NEUROTOP 200 mg. 50 tablets

WHAT NEUROTOP 200 mg AND WHAT IT IS USED
Carbamazepine has anticonvulsant and antidepressant effects in various relapsing forms. In certain diseases of the nervous system, carbamazepine positively affect the pain or the discomfort. It is used for treating various forms of epilepsy as well as those with dominant mental disorders; mania and manic-depressive disorder, trigeminal neuralgia and glossopharyngeal, painful diabetic neuropathy syndrome, alcohol withdrawal, central diabetes insipidus.

2. BEFORE YOU TAKE NEUROTOP 200 mg
Do not take Neurotop 200 mg in the case of:
hypersensitivity to carbamazepine or chemically related substances (tricyclic antidepressants - medicines to treat depression) or any of the other ingredients of the product;
heart rhythm disorders;
severe liver function;
disorders of bone marrow function.
Take special care with 200 mg of Neurotop
The medicinal product is not effective in absence seizures and myoclonic seizures and can worsen.
Caution and periodic medical examinations are required in patients with cardiovascular disease, impaired hepatic and / or renal function, and glaucoma. Tell your doctor or pharmacist if you suffer from any disease or have allergies, if you take other medicines unless Neurotop 200 mg, including those not prescribed by a doctor, planning to become pregnant, are pregnant or breastfeeding your baby. Neurotop treatment with 200 mg should not start or stop without medical consultation.
During treatment should be periodically monitored blood and liver functions.
If signs or symptoms of adverse reactions (especially skin reactions, fever, sore throat or mouth sores, throat or elsewhere, or jaundice), you should consult your doctor immediately.
During treatment should be avoided consumption of alcohol.
The effect of hormonal contraceptives can be reduced by carbamazepine.
The use of other methods of contraception.
A small number of people being treated with antiepileptics such as carbamazepine have had thoughts of harming or killing themselves. If you have these thoughts, immediately contact your doctor.

Taking other medicines
If you take other medicines unless Neurotop 200 mg, it is necessary to discuss this with your doctor as Neurotop 200 mg may strengthen or weaken the effects of other drugs. Tell your doctor before starting treatment with 200 mg per Neurotop taking other medicines, including those not prescribed by a doctor as Neurotop as 200 mg may reduce the effect of drugs that affect blood clotting (anticoagulants), oral hormonal contraceptives, certain antibiotics (eg. doxycycline) or quinidine (used in cardiac rhythm disorders).
Other drugs may lead to an increase in the concentration of 200 mg Neurotop blood, for example, antibiotics (erythromycin, oleandomycin, isoniazid), some drugs intended for the treatment of cardiovascular diseases (verapamil, diltiazem), dekstropopoksifen (for the treatment of pain) and viloxazine, other antiepileptics (phenytoin, primidone, valproic acid) or cimetidine (in lowering gastric acidity).
The combined use with lithium (used to treat psychiatric disorders) may have a negative effect on the nervous system (restlessness, confusion).
Treatment with carbamazepine may begin at least two weeks after discontinuation of the application of MAO inhibitors (used to treat mental illness).
Effects on laboratory parameters - can be influenced results reflect thyroid function.

Pregnancy and lactation
Ask your doctor or pharmacist before taking any medicine.
Your treating baker will decide whether Neurotop 200 mg may be used during your pregnancy.
Since carbamazepine passes into breast milk, breast-feeding should be discontinued gradually.

Driving and using machines
Attention! Taking this medicine may interfere with the reactivity when working with machines or the ability to drive! Neurotop reduces reactivity. Caution should be exercised when driving or operating machinery.

Important information about some of the ingredients of 200 mg of Neurotop
If your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this product.

3. HOW TO TAKE NEUROTOP 200 mg
Always take Neurotop 200 mg exactly as your doctor tells you. If you're not sure, ask your doctor or pharmacist.
If your doctor has not prescribed another dose, you should follow these instructions:
Epilepsy
Adults and children over 10 years:
Typically, treatment is initiated with a dose of two times 200 mg (1 tablet) daily, followed by a slow increase until the optimum dosage.

