{"id":25269,"date":"2022-09-13T07:06:48","date_gmt":"2022-09-13T07:06:48","guid":{"rendered":"https:\/\/zeepedia.com\/?p=25269"},"modified":"2022-09-14T07:23:39","modified_gmt":"2022-09-14T07:23:39","slug":"topiramate-ratiopharm","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/topiramate-ratiopharm\/","title":{"rendered":"Topiramate ratiopharm &#8211; Topiramate uses, dose and side effects"},"content":{"rendered":"\n<p>25 mg, 50 mg, 100 mg and 200 mg&nbsp;film-coated tablets.<br>topiramate<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Topiramate Ratiopharm is and what it is used for<\/h2>\n\n\n\n<p>Topiramate Ratiopharm belongs to a group of medicines called antiepileptic medicines.\u00a0It is used:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>alone for the treatment of epileptic seizures in adults and children over 6 years of age<\/li><li>together with other medicines for the treatment of epileptic seizures in adults and children from 2 years of age<\/li><li>to prevent migraine headaches in adults<\/li><\/ul>\n\n\n\n<p>The topiramate contained in Topiramat Ratiopharm may also be approved to treat other diseases not mentioned in this product information.\u00a0Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you take Topiramate Ratiopharm<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Topiramate Ratiopharm:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to topiramate or any of the other ingredients of this medicine (listed in section 6).<\/li><li>Migraine prevention: if you are pregnant, or if you are a woman of\u00a0childbearing\u00a0age unless you are using an effective contraceptive method (see section &#8220;Pregnancy and breast-feeding&#8221; for further information).\u00a0Talk to your doctor about the best method of contraception to use while you are taking Topiramate Ratiopharm.<\/li><\/ul>\n\n\n\n<p>If you are not sure if the above applies to you, talk to your doctor or pharmacist before using Topiramate Ratiopharm.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Topiramate Ratiopharm if you:<\/p>\n\n\n\n<p>have kidney problems, especially\u00a0kidney stones, or receive kidney dialysis<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>have had abnormalities in blood or body fluids (metabolic\u00a0acidosis\u00a0)<\/li><li>have liver problems<\/li><li>have eye problems, especially\u00a0glaucoma<\/li><li>have growth problems<\/li><li>is on a high-fat diet (ketogenic diet)<\/li><li>are taking Topiramate Ratiopharm to treat\u00a0epilepsy\u00a0and you are pregnant or a woman of\u00a0childbearing potential\u00a0(see section &#8216;Pregnancy and breast-feeding for further information).<\/li><\/ul>\n\n\n\n<p>If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before using Topiramate Ratiopharm.<\/p>\n\n\n\n<p>You mustn&#8217;t stop taking your medication without first consulting your doctor.<\/p>\n\n\n\n<p>You should also talk to your doctor before taking any medicine containing topiramate, which is given to you as an alternative to Topiramate Ratiopharm.<\/p>\n\n\n\n<p>You may lose weight if you use Topiramate Ratiopharm, so your weight should be checked regularly while using this medicine.\u00a0If you lose too much weight or if a child using this medicine does not gain enough weight, consult your doctor.<\/p>\n\n\n\n<p>A small number of people who have been treated with medicines for\u00a0epilepsy, such as Topiramate Ratiopharm, have also had thoughts of harming themselves or committing suicide.\u00a0If you ever have these thoughts, contact your doctor immediately.<\/p>\n\n\n\n<p><br><br>Topiramate Ratiopharm can cause serious skin reactions.\u00a0Tell your doctor immediately if you get a rash and\/or blisters (see also section 4 \u201cPossible side effects\u201d).<\/p>\n\n\n\n<p>Topiramate Ratiopharm can rarely cause high levels of ammonia in the blood (detected in blood tests).\u00a0This can lead to altered brain function, especially if you are also taking a medicine called\u00a0valproic acid\u00a0or sodium valproate.\u00a0As this can be a serious condition, tell your doctor immediately if you experience the following symptoms (see also section 4 \u201cPossible side effects\u201d):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>have difficulty thinking, remembering information, or solving problems<\/li><li>is less alert or attentive<\/li><li>feeling very sleepy with low energy<\/li><\/ul>\n\n\n\n<p>With a higher\u00a0dose\u00a0of Topiramate Ratiopharm, the risk of developing these symptoms may increase.