines containing morphine, please tell your doctor or pharmacist as morphine may increase the effect of Gabapentin.

Gabapentin
Not expected to react with other antiepileptic drugs or birth control pills.
Can affect the results of certain laboratory tests; if you need to do urine tests, tell the doctor or employee in the laboratory / hospital what drug taking.
If Gabapentin coadministered with antacids containing aluminum and magnesium absorption of Gabapentin from the stomach may be reduced. Therefore, it is recommended that Gabapentin can be taken at least two hours after taking antacid.

Taking Gabapentin with food and drink
Gabapentin can be taken with or without food.

Pregnancy and lactation
Consult your doctor or pharmacist before taking any medicine.
Gabapentin should not be taken during pregnancy unless your doctor tells you / prescribe otherwise. In women of childbearing potential should be used effective contraception.
There are no studies that specifically examined the use of gabapentin in pregnant women, but the use of other medicinal products for the treatment of seizures have shown an increased risk of fetal harm, especially when both are used in several (more than one) antiepileptic drugs. Therefore, during pregnancy you can take only one antiepileptic drug, but only when it is possible only after a prescription from your doctor.
He suddenly stop taking this medicine because it can lead to sudden attacks of the disease, which can have serious effects on you and your baby.
Contact your doctor immediately if you develop a pregnancy might be pregnant or are planning to become pregnant while taking Gabapentin.
Gabapentin, the active substance of Gabapentin is excreted in human milk. Since it is not known what the effect on infants is not recommended to breast-feed your child while you are taking Gabapentin.

Driving and using machines
Gabapentin may cause lightheadedness, drowsiness and fatigue. Do not drive, operate complex machinery or engage in risky activities until you are sure that this medicine does not affect your ability to perform these activities.

Important information about some of the ingredients of Gabapentin
Gabapentin contains lecithin. If you are allergic to peanut or soya, please do not take this medicine.

3. HOW TO TAKE Gabapentin
Take Gabapentin always only as prescribed by your doctor. Please ask your doctor or pharmacist if you have any doubts.
Your doctor will decide the right dose for you.
If you feel that the effect of Gabapentin is too strong or too weak, talk to your doctor or pharmacist.
If you are an elderly patient (over 65 years), you should take Gabapentin in usual doses, unless you have kidney problems.
Continue taking Gabapentin until your doctor decides that you should stop.

Dosage for the treatment of epilepsy
Gabapentin is not recommended to treat children under the age of 6 years.

Adults and adolescents
Get the required number of tablets as prescribed by your doctor. He will prescribe a dose that will gradually increase. The starting dose will be between 300 mg and 900 mg daily. The dose may be increased stepwise up to a maximum of 3600 mg per day and your doctor will tell you how to distribute this dose of three doses during the day, ie once in the morning, once in the afternoon and once in the evening.

Children / over 6 years
Doses for children are prescribed by a doctor and are calculated according to the weight of the child. Treatment was initiated with a low initial dose which is gradually increased over a period of about 3 days. The usual dose for the control of epilepsy is 25-35 mg / kg / day. Now therefore, in principle prescribes divided into 3 doses, tablet (s) are taken every day - usually / once in the morning and once in the afternoon and once in the evening.

Dosage for treatment of peripheral neuropathic pain
Get the required number of tablets as prescribed by your doctor. He will prescribe a dose that will gradually increase. The starting dose will be between 300 mg and 900 mg daily. The dose may be increased stepwise up to a maximum of 3600 mg per day and your doctor will tell you how to distribute this dose of three doses during the day, ie once in the morning, once in the afternoon and once in the evening.

Method of administration
Gabapentin tablets are for oral use. Always take the tablets whole with a sufficient amount of water.

If you take more than the amount of Gabapentin
Doses higher than recommended may lead to increased side effects, including loss of consciousness, dizziness, double vision, by drawing speech, drowsiness and diarrhea. If you take a dose higher than that prescribed by your doctor, contact your doctor immediately or go to the nearest emergency room. Take with you whatever is left of the tablet along with packaging and label so that the hospital can easily recognize what medication you are taking.

If you forget to take Gabapentin
If you forget to take a dose, take it as soon as possible unless it is time for the next intake. Do not take a double dose to make up the missed dose.

