Patient leaflet - Brivaracetam MSN 75 mg film-coated tablets
1. WHAT BRIVARACETAM MSN IS AND WHAT IT IS USED FOR
What Brivaracetam MSN is
This medicine contains the active substance brivaracetam. It belongs to a group of medicines called ‘anti-epileptics’. These medicines are used to treat epilepsy.
What Brivaracetam MSN is used for
- Brivaracetam MSN is used in adults, adolescents and children from 2 years of age.
- It is used to treat a type of epilepsy that has partial seizures with or without a secondary generalisation.
- Partial seizures are fits that start by only affecting one side of the brain. These partial seizures can spread and extend to larger areas on both sides of the brain – this is called a ‘secondary generalisation’.
- You have been given this medicine to lower the number of fits (seizures) you have.
- Brivaracetam MSN is used together with other medicines for epilepsy.
2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE BRIVARACETAM MSN
Do not take Brivaracetam MSN if:
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you are allergic to brivaracetam, other similar chemical compounds as levetiracetam or
piracetam or any of the other ingredients of this medicine (listed in section 6). If you are not sure, talk to your doctor or pharmacist before taking Brivaracetam MSN.
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you have ever developed a severe skin rash or skin peeling, blistering and/or mouth sores
after taking Brivaracetam MSN.
Serious skin reactions including Stevens-Johnson syndrome have been reported in association with Brivaracetam MSN treatment. Stop using Brivaracetam MSN and seek medical attention immediately if you notice any of the symptoms related to these serious skin reactions described in section 4.
Warnings and precautions
Talk to your doctor or pharmacist before taking Brivaracetam MSN if:
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You have thoughts of harming or killing yourself. A small number of people being treated with
anti-epileptic medicines such as brivaracetam MSN have had thoughts of harming or killing themselves. If you have any of these thoughts at any time, contact your doctor immediately.
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You have liver problems - your doctor may need to adjust your dose.
Children
Brivaracetam MSN is not recommended for use in children under 2 years of age.
Other medicines and Brivaracetam MSN
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
In particular, tell your doctor if you are taking any of the following medicines – this is because your doctor may need to adjust your brivaracetam dose:
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Rifampicin - a medicine used to treat bacterial infections.
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St John’s wort (also known as
Hypericum perforatum) - a herbal medicine used to treat depression and anxiety as well as other conditions.
Brivaracetam MSN with alcohol
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Combining this medicine with alcohol is not recommended.
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If you drink alcohol while taking brivaracetam the negative effects of alcohol may be increased.
Pregnancy and breast-feeding
Fertile women should discuss the use of contraceptives with the doctor.
If you are pregnant or breast-feeding, think you may be pregnant or planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
It is not recommended to take brivaracetam MSN if you are pregnant, as the effects of brivaracetam MSN on pregnancy and the unborn baby are not known.
It is not recommended to breast-feed your baby while taking brivaracetam MSN, as brivaracetam MSN passes into breast milk.
Do not stop treatment without talking to your doctor first. Stopping treatment could increase your seizures and harm your baby.
Driving and using machines
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You may feel sleepy, dizzy or tired while taking Brivaracetam MSN.
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These effects are more likely at the start of the treatment or after a dose increase.
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Do not drive, cycle or use any tools or machines until you know how the medicine affects you.
Brivaracetam MSN contains lactose and sodium
Brivaracetam MSN film-coated tablets contain:
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lactose (a type of sugar) - If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.
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sodium – This medicine contains less than 1 mmol sodium (23mg) per tablet, that is to say essentially ‘sodium free’.
3. HOW TO TAKE BRIVARACETAM MSN
Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. Other form(s) of this medicine may be more suitable for certain patients e.g. children (if tablets can not be swallowed in whole, for example); ask your doctor or pharmacist.
You will take brivaracetam MSN together with other medicines for epilepsy.
How much to take
Your doctor will work out the right daily dose for you. Take the daily dose in two equal divided doses, approximately 12 hours apart.
Adolescents and children weighing 50 kg or more, and adults
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The recommended dose is from 25 mg to 100 mg taken twice a day. Your doctor may then decide to adjust your dose to find the best dose for you.
Adolescents and children weighing from 20 kg to less than 50 kg
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The recommended dose is from 0.5 mg to 2 mg for each kg of bodyweight, taken twice a day.
Your doctor may then decide to adjust your dose to find the best dose for you.
Children weighing from 10 kg to less than 20 kg
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The recommended dose is from 0.5 mg to 2.5 mg for each kg of bodyweight, taken twice a day. Your child’s doctor may then decide to adjust your child’s dose to find the best dose for your child.
People with liver problems
If you have problems with your liver:
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As an adolescent or child weighing 50 kg or more, or as an adult, the maximum dose you will take is 75 mg twice a day.
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As an adolescent or child weighing from 20 kg to less than 50 kg, the maximum dose you will take is 1.5 mg for each kg of bodyweight twice a day.
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As a child weighing from 10 kg to less than 20 kg, the maximum dose your child will take is 2 mg for each kg of bodyweight twice a day.
DXXXXXX-XX
240 mm
6 0 m m
320 mm
How to take Brivaracetam MSN tablets
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Swallow the tablets whole with a glass of liquid.
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The medicine may be taken with or without food.