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Topiramate Ratiopharm<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.\u00a0Topiramate Ratiopharm and some other medicines can affect each other.\u00a0Sometimes the\u00a0dose\u00a0of one of your medicines or Topiramate Ratiopharm needs to be adjusted.<\/p>\n\n\n\n<p>You must especially inform the doctor or pharmacist if you are taking:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>other drugs that cause impaired or impaired thinking ability, concentration, or muscle coordination (e.g. drugs with a depressing effect on the\u00a0central nervous system\u00a0such as muscle relaxants and sedatives)<\/li><li>birth control pills.\u00a0Topiramate Ratiopharm can make your\u00a0birth control pills\u00a0less effective.\u00a0Talk to your doctor about the best method of contraception to use while you are taking Topiramate Ratiopharm.<\/li><\/ul>\n\n\n\n<p>Tell your doctor if your menstrual bleeding changes while you are taking\u00a0birth control pills\u00a0and Topiramate Ratiopharm.<\/p>\n\n\n\n<p>For a list of all the medicines, you are taking.\u00a0Show this list to your doctor and pharmacist before starting a new medicine.<\/p>\n\n\n\n<p>Other medicines that you should discuss with your doctor or pharmacist include other medicines for\u00a0epilepsy,\u00a0risperidone, lithium,\u00a0hydrochlorothiazide,\u00a0metformin, pioglitazone, glibenclamide, amitriptyline, propranolol,\u00a0diltiazem,\u00a0venlafaxine, flunarizine,\u00a0St. John&#8217;s wort (\u00a0Hypericum perforatum\u00a0) (a (traditional) herbal medicines used to treat depression), blood thinner\u00a0warfarin.<\/p>\n\n\n\n<p>If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before using Topiramate Ratiopharm.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Topiramate Ratiopharm with food, drink, and alcohol<\/h2>\n\n\n\n<p>You can take Topiramate Ratiopharm with or without food.\u00a0Drink plenty of fluids during the day to prevent\u00a0kidney stones\u00a0when you take Topiramate Ratiopharm.\u00a0You should avoid drinking alcohol while taking Topiramate Ratiopharm.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p><strong>Pregnancy<\/strong><\/p>\n\n\n\n<p><em>Migraine Prevention:<\/em><\/p>\n\n\n\n<p>Topiramate Ratiopharm can harm an unborn baby.\u00a0You must not use Topiramate Ratiopharm if you are pregnant.\u00a0You must not use Topiramate Ratiopharm preventively against\u00a0migraine\u00a0if you are a woman of\u00a0childbearing\u00a0age unless you use an effective contraceptive method.\u00a0Talk to your doctor about which method of contraception is best and whether Topiramate Ratiopharm is suitable for you.\u00a0A pregnancy test must be done before starting treatment with Topiramate Ratiopharm.<\/p>\n\n\n\n<p><em>Treatment of epilepsy:<\/em><\/p>\n\n\n\n<p>If you are a woman of\u00a0childbearing\u00a0age, you should talk to your doctor about other treatment options instead of Topiramate Ratiopharm.\u00a0If the decision is to use Topiramate Ratiopharm, you must use an effective method of contraception.\u00a0Talk to your doctor about the best method of contraception while taking Topiramate Ratiopharm.\u00a0A pregnancy test must be done before starting treatment with Topiramate Ratiopharm.\u00a0As with other medicines against\u00a0epilepsy, there is a risk of harm to the unborn child if Topiramate Ratiopharm is used during pregnancy.\u00a0Make sure you fully understand the risks and benefits of using Topiramate Ratiopharm for\u00a0epilepsy\u00a0during pregnancy.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you take Topiramate Ratiopharm during pregnancy, the baby runs a higher risk of congenital malformations, especially cleft lip and\u00a0palate.\u00a0Newborn boys can also have a misshapen penis (hypospadias).\u00a0These malformations can develop early in pregnancy, even before you know you are pregnant.<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>If you take Topiramate Ratiopharm during pregnancy, your baby may be smaller than expected at birth.\u00a0Talk to your doctor if you have any questions about this risk during pregnancy.<\/li><li>For your condition, there may be other drug treatments that have a lower risk of malformations.<\/li><li>Tell your doctor immediately if you become pregnant while taking Topiramate Ratiopharm.