If you stop taking Gabapentin
Do not stop taking Gabapentin, unless your doctor tells you to stop taking. If your treatment should be stopped, it should be done gradually over a minimum period of one week. If you stop taking Gabapentin suddenly without medical indication increases the risk of seizures.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS
Like all medicines Gabapentin may have side effects, although not everybody gets them.

Contact your doctor immediately if you notice any skin reactions such as swelling of the lips and face; skin rash, redness, and / or hair loss.
If you are on dialysis and notice the appearance of muscle pain and / or weakness, tell your doctor.

Evaluation of adverse reactions is based on the following frequency of their occurrence:
Very common: occur in 1 of 10 patients treated;
Common: occur in 1 to 10 in 100 patients treated;
Uncommon: occur in 1 to 10 in 1,000 patients;
Rare: occur in 1 to 10 of 10,000 treated patients;
Very rare occurrence rarer than 1 in 10 000 patients treated;
Not known: frequency can not be determined due to insufficient data.
Other adverse reactions:
Very common side effects:
viral infection;
feeling drowsy, dizziness, lack of coordination;
fatigue, fever.
Common side effects:
pneumonia, respiratory infection, urinary tract infection, inflammation of the ear;
reduce the number of white blood cells;
anorexia, increased appetite;
rage against others, confusion, fluctuation in mood, depression, anxiety, nervousness, difficulty in thinking;
convulsions, jerky movements, difficulty speaking, memory loss, tremors, difficulty sleeping, headache, sensitive skin, decreased sensation, difficulty with coordination, unusual eye movement, increased, decreased or absent reflexes;
blurred vision, double vision;
dizziness;
high blood pressure, flushing or dilation of blood vessels;
difficulty breathing, bronchitis, sore throat, cough, dry nose;
vomiting, nausea, problems with teeth, inflamed gums, diarrhea, stomach pain, indigestion, constipation, dry mouth or throat, flatulence;
swelling of the face, son, rash, itching, acne;
joint pain, muscle pain, back pain, twitching;
erection difficulties;
swelling of the legs and arms or swelling that may involve the face, body and limbs, difficulty walking, weakness, pain, malaise, flu-like symptoms;
reduce the number of white blood cells, increase in weight;
accidental injury, fractures, abrasions.
In clinical observations in children are often reported aggressive behavior and jerky movements.

Uncommon side effects:
allergic reactions like rashes;
palpitations;
swelling of the face, body and limbs;
Abnormal results of blood tests suggestive of liver problems.
Following the introduction of the medicinal product on the market have reported the following adverse reactions:
reduction in the number of platelets (cells responsible for blood clotting);
hallucinations;
problems with abnormal movements such as twitching, jerking tic movements and perceptions;
tinnitus;
inflammation of the pancreas;
inflammation of the liver, yellowing of the skin and eyes;
severe skin reactions that require urgent medical attention, swelling of the lips and face, skin rash and redness, hair loss;
acute renal failure;
breast enlargement;
adverse effects resulting from the abrupt discontinuation of gabapentin (anxiety, difficulty sleeping, feeling sick, pain, sweating), chest pain;
fluctuations of the blood glucose level in diabetic patients.
Other possible side effects
Lecithin may rarely cause allergic reactions.

If any of the side effects gets serious drug reaction that is not listed in this leaflet, please inform your doctor or pharmacist.

5. HOW TO STORE Gabapentin
Medicinal product to be stored out of the reach of children.
Do not use Gabapentin after the expiry date stated on the packaging. The expiry date refers to the last day of that month.
This medicinal product does not require any special storage conditions.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. FURTHER INFORMATION
What Gabapentin
The active substance is gabapentin. Each tablet contains 600 mg or 800 mg gabapentin.

Other ingredients (excipients) in Gabapentin tablets are:
Tablet core: macrogol 4000; pregelatinised maize starch; colloidal anhydrous silica; magnesium stearate;
Film-coat: poly (vinyl) alcohol; titanium dioxide (E171); talc; soy lecithin; xanthan gum.
Gabapentin looks like and contents of the pack
film-coated tablets
Gabapentin 600 mg film-coated tablets
White, film-coated tablets with kapsuloobrazni specific embossed logo (600) on one side.

Gabapentin 800 mg film-coated tablets
White, kapsuloobrazni tablets.

Cartons with PVC / aluminum blisters containing:
20 tablets.
50 tablets.
100 tablets.
200 tablets.
Not all pack sizes may be marketed.
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