TOBANEKS. 50 mg. 30 tablets

TOBANEKS. 50 mg. 30 tablets
€ 49.00
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Tobaneks belongs to a group of medicines called "anti-epileptic drugs." Is used:
• alone to treat seizures in adults and children over 6 years
• together with other medicines to treat seizures in adults and children over 2 years
• for the prophylaxis of migraine headaches in adults.

TOBANEKS. 50 mg. 30 tablets

 
 
TOBANEKS WHAT IS AND WHAT IT IS USED FOR ?

Tobaneks belongs to a group of medicines called " anti-epileptic drugs." Is used :
• alone to treat seizures in adults and children over 6 years
• together with other medicines to treat seizures in adults and children over 2 years
• for the prophylaxis of migraine headaches in adults.

2 . BEFORE YOU TAKE TOBANEKS
Do not take Tobaneks
• if you are allergic (hypersensitive) to topiramate or any of the other ingredients of Tobaneks (listed in section 6).
• prophylaxis of migraine if you are pregnant or might get pregnant but are not using effective contraception (see section "Pregnancy and lactation " for additional information).
If you are not sure if the above applies to you , consult your doctor or pharmacist before taking Tobaneks .

Take special care with Tobaneks
Ask your doctor or pharmacist before taking Tobaneks if:
• have kidney problems , especially kidney stones or if you are on kidney dialysis ;
• have a history of abnormalities of the blood and body fluids ( metabolic acidosis) ;
• have liver problems ;
• have eye problems , especially glaucoma ;
• have a problem with growth;
• you have a diet high in fat ( ketogenic diet ) .
If you are not sure if any of these apply to you, ask your doctor or pharmacist before taking Tobaneks .
It is important not to stop taking your medication without first consulting your doctor.
You should also consult your doctor before taking medicine containing topiramate, which is given to you as an alternative to Tobaneks .
Your weight may be reduced if you take Tobaneks and therefore should be measured regularly in the use of this medicine. If you lose too much weight or a child taking a medicine is not gaining enough weight , you should consult your doctor.
Small number of people being treated with antiepileptics such as topiramate have had thoughts of harming or killing themselves . If occur, 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 , vitamins, and herbal medicines . Tobaneks and certain other medicines can interact. Sometimes you need a dose adjustment of any other medicines you are taking or that of Tobaneks .

In particular, tell your doctor or pharmacist if :
• other drugs that affect or diminish your thoughts process , the concentration or muscle coordination (e.g. depressants of the central nervous system such as skeletal muscle relaxants and emollient ) ;
• birth control pills . Tobaneks may reduce the effectiveness of the pill.
Tell your doctor if your menstrual bleeding changes during the use of contraceptives and Tobaneks .
Keep a list of all medications you are taking . Show it to your doctor and pharmacist before taking any new drug .
Other drugs that you should discuss with your doctor or pharmacist include other antiepileptic drugs , risperidone , lithium, hydrochlorothiazide , metformin , pioglitazone , glyburide , amitriptyline , propranolol , diltiazem, venlafaxine flunarazin .
If you are not sure if any of these apply to you, ask your doctor or pharmacist before taking Tobaneks .
Taking Tobaneks with food and drink
You can take Tobaneks with or without food. Take plenty of fluids during the day to prevent the formation of kidney stones during the use of Tobaneks . You should avoid alcohol while taking Tobaneks .

Pregnancy and lactation
Ask your doctor before taking Tobaneks if you are pregnant, attempting to become pregnant or breast-feeding . Your doctor will decide whether you can take Tobaneks . As with other antiepileptic drugs , there is a risk of harm to the fetus in the case of use of Tobaneks during pregnancy . Familiarize yourself with the risks and benefits of using Tobaneks epilepsy during pregnancy .
Do not take Tobaneks for the prevention of migraine if you are pregnant or could become pregnant and are not using effective contraception.
Mothers who breast-feed while taking Tobaneks should inform your doctor as soon as possible if the baby appears unusual.
Ask your doctor or pharmacist before taking any medicine .

Driving and using machines
During treatment with Tobaneks may appear dizziness , fatigue and vision problems . Do not drive or use any tools or machines without first checking with your doctor.

Important information about some of the ingredients of Tobaneks
The composition of Tobaneks tablets as excipients contained mannitol and sodium starch glycolate type A, which may be dangerous for patients hyponatraemic diet.

3 . HOW TO TAKE TOBANEKS ?
Always take Tobaneks , just as you have been told by your doctor. If you are not sure, ask your doctor.
• Take Tobaneks exactly as it was prescribed. Usually your doctor will start you on a low dose and gradually Tobaneks will increase until it reaches the optimal dose for you.
• Tobaneks tablets are swallowed whole. Avoid chewing the tablets because it leaves a bitter taste in the mouth.
• Tobaneks may be administered before , during or after meals . Take plenty of fluids during the day to prevent the formation of kidney stones during the use of Tobaneks .

If you take more dose Tobaneks
• Immediately see a doctor . Bring with you the medicine pack .
• You may feel sleepy or tired or your movements become abnormal, be problems with standing, and walking to
feel dizzy due to low blood pressure or get arrhythmias or seizures.
You can overdose if you take other medicines together with Tobaneks .
If you forget to take Tobaneks
• If you forget to take a dose , do it as soon as you remember. If, however, already almost time for your next dose , skip it, and carry on as usual . If you forget to take two or more doses , contact your doctor.
• Do not take a double dose ( two doses at the same time ) to make up the missed dose.