\u00a0You and the doctor decide whether you should continue to take Topiramate Ratiopharm during pregnancy.<\/li><\/ul>\n\n\n\n<p><strong>Breast-feeding<\/strong><\/p>\n\n\n\n<p>The active substance in Topiramate Ratiopharm (topiramate) is excreted in human breast milk.\u00a0Effects in breastfed infants of treated mothers have been observed and include diarrhea, drowsiness, irritability, and poor weight gain.\u00a0Therefore, your doctor will discuss with you whether you should refrain from breastfeeding or refrain from treatment with Topiramate Ratiopharm.\u00a0The doctor will take into account the importance of the medicine for the mother and the risk to the child.\u00a0Mothers who are breastfeeding while taking Topiramate Ratiopharm must inform the doctor as soon as possible if the baby experiences anything unusual.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<p>Dizziness, fatigue, and vision problems may occur during treatment with Topiramate Ratiopharm.\u00a0Do not drive or use any tools or machinery without first talking to your doctor.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0A description of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0Discuss with your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Topiramate contains lactose and sodium<\/h2>\n\n\n\n<p><strong>Topiramate Ratiopharm contains\u00a0lactose<\/strong><\/p>\n\n\n\n<p>If you have an intolerance to some sugars, you should consult your doctor before taking this medicine.<\/p>\n\n\n\n<p><strong>Topiramate Ratiopharm contains\u00a0sodium<\/strong><\/p>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)&nbsp;of sodium&nbsp;per film-coated tablet, i.e. it is almost &#8216;sodium-free&#8217;.<br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Topiramate Ratiopharm<\/h2>\n\n\n\n<p>Always take this medicine as directed by your doctor or pharmacist.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Your doctor will usually let you start with a low\u00a0dose\u00a0of Topiramate Ratiopharm and slowly increase the\u00a0dose\u00a0until you have found the best\u00a0dose\u00a0for you.<\/li><li>Topiramate Ratiopharm tablets should be swallowed whole.\u00a0Avoid chewing the tablets, as they may leave a bitter taste.<\/li><li>Topiramate Ratiopharm can be taken before, during, or after a meal.\u00a0Drink plenty of fluids during the day to prevent\u00a0kidney stones\u00a0from forming when you take Topiramate Ratiopharm.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you have taken too much Topiramate Ratiopharm<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>See a doctor immediately.\u00a0Take the medicine package with you.<\/li><li>You may feel sleepy, tired, or less alert, lack coordination, have difficulty speaking and concentrating, have double or blurred vision, feel dizzy due to low\u00a0blood pressure, feel depressed or agitated, or have stomach pains or seizures.<\/li><\/ul>\n\n\n\n<p>Overdose can occur if you take other medicines together with Topiramate Ratiopharm.<\/p>\n\n\n\n<p>If you have ingested too much medicine or if, for example,\u00a0a child has ingested the medicine by mistake, contact a doctor or hospital for an assessment of the risk and advice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Topiramate Ratiopharm<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>If you forget to take a\u00a0dose, take it as soon as you remember.\u00a0If it is almost time for the next\u00a0dose, skip the missed\u00a0dose\u00a0and continue as usual.\u00a0If you miss two or more\u00a0doses, contact your doctor.<\/li><li>Do not take a double\u00a0dose\u00a0(two\u00a0doses\u00a0at the same time) to make up for a missed\u00a0dose.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Topiramate Ratiopharm<\/h2>\n\n\n\n<p>Do not stop taking this medicine unless your doctor tells you to.&nbsp;Your symptoms may return.&nbsp;If your doctor decides to stop treatment with this medicine, the&nbsp;dose&nbsp;can be gradually reduced over a few days.<\/p>\n\n\n\n<p>If you have further questions about this medicine, contact your doctor or pharmacist.