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Description
토피메이트정(Diet)1) , 1. 1) : 6 2 2) : 1 2 . 2 1 2. 2) , [() 5385, 2014. 10. 06 . . , . . . 1. 1) : , . 2 1 3 ( "5. " ). , . . (17 ) : 1 25mg . , 1 2 1 25 50 1 2 , , . . 1 100200mg. 1 500mg. 1 1,000 . (6 16) 1 0. 5 1mg kg . 1 2 1 0. 5 1 1 2 , , , . . 1 3 6mg kg. 1 500 . 2) (17 ) 1 200mg 1 200 400mg 2 . 1 800mg . 1 25 50mg , . 1 2 25 50mg 1 2 . . . (2 16)1 5 9mg kg, 1 2 . 1 25mg( , 1 1 3mg kg ) , 1 2 1 1 3mg kg 1 2 . . 1 30mg kg , . 2. : 1 25mg . 1 25mg . , . 1 100mg 1
1) 효능,효과
1. 간질
1) 단독요법 : 6세 이상의 소아 및 성인에서의 2차성 전신발작을 동반하거나 동반하지 않은 부분발작 치료
2) 부가요법 : 기존 1차 항전간제 투여로 적절하게 조절이 되지 않는 2세 이상의 소아 및 성인에게서 다음 질환에 사용된다.
- 2차성 전신발작을 동반하거나 동반하지 않은 부분발작
- 레녹스-가스토 증후군과 관련된 발작
- 1차성 강직성/간대성 전신발작
2. 편두통의 예방
2) 용법,용량
[허가사항변경(통일조정) 의약품심사조정과-5385, 2014.10.06
이 약은 낮은 용량에서 시작하여 유효용량까지 증량하는 것이 바람직하다.
이 약의 투여를 최적화하기 위해 혈중농도를 모니터할 필요는 없다.이 약의 권장용량은 신장질환이 없는 경우, 노인을 포함한 모든 성인 및 소아에게 그대로 적용한다.
식사와 관계없이 투여할 수 있다.
정제는 부수지 말고 그대로 복용해야 한다.
1. 간질
1) 단독요법 : 단독요법으로 토피라메이트를 투여하기 위해 병용중인 다른 항전간약물을 중단할 경우, 발작조절에 미칠 수 있는 영향을 고려해야 한다. 안전성 문제로 다른 항전간약물을 즉시 중단해야 하는 경우를 제외하고는 2주 간격으로 다른 항전간약물을 1/3정도로 단계적으로 감량 중단하도록 한다(사용상 주의사항 "5. 일반적 주의"항 참조).
약물대사 효소 유도 약물을 중단시, 토피라메이트 농도가 상승할 수 있다. 만약 임상적으로 토피라메이트의 농도 상승이 나타날 경우 이 약의 용량을 감량할 필요가 있다.
성인 (17세 이상) :
처음 1주일 동안 저녁에 25mg씩 투여를 시작한다. 이후, 1-2주 간격으로 1일 25 또는 50㎎씩 증량하여 1일 2회로 나누어 투여하도록 하며, 만약 환자가 이러한 증량 경과를 견디기 어려워지면, 증량간격을 길게하도록 한다. 용량이나 증량속도는 임상적 반응에 따라 결정한다. 성인에 대한 단독요법으로서의 권장용량은 1일 100～200mg이다. 최대 권장용량은 1일 500mg이다. 재발된 간질 환자 중 일부는 토피라메이트 단독요법시 1일 1,000㎎까지 내약성이 있었다.
소아(6-16세)
처음 1주일 동안은 저녁에 0.5-1mg/kg으로 투여를 시작한다. 이후 1-2주 간격으로 1일 0.5-1㎎/㎏씩 증량하여 1일 2회 투여하도록 하며, 만약 환자가 증량을 견디기 어려워하면, 증량단위를 줄이거나, 증량간격을 늘리도록 한다. 용량이나 증량정도는 임상반응에 따라 결정한다.
소아에 대한 단독요법으로서의 권장용량은 1일 3-6mg/kg이다. 부분발작으로 진단된 소아의 경우 1일 500㎎까지 투여한 경험이 있다.