How long to take Brivaracetam MSN for
Brivaracetam MSN is a long term treatment – keep taking brivaracetam MSN until your doctor tells you to stop.
If you take more Brivaracetam MSN than you should
If you have taken more brivaracetam MSN than you should, talk to your doctor. You may feel dizzy and sleepy. You may also have any of the following symptoms: feeling sick, a feeling of ‘spinning’, problems of keeping your balance, anxiety, feeling very tired, irritability, being aggressive, not being able to sleep, depression, thoughts or attempts of harming or killing yourself.
If you forget to take Brivaracetam MSN
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If you miss a dose take it as soon as you remember.
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Then take your next dose at the time you would normally take it.
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Do not take a double dose to make up for a forgotten dose.
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If you are not sure what to do, ask your doctor or pharmacist.
If you stop taking Brivaracetam MSN
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Do not stop taking this medicine unless your doctor tells you to. This is because stopping
treatment could increase the number of fits you have.
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If your doctor asks you to stop taking this medicine they will lower your dose gradually. This
helps to stop your fits coming back or getting worse
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Very common: may affect more than 1 in 10 people
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feeling sleepy or dizzy
Common: may affect up to 1 in 10 people
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flu
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feeling very tired (fatigue)
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convulsion, a feeling of ‘spinning’ (vertigo)
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feeling and being sick, constipation
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depression, anxiety, not being able to sleep (insomnia), irritability
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infections of the nose and throat (such as the ‘common cold’), cough
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decreased appetite
Uncommon: may affect up to 1 in 100 people
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allergic reactions
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abnormal thinking and/or loss of touch with reality (psychotic disorder), being aggressive,
nervous excitement (agitation)
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thoughts or attempts of harming or killing yourself: tell your doctor straight away
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a decrease in white blood cells (called ‘neutropenia’) - shown in blood tests
Not known: frequency cannot be estimated from the available data
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a widespread rash with blisters and peeling skin, particularly around the mouth, nose, eyes
and genitals (Stevens-Johnson syndrome)
Additional side effects in children
Common: may affect up to 1 in 10 people
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restlessness and hyperactivity (psychomotor hyperactivity)
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at http://www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects, you can help provide more information on the safety of this medicine.
5. HOW TO STORE BRIVARACETAM MSN
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Keep this medicine out of the sight and reach of children.
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Do not use this medicine after the expiry date which is stated on the carton and blister after EXP. The expiry date refers to the last day of that month.
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This medicine does not require any special storage conditions.
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Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
6. CONTENTS OF THE PACK AND OTHER INFORMATION
What Brivaracetam MSN contains
The active substance is brivaracetam.
Each film-coated tablet contains 10 mg, 25 mg, 50 mg, 75 mg, or 100 mg brivaracetam.
The other ingredients are:
Core
Lactose monohydrate, croscarmellose sodium, silicified microcrystalline cellulose, lactose anhydrous, magnesium stearate.
Coating
Brivaracetam MSN 10 mg film-coated tablets
Polyvinyl alcohol (E1203), titanium dioxide (E171), macrogol (E1521), talc (E553b).
Brivaracetam MSN 25 mg film-coated tablets
Polyvinyl alcohol (E1203), titanium dioxide (E171), macrogol (E1521), talc (E553b), iron oxide red (E172).
Brivaracetam MSN 50 mg film-coated tablets
Polyvinyl alcohol (E1203), titanium dioxide (E171), macrogol (E1521), talc (E553b), iron oxide yellow (E172).
Brivaracetam MSN 75 mg film-coated tablets
Polyvinyl alcohol (E1203), titanium dioxide (E171), macrogol (E1521), talc (E553b), iron oxide red (E172), iron oxide black (E172).
Brivaracetam MSN 100 mg film-coated tablets
Polyvinyl alcohol (E1203), titanium dioxide (E171), macrogol (E1521), talc (E553b).
What Brivaracetam MSN looks like and contents of the pack
Brivaracetam MSN 10 mg film-coated tablets
White to off white round, film coated tablet debossed with “B10” on one side and “M” on the other side.
Brivaracetam MSN 25 mg film-coated tablets
Pink, oval, film coated tablet debossed with “B11” on one side and “M” on the other side.
Brivaracetam MSN 50 mg film-coated tablets
Yellow, oval, film coated tablet debossed with “B12” on one side and “M” on the other side.
Brivaracetam MSN 75 mg film-coated tablets
Purple, oval, film coated tablet debossed with “B13” on one side and “M” on the other side.
Brivaracetam MSN 100 mg film-coated tablets
White, oval, film coated tablet debossed with “B14” on one side and “M” on the other side.
Brivaracetam MSN tablets are packaged in blister packs supplied in cardboard boxes containing either Packs of 14, 56 film-coated tablets or in multipacks containing 168 (3 packs of 56) film-coated tablets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder
MSN Laboratories Europe Ltd,
Invision House, Wilbury Way,
Hitchin, SG4 0TY
Manufacturer
Pharmadox Healthcare Ltd.
KW20A Kordin Industrial Park,
Paola, PLA 3000,
Malta
MSN Laboratories Europe Ltd,
Devonshire Business Centre, Works Road,
Letchworth Garden City,
SG6 1 GJ,
United Kingdom