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Tell your doctor or see a doctor immediately if you experience the following side effects:<\/strong><\/p>\n\n\n\n<p><strong>Very common (may affect more than 1 in 10 users):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Depression (new or worsening)<\/li><\/ul>\n\n\n\n<p><strong>Common (may affect up to 1 in 10 users):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Seizures<\/li><li>Anxiety, irritability, mood changes, confusion, disorientation<\/li><li>Difficulty concentrating, impaired thinking, memory loss, memory problems (new, sudden change, or increased severity)<\/li><li>Kidney stones, frequent or painful urination<\/li><\/ul>\n\n\n\n<p><strong>Uncommon (may affect up to 1 in 100 users):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Increased acidity of the blood (may cause troubled breathing including shortness of breath, loss of appetite, nausea, vomiting, excessive tiredness, and fast or irregular heartbeat)<\/li><li>Decreased or lost ability to sweat (especially in young children exposed to high temperatures)<\/li><li>Have thoughts of serious self-harm, attempt to cause serious self-harm<\/li><li>Loss of part of the field of\u00a0vision\u00a0et<\/li><\/ul>\n\n\n\n<p><strong>Rare (may affect up to 1 in 1,000 users):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Glaucoma\u00a0is a blockage of fluid in the eye and causes increased pressure in the eye, pain, or reduced vision<\/li><li>Having difficulty thinking, remembering information, or solving problems, being less alert or attentive, and feeling very sleepy with low energy \u2013 these symptoms may be a sign of high levels of ammonia in the blood (hyperammonemia) which can lead to altered brain function (hyperammonemia\u00a0encephalopathy\u00a0).<\/li><li>Serious skin reactions such as\u00a0Stevens-Johnson syndrome\u00a0or\u00a0toxic epidermal necrolysis\u00a0which may appear as a rash with or without blisters.\u00a0Skin irritation, sores, or swelling in the mouth, throat, nose, eyes, and around the genitals.\u00a0The skin rash can develop into serious widespread skin damage (skin detachment of the outer skin layers and superficial mucous membranes) with life-threatening consequences.<\/li><\/ul>\n\n\n\n<p><strong>Has been reported (occurring in an unknown number of users):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/eye-inflammation-in-children\/\">Eye inflammation<\/a> (\u00a0uveitis\u00a0) with symptoms such as\u00a0redness\u00a0in the eye, pain, sensitivity to light, watery eyes, small dots in the\u00a0field\u00a0of vision, or blurred vision.<\/li><\/ul>\n\n\n\n<p><strong>Other&nbsp;side effects&nbsp;include the following.&nbsp;If they get worse, contact your doctor or pharmacist:<\/strong><\/p>\n\n\n\n<p><strong>Very common (may affect more than 1 in 10 users):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Stuffy, runny nose, or <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/sore-throat\/\">sore throat<\/a><\/li><li>Tingling, pain, and\/or numbness in various body parts<\/li><li>Drowsiness, fatigue<\/li><li>Dizziness<\/li><li>Nausea, diarrhea<\/li><li>Weight loss<\/li><\/ul>\n\n\n\n<p><strong>Common (may affect up to 1 in 10 users):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Anemia\u00a0(low blood count)<\/li><li>Allergic reactions (such as skin rash,\u00a0redness,\u00a0itching, facial swelling, hives)<\/li><li>Loss of appetite decreased appetite<\/li><li>Aggression, excitement, anger, abnormal behavior<\/li><li>Difficulty falling asleep or staying asleep<\/li><li>Problems with speech or speech difficulties, slurred speech<\/li><li>Clumsiness or lack of coordination, feeling unsteady walking<\/li><li>Decreased ability to complete routine tasks<\/li><li>Decreased, loss of, or nonexistent sense of taste<\/li><li>Involuntary tremors or shaking, rapid uncontrolled eye movements<\/li><li>Visual disturbances such as <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/distinction-and-double-vision-in-adults\/\">double vision<\/a>, blurred vision, reduced\u00a0visual acuity, difficulty focusing<\/li><li>Feeling of dizziness (\u00a0vertigo\u00a0), ringing in the ears, pain in the ears<\/li><li>Respiratory distress<\/li><li>Cough<\/li><li>Nosebleed<\/li><li>Fever, feeling unwell, weakness<\/li><li>Vomiting, constipation, abdominal pain or discomfort, indigestion, stomach or intestinal infection<\/li><li>Dry mouth<\/li><li>Hair loss<\/li><li>Itching<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/joint-pain\/\">Joint pain<\/a> or swelling, muscle cramps or twitching, muscle pain or weakness, chest pain<\/li><li>Weight gain<\/li><\/ul>\n\n\n\n<p><strong>Uncommon (may affect up to 1 in 100 users):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Decreased number