Epimate 100mg Tablet

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Chong Zhan Pong
Written byDr. Chong Zhan PongDoctor of Medicine (MD), International Medical University (IMU)

Overview

Epimate 100mg Tablet is a prescription-only medicine (POM) that contains Topiramate 100mg. It is supplied as a tablet and is dispensed in Malaysia only against a valid prescription issued by a registered doctor.

Under Malaysian rules for prescription medicines, this page carries product, safety and handling information only. Your doctor or pharmacist will explain whether this medicine is suitable for you, the dose you should take, and how long you should take it.

On DoctorOnCall, Epimate 100mg Tablet is reviewed by a licensed doctor through an online consultation and dispensed by a registered pharmacist before delivery. Always follow the instructions on your prescription label and the package insert supplied with the product, and do not share this medicine with anyone else.

Directions for Use

Take Epimate 100mg Tablet with or without food, drinking plenty of water throughout the day to reduce the risk of kidney stones. Swallow the tablet whole with water – it has a bitter taste if chewed or crushed. Do not stop taking this medicine suddenly, as this can trigger seizures or a return of migraines.

Dosage

Epimate 100mg Tablet is usually started at a low dose and increased gradually over several weeks to reduce side effects, up to the dose your doctor determines is effective for your condition (seizures or migraine prevention). Your doctor will individualise your titration schedule.

Side Effects

  • Tingling sensation in arms or legs
  • Drowsiness or fatigue
  • Difficulty concentrating
  • Loss of appetite or weight loss
  • Taste changes
  • Dizziness or coordination issues
  • Mood changes or irritability

Contraindications

  • Known hypersensitivity to topiramate or any ingredient in this product
  • Metabolic acidosis
  • Use for migraine prevention during pregnancy, due to the risk of birth defects

Drug / Food Interactions

  • Hormonal contraceptives may be less effective when combined with topiramate – discuss additional contraceptive precautions with your doctor
  • Other carbonic anhydrase inhibitors (e.g. acetazolamide) combined with topiramate increase the risk of kidney stones and metabolic acidosis
  • Alcohol and other sedating medicines can increase drowsiness and impaired concentration
  • Other antiepileptic medicines (e.g. phenytoin, carbamazepine) can alter topiramate levels and vice versa

Quick Tips

  • Drink plenty of water throughout the day to help reduce the risk of kidney stones
  • Report any severe eye pain or sudden vision changes to a doctor immediately
  • Do not stop this medicine abruptly – your doctor will guide any dose changes
  • Tell your doctor if you notice new difficulty concentrating, word-finding problems, or mood changes

Ingredients / Active Ingredients

  • Topiramate 100mg

Safety Advice

Pregnancy

No Data

There is no adequate data on use during pregnancy. Consult a doctor before use.

Breastfeeding

Not Advisable

Generally not recommended while breastfeeding.

Kidney

Safe If Prescribed

Use only if prescribed, with possible monitoring of kidney function.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Not Advisable

It is not advisable to drive if you experience side effects from this medicine.

Frequently Asked Questions

Product Specifications

BrandTorrent Pharma
ClassificationPrescription medicine
Ingredients / Active IngredientsTopiramate
Pack Size100s, 10s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
Storage InstructionsStore below 30°C in a dry place, away from direct sunlight and out of reach of children.

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