Children under 1 year: 100 mg (1/2 tablet) daily.
Children between 1 and 5 years: 200-400 mg (1-2 tablets) per day.
Children between 6 and 10 years: 400-600 mg (2-3 tablets) per day.

Mania and the prevention of manic-depressive (bipolar) disorders
The required dose is between 400 and 1600 mg (2-8 tablets) per day. The most frequently administered 400-600 mg (2-3 tablets), divided into 2-3 doses.
In the treatment of acute mania Your doctor will prescribe a relatively fast increase of the dose, while preventing bipolar disorder increase in dosage should be done slowly.

Trigeminal neuralgia and glossopharyngeal:
Starting with twice 200 mg (1 tablet) daily, then the dose is gradually increased to achieve complete relief of pain (on average by applying 3-4 times 200 mg per day). Then we need to determine the minimum effective dose by gradually reducing the dose. The average daily dose is three times 200 mg (1 tablet).

Diabetic neuropathy, central diabetes insipidus:
The average maintenance dose is three times 200 mg (1 tablet).

Acute alcohol withdrawal syndrome:
Three times 400 mg (2 tablets) per day for 4-5 days, and then three times 200 mg (1 tablet) for several days.

If you suffer from severe renal failure, your doctor will prescribe a lower dose.

Adults and very weak patients:
It is recommended to initiate the therapy at the starting dose of 2 x 100 mg (1/2 tablet).

Route of administration:
The tablets should be taken with sufficient liquid during or after meals. Tablets Neurotop 200 mg can be dissolved in water.

What should you do in case of overdose
Symptoms of acute overdose include vomiting, shaking, agitation, seizures, changes in blood pressure, respiratory depression, in some cases, stopping breathing, changes in consciousness, even coma. It requires immediate medical attention.

If you forget to take 200 mg of Neurotop
When you find that you forgot to take your normal dose please do not take a double dose the next intake, and swallow the usual dose of the drug.

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

4. POSSIBLE SIDE EFFECTS
Like all medicines, tablets Neurotop 200 mg can cause side effects, although not everybody gets them.
At the beginning of the treatment may be a lack of appetite, dry mouth, nausea, diarrhea or constipation. Sometimes they can be seen some of the following side effects: headache, dizziness, drowsiness, fatigue, impaired coordination or vision, paresthesia, partial paresis of the legs, speech disorders. In adults is possible confusion, agitation and very rarely - hallucinations. These side effects mostly disappear between the eighth and fourteenth day of treatment or after a temporary reduction of the dose prescription.
In addition to skin reactions due to sensitization (redness, itching, allergy), in very rare cases can get serious skin reactions, fever, hair loss, allergic pneumonia or meningitis. In rare cases may show abnormal heart rhythm (slow heart rate), hematopoietic activity (pallor, increased fatigue, reduced resistance to infections, increased susceptibility to bleeding) or renal dysfunction (separation of blood or protein in the urine) and they need immediate medical attention.
Rare cases of hepatic dysfunction (jaundice, abdominal pain), increase lymph nodes, blood clots and clinical picture resembling lupus erythematosus (characteristic reddish skin plaque located on the nose and cheeks). At high doses may occur shaking or changes in blood pressure and heart rate.

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 NEUROTOP 200 mg
Do not use after the expiry date stated on the packaging.
Store at temperatures below 25 ° C. Protect from light.
Keep out of reach of children.
Medicines should not be disposed of in 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 Neurotop 200 mg
The active substance is carbamazepine 200 mg.
Other ingredients are: lactose, corn starch, gelatin, sodium starch glycolate, magnesium stearate, talc.

How does Neurotop 200 mg and contents of the pack
The pack contains 50 tablets.