of\u00a0platelets\u00a0(\u00a0blood cells\u00a0that help stop bleeding), decreased number of\u00a0white blood cells\u00a0that help protect you against\u00a0infection, decreased level of\u00a0potassium\u00a0in the blood<\/li><li>Increased level of liver enzymes, increased number of\u00a0eosinophils\u00a0(a type of\u00a0white blood cell\u00a0) in the blood<\/li><li>Swollen\u00a0glands\u00a0in the neck, armpit, or groin<\/li><li>Increased appetite<\/li><li>Elevated mood<\/li><li>Hearing, seeing, or feeling things that are not there, severe mental disorder (\u00a0psychosis\u00a0)<\/li><li>Not showing and\/or feeling emotions, unusual suspiciousness, panic attack<\/li><li>Reading, speaking, and writing difficulties<\/li><li>Restlessness, overactivity<\/li><li>Difficulty thinking reduced alertness or attention<\/li><li>Reduced or slow body movements, involuntary abnormal or repetitive muscle movements<\/li><li>Fainting<\/li><li>Abnormal or reduced sensation<\/li><li>Impaired, distorted, or no sense of smell<\/li><li>Unusual feeling or sensation that may precede a\u00a0migraine\u00a0or a certain type of attack<\/li><li>Dry eyes, light sensitivity, involuntary eyelid twitching, watery eyes<\/li><li>Impaired or lost hearing, loss of hearing in one ear<\/li><li>Slow or irregular heartbeat, feeling like your heart is pounding in your chest<\/li><li>Low\u00a0blood pressure\u00a0when standing (so some people taking Topimarat Ratiopharm may feel weak, dizzy, or may faint when standing up or suddenly sitting up)<\/li><li>Redness, feeling of warmth<\/li><li>Pancreatitis\u00a0(\u00a0inflammation\u00a0of the pancreas)<\/li><li>Gas, heartburn, fullness or bloating,<\/li><li>Bleeding gums, increased salivation, drooling, bad breath<\/li><li>Intake of abnormally large amounts of fluid, increased thirst<\/li><li>Discolored skin<\/li><li>Muscle stiffness, pain in the side<\/li><li>Blood in the urine,\u00a0incontinence\u00a0(lack of control) of urine, urge to urinate, pain in the side or kidney pain<\/li><li>Difficulty getting or keeping\u00a0an erection, sexual\u00a0dysfunction<\/li><li>Flu-like symptoms<\/li><li>Cold fingers and toes<\/li><li>Feeling of intoxication<\/li><li>Learning problems<\/li><\/ul>\n\n\n\n<p><strong>Rare (may affect up to 1 in 1,000 users):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Abnormally elevated mood<\/li><li>Unconsciousness<\/li><li>Blindness in one eye, temporary blindness,\u00a0night blindness<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/visual-impairment\/\">Visual impairment<\/a><\/li><li>Swelling in and around the eyes<\/li><li>Numbness, tingling, and discoloration (white, blue, then red) in fingers and toes when exposed to cold<\/li><li>Liver inflammation, liver failure<\/li><li>The abnormal smell on the skin<\/li><li>Discomfort in arms or legs<\/li><li>Kidney disease<\/li><\/ul>\n\n\n\n<p><strong>Has been reported (occurring in an unknown number of users):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Maculopathy\u00a0is a disease of the\u00a0macula, the small spot on the retina where vision is sharpest.\u00a0You should see a doctor if you notice a change or deterioration in your vision.<\/li><\/ul>\n\n\n\n<p><strong>Children<\/strong><\/p>\n\n\n\n<p>Side effects&nbsp;in children are generally similar to those seen in adults, but the following&nbsp;side effects&nbsp;may be more common in children than in adults:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Concentration problems<\/li><li>Increased acidity in the blood<\/li><li>Have thoughts of serious self-harm<\/li><li>Fatigue<\/li><li>Decreased or increased appetite<\/li><li>Aggression, abnormal behavior<\/li><li>Difficulty falling asleep or staying asleep<\/li><li>The feeling of unsteady gait<\/li><li>The feeling of not feeling well<\/li><li>Decreased\u00a0potassium\u00a0in the blood<\/li><li>Not showing and\/or feeling emotions<\/li><li>Watery eyes<\/li><li>Slow or irregular heartbeats<\/li><\/ul>\n\n\n\n<p>Other&nbsp;side effects&nbsp;that may occur in children are:<\/p>\n\n\n\n<p><strong>Common (may affect up to 1 in 10 users)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Dizziness<\/li><li>Vomiting<\/li><li>Fever<\/li><\/ul>\n\n\n\n<p><strong>Uncommon (may affect up to 1 in 100 users)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Increased number of&nbsp;eosinophils&nbsp;(a type of&nbsp;white blood cell&nbsp;) in the blood<\/li><li>Overactivity<\/li><li>Feeling of warmth<\/li><li>Learning problems<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Topiramate Ratiopharm<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Use before the expiry date stated on the label and carton after Ex. Date.