If you stop taking Tobaneks
Do not stop taking your medicine unless advised by your doctor. Your symptoms may return . If your doctor decides to stop treatment with Tobaneks your dose can be reduced gradually over several days.
If you have any further questions on the use of this product, ask your doctor or pharmacist.

4 . POSSIBLE SIDE EFFECTS
Like all medicines, Tobaneks can cause side effects, although not everybody gets them .
The frequency of possible adverse reactions listed below is defined using the following convention:
very common ( affects more than 1 patient in 10 )
common ( affects 1 to 10 users in 100)
uncommon ( affects 1 to 10 users in 1,000 )
rare ( affects 1 to 10 users in 10,000 )
very rare ( affects less than 1 in 10,000 patients)
known ( from the available data can not be estimated )

Very common side effects include:
- Weight loss
- Numbness in hands and feet
- drowsiness
- Dizziness
- diarrhea
- Nausea
- Stuffy nose , runny nose and sore throat
- tiredness
- Depression.

Common side effects include :
• changes in mood or behavior , including anger, sadness
• weight gain
• decreased appetite or loss of appetite
• reduced number of red blood cells
• changes in thinking and alertness , including confusion , problems with concentration, memory or slow thinking
• difficulty speaking
• clumsiness or difficulty walking
• involuntary shaking of the hands, fingers or toes
• weakened senses of touch or touch
• involuntary eye movement
• impaired sense of taste
• impaired vision, blurred vision , double vision
• tinnitus
• earache
• difficulty in breathing
• bleeding from the nose
• vomiting
• constipation
• stomach pain
• indigestion
• dry mouth
• tingling or numbness of the mouth
• kidney stones
• frequent urination
• painful urination
• hair loss
• skin rash and / or itchy skin
• joint pain
• muscle spasms, convulsions, muscle or muscle weakness
• pain chest
• fever
• tiredness
• malaise
• allergic reaction.

Uncommon side effects include:
• crystals in urine
• abnormal blood count , including a decreased number of white blood cells or trombozitite or increased numbers of eosinophils
• irregular or slow heartbeat
• swollen glands in the neck, armpit or groin
• rapid attacks
• problems with verbal communication
• increased salivation
• restlessness or increased mental and physical activity
• loss of consciousness
• seizures
• delayed or weakened movements
• poor or disturbed sleep
• impaired or altered sense of smell
• problems Inking
• sense of movement under the skin
• eye problems including dry eyes , sensitivity to light , involuntary twitching , tearing and low vision
weakening or loss of hearing Hoarseness inflammation of the pancreas gases
• heartburn
• loss of sensitivity to touch in the mouth bleeding gums
• feeling of overflow or bloating pain or burning sensation in the mouth odor breath
• leakage of urine and / or faeces urgent need to urinate
• pain in the kidneys and / or bladder as a result of kidney stones
• decreased sweating or no sweating
• discoloration of the skin
• localized swelling of the skin
• swelling of the face
• swelling of the joints
• stiffness of the musculoskeletal system increased levels of acid in the blood low blood potassium increased appetite
• increased thirst and drinking abnormal amounts of fluid
• low blood pressure or a fall in blood pressure when rising from a sitting / lying
• position
• hot flushes
• flu-like illness
• coldness of the extremities ( eg hands and face ) learning problems
• sexual function disorders (erectile dysfunction, loss of libido ) hallucinations
• reduced verbal communication.

Rare side effects include:
• increased sensitivity of the skin
• impaired sense of smell
• glaucoma , which is a build up of fluid in the eye , leading to increased intraocular pressure , pain and decreased vision
• renal tubular acidosis
• severe skin reactions, including Stevens -Johnson syndrome ( a life-threatening skin condition , in which the top layer of skin is removed from the bottom ) and erythema multiforme (state of swollen red spots that may become blisters )
• smell
• swelling of the tissues around the eyes
• Raynaud's syndrome (a disorder that affects the blood vessels in the fingers, toes, ears and causing pain and chills )
• calcium deposits in tissues ( calcinosis ) .
Side effects with unknown frequency:
• maculopathy is a disease of the macula - a small point on the retina where vision is most acute. You should consult with your doctor if you notice a change or reduction in your vision
• swelling of the conjunctiva of the eye
• toxic epidermal necrolysis , which is a more severe form of the syndrome, Stevens- Johnson syndrome (see uncommon ) .
If any of the side effects gets serious , or you notice other effects not listed in this leaflet , please tell your doctor or pharmacist.

5 . HOW TO STORE TOBANEKS

Keep out of reach of children.
Tobaneks not use after the expiry date stated on the carton . The expiry date refers to the last day of that month.

6 . ADDITIONAL INFORMATION
What does Tobaneks ?
• The active substance is topiramate
• Excipients: microcrystalline cellulose, mannitol , sodium starch glycolate type A, pregelatinized starch , crospovidone , povidone, magnesium stearate , carnauba wax, Opadry II White OY-LS- 28908 ( 15sR hypromellose (E464 ), hypromellose RA (E464 ), hypromellose 50sR (E464 ), lactose monohydrate, titanium dioxide ( E171), macrogol / PEG 4000) Opadry yellow 02N2229 ( 5sR hypromellose ( E464) , titanium dioxide (E171) , talc, propylene glycol , quinoline yellow, lactose monohydrate (E171) , macrogol / PEG 4000) Opadry Orange 02N23314 ( 5sR hypromellose ( E464) , titanium dioxide (E171 ), propylene glycol , sunset yellow (E110) )

Tobaneks looks like and contents of the pack ?
In each carton Tobaneks 25 mg, 50 mg or 100 mg film-coated tablets containing 3 blisters .
 
 
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