2) 부가요법
성인(17세 이상)
최소유효량은 1일 200mg이며 통상 1일 200-400mg을 2회로 나누어 투여한다. 환자에 따라 최대 권장용량인 1일 800mg까지 투여할 수 있다. 처음 1주일 동안은 저녁에 25-50mg씩 투여하는 것으로 치료를 시작하며, 더 낮은 용량에서 시작하는 것도 가능하다. 이후에는 1-2주 간격으로 용량은 25-50mg씩 증량하여 1일 2회로 나누어 투여한다. 만약 환자가 증가용량을 견디기 어렵다면 더 적은 용량을 증가시키거나 증량 간격을 연장시킬 수 있다. 투여량은 임상효과에 따라 결정하여야 한다.
소아(2세-16세)
1일 권장용량은 약 5-9mg/kg이며, 1일 2회로 나누어 투여한다. 처음 1주일 동안은 25mg(또는 그 이하, 1일 1-3mg/kg을 기준으로 함)을 저녁에 투여하고, 이후에는 적절한 임상효과가 나타날 때까지 1-2주 간격으로 1일 1-3mg/kg씩 증량하여 1일 2회로 나누어 투여한다. 용량 적정은 임상효과에 따라 결정하여야 한다. 1일 30mg/kg까지 투여된 경우도 있으며, 이 경우 일반적으로 내약성이 좋았다.
2. 편두통의 예방
성인 : 처음 1주일 동안은 저녁에 이 약 25mg으로 투여를 시작한다. 이후 1주 간격으로 25mg/일 씩 증량한다. 만약 환자가 이러한 증량을 견디기 어려워하면, 증량간격을 길게 하도록 한다. 1일 권장용량은 100mg으로 1일 2회로 분할하여 투여하도록 한다. 일부 환자에서는 1일 50mg 용량에서도 효과를 나타낼수 있다. 1일 200mg까지 투여할수 있으며, 용량 및 증량 속도는 임상반응에 따라 결정 하도록 한다.
3. 신장애 환자
- 중등도 및 중증 (CLcr < 70 mL/min/1.73 m2)의 신장애 환자는 시작용량 및 유지용량의 약 1/2로 감량하는 것이 권장된다.
- 혈액투석환자: 이 약은 혈액투석으로 혈장에서 제거되기 때문에 혈액투석환자는 투석 당일에 이 약 투여용량을 약 1/2 증량한다. 투석에 걸리는 시간, 투석장치의 청소율 및 투석환자의 신청소율 등을 고려하여 투여량을 증량하고, 혈액투석의 시작과 종료 시에 분할 투여한다.
4. 간장애 환자
간장애 환자들은 이 약의 클리어런스가 감소될 수 있으므로 주의하여 투여하여야 한다.
3) 포장단위
200정
4) 성분,함량
토피라메이트 토피라메이트 25mg
5) 사용기간
제조일로부터 36 개월
6) 보관방법
기밀용기, 실온(1~30°C)보관
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4.2 ★★★★★
Based on 9 reviews
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Product Reviews
★★★★★ 5
Fallen Angels, fae, vampires, oh my!
Format: Kindle
Rating: 4.5 | Spice: 2 (but a good slow-burn)
•
Main Characters: Huntyr and Wolf
•
I couldn’t wait to read this book; there was so much hype about it! And there was no doubt why. I fell in love with the characters and the plot itself. This book is mainly plot driven more than friction driven but it’s easy to follow along with. The characters are fun, easily understood. The main setting is at an academy where both the main characters are going through trials and building strength for the final test, The Transcendent. There are fantastic side characters as well. I loved the camaraderie between Huntyr and her friends. But we don’t like Lanson. 😆
We do have some plot twists that come into play throughout the book. Secrets and betrayal to be seen. I did adore Wolf and Huntyr’s relationship. It was a classic slow burn trope. They didn’t hit it off fast, but in time their feelings grew. I loved their banter, so sexy. Wolf is your next book boyfriend; Huntyr is your next vampire assassin independent bad-a*s female. Themes include loyalty, trust, self-discovery, a true slow burn romance. Side note: book ends on a angsty cliffhanger!
•
Emily, thank you for writing this awesome novel and I cannot wait to devour Book 2, Blood So Brutal! 😍
•
Happy reading, my lovelies! xo
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Reviewed in the United States on January 21, 2024
★★★★★ 4
“My heart bows to you and you only, Huntress.”
Format: Kindle
3.5 🌟
This book popped up in my KU recommended reading suggestions and the synopsis sounded like what I was in the mood for. I'm so glad I took a chance on it. I went into this knowing absolutely nothing about it and ended up really liking it. I love when this happens.