\u00a0The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Can:<br>Close the can well.&nbsp;Moisture sensitive.<\/p>\n\n\n\n<p>Blister packaging:<br>Store at a maximum of 30 \u00baC.&nbsp;Store in the original packaging.&nbsp;Moisture sensitive.<\/p>\n\n\n\n<p>Medicines must not be thrown into the drain or among the household waste.\u00a0Ask the pharmacist how to dispose of medicines that are no longer used.\u00a0These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Contents declaration<\/h2>\n\n\n\n<p>The active substance is topiramate.\u00a0One tablet contains 25, 50, 100, or 200 mg of topiramate.<\/p>\n\n\n\n<p>Other ingredients in the tablet core are\u00a0lactose monohydrate, pregelatinized\u00a0starch\u00a0(maize), microcrystalline cellulose with silicon dioxide, microcrystalline cellulose, sodium starch glycolate (type a), and magnesium stearate.<\/p>\n\n\n\n<p>Other ingredients in the tablet&#8217;s film coating are:<\/p>\n\n\n\n<p><em>Topiramate Ratiopharm<\/em> 25 mg film-coated tablets<br>Vit Opadry II contains hypromellose, polydextrose, glycerol triacetate, macrogol 8000, and titanium dioxide (E 171).<\/p>\n\n\n\n<p><em>Topiramate Ratiopharm<\/em> 50 mg film-coated tablets<br>Light yellow Opadry II contains hypromellose, polydextrose, glycerol triacetate, macrogol 8000, titanium dioxide (E 171), and yellow iron oxide (E 172).<\/p>\n\n\n\n<p><em>Topiramate Ratiopharm<\/em> 100 mg film-coated tablets<br>Yellow Opadry II contains hypromellose, polydextrose, glycerol triacetate, macrogol 8000, titanium dioxide (E 171), and yellow iron oxide (E 172).<\/p>\n\n\n\n<p><em>Topiramate Ratiopharm<\/em> 200 mg film-coated tablets<br>Brown Opadry II contains hypromellose, polydextrose, glycerol triacetate, macrogol 8000, titanium dioxide (E 171), yellow iron oxide (E 172), and red iron oxide (E 172).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Appearance and package sizes of the medicine<\/h2>\n\n\n\n<p><em>Topiramate Ratiopharm<\/em> 25 mg film-coated tablets<br>White, round, biconvex, and film-coated tablets with beveled edges<\/p>\n\n\n\n<p><em>Topiramate Ratiopharm<\/em> 50 mg film-coated tablets<br>Light yellow, round, biconvex, and film-coated tablets with beveled edges<\/p>\n\n\n\n<p><em>Topiramate Ratiopharm<\/em> 100 mg film-coated tablets<br>Yellow, round, biconvex, and film-coated tablets with beveled edges<\/p>\n\n\n\n<p><em>Topiramate Ratiopharm 200 mg film-coated tablets<\/em><br>Salmon pink, capsule-shaped, biconvex film-coated tablets<\/p>\n\n\n\n<p>Pack sizes:<br>25 mg: 10, 20, 28, 30, 50, 60, 100, 200 film-coated tablets<br>50 mg: 10, 20, 30, 50, 60, 90, 100, 200 film-coated tablets<br>100 mg: 10, 20, 30 , 50, 60, 90, 100, 200 film-coated tablets<br>200 mg: 10, 20, 30, 50, 60, 100, 200 film-coated tablets<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>ratiopharm GmbH, Ulm, Germany<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Merckle GmbH, Ludwig-Merckle-Strasse 3, D-89143 Baubeuren, Germany<\/p>\n","protected":false},"excerpt":{"rendered":"<p>25 mg, 50 mg, 100 mg and 200 mg\u00a0film-coated tablets.<br \/>\ntopiramate<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,22500],"tags":[26043,26104,26108,26107,26046,26045,26041,26105,26044,26106],"class_list":["post-25269","post","type-post","status-publish","format-standard","hentry","category-medicines","category-t","tag-topiramate","tag-topiramate-ratiopharm","tag-topiramate-ratiopharm-side-effects","tag-topiramate-ratiopharm-tablet","tag-topiramate-side-effects","tag-topiramate-tablet","tag-what-is-topiramate","tag-what-is-topiramate-ratiopharm","tag-what-topiramate-is-used-for","tag-what-topiramate-ratiopharm-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/25269","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=25269"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/25269\/revisions"}],"predecessor-version":[{"id":25302,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/25269\/revisions\/25302"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=25269"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=25269"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=25269"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}