The main characters are likeable and I easily found myself rooting for them. There is a mystery element to each of their backstories that I enjoyed watching unfold and can't wait to get more of. Wolf, in particular, has me fixated. Love him.
I found this to be an entertaining, addictive read with a plot that moves along at a good pace. It reads so easily I found myself very reluctant to put it down. Lots of twists and turns and the angst is there. A good set up for the next book to come, for sure.
My issues with this book....the dialogue feels a bit juvenile at times and there is a repetitive over use of a particular word phrasing that I found myself giving the ole eye-roll to. There are, without a doubt, some pretty cliche moments that gave me a bit of the cringe. I think this could've certainly 100% benefited from more depth regarding the world building. Perhaps the world building was sacrificed to keep the pacing quick? Just a guess. Also, the lack of consistency of character for the FMC was really evident and so she feels quite illogical at times.
Overall, this was a fun and enjoyable read that hit the spot well enough for me. That ending certainly has me impatiently pining for book 2!
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Reviewed in the United States on June 18, 2024
★★★★★ 3
Interesting take on the genre
Format: Kindle
True rating: 3.25 ⭐️
I enjoyed the fresh take on the genre. The best way I could describe the setting and world is an apocalyptic dystopian version of Farie where vampires, fae, and angles struggle to survive in what is left of the world. It was definitely interesting throwing the academy/hunger games aspect into this world as well.
Even though I guessed the final reveal early on in the book, I kept hoping I was wrong, and it would take a surprising turn. While the "plot twists" were a bit predictable to me, I still enjoyed the ride this book took me on.
Another downfall for me was the plot holes in the world building... I.E. if society has fallen and the world is in the aftermath of war, how are there trains running around the world? Just to take young adults to the trials to get into the golden city? How is the train maintained, the tracks clear, etc?
However, I did enjoy the FMC & MMC and thought they were fleshed out nicely. I also enjoyed the side characters but wish some were developed more like Ashalin (sp?). I do find myself rooting for the MCs to succeed and find happiness together, which is obviously an important aspect for romantasy.
Overall, was this an earth-shattering, mind-bending, terrific piece of literature? No. But was it the worst thing I've read this year? Also, no. This book has, to me, the bones of a great read & just needs a bit more to push it from an alright book to a great book.
Overall ratings:
Plot- 3.5⭐️
World building 3⭐️
Spice 2.5 🌶🌶
Main characters 4 ⭐️
Supporting characters 3.5⭐️
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Reviewed in the United States on May 12, 2024
★★★★★ 5
great book
Format: Kindle
I am really excited to meet the author at the book retreat this month. I really enjoyed this world that she built and most of the female main character Huntress is so awesome. She goes through a lot in this book and the ending; wow! I wouldn't have even guessed. I highly recommend everyone to read this book.
I have been so lucky this year that almost all the books I have read have been, so far, 5 out 5 stars.
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Reviewed in the United States on June 2, 2026
★★★★★ 4
Fallen for the Fallen Angel – A Guilty Pleasure Worth Every Page
Format: Kindle
There’s something deeply irresistible about a dark academia or trial-based setting, a brooding and arrogant fallen angel, and a fierce heroine with enough sass to go toe-to-toe with him. Wings So Wicked is exactly that kind of book—and I devoured it in just a couple of days.
To be fair, the plot isn’t groundbreaking. If you’re looking for something fresh and innovative in terms of storyline, this might not be it. But if your reader heart beats faster at the mere mention of enemies-to-lovers, jealousy-fueled banter, magical trials, betrayals, and forbidden tension—you’ll feel right at home. It’s like catnip for those of us with this particular weakness.
The chemistry between the leads could have used a slightly slower burn to make the tension sizzle longer, but I still found myself completely invested in their dynamic. There are moments and phrases that feel a bit cheesy or underdeveloped, but honestly? I didn’t care. The vibes were exactly what I wanted.
This book isn’t trying to reinvent the genre—it’s here to give readers like me what we crave: high-stakes magical drama, angsty romance, and the thrill of watching a badass girl and her brooding counterpart clash and spark. If that sounds like your kind of story, Wings So Wicked will hit the mark.
Here’s hoping Book 2 turns up the heat and keeps the magic alive.
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Reviewed in the United States on May 20, 2025