Description

For more details, consult your physician or pharmacist. Topamax is a prescription drug used to treat certain types of seizures (partial onset seizures and primary generalized tonic-clonic seizures) in adults and children 2 years of age and older in conjunction with other medications to treat certain types of seizures (partial onset seizures, primary generalized tonic-clonic seizures, and seizures associated with Lennox-Gastaut syndrome) in adults and children 2 years of age and older to prevent migraine headaches in adults and adolescents 12 years of age and older.

Dosage

Any medical care provider who treats you should know that you take seizure medication. If, while taking Topamax, your seizures worsen or become more frequent, contact your doctor right away. Carefully follow the swallowing instructions for your medicine. Complete information on Topamax dosage Do not keep it for a future use. Even if you feel fine, avoid stopping Topamax abruptly. To avoid kidney stones or an electrolyte imbalance while taking Topamax, drink a lot of fluids. Read all medication guides or instructions before using any of the products listed on your prescription label. Follow your doctor's instructions about tapering your dose. Open the Topamax Sprinkle Capsule and sprinkle the medication into a spoonful of applesauce or another soft food if you are unable to swallow the capsule whole. Inform the surgeon in advance that you are using topiramate if you require surgery. Sudden stopping could increase seizure frequency. Avoid moisture, bright light, and extreme heat when storing at cool room temperature. Chew not, just immediately swallow the mixture. Avoid crushing, chewing, or breaking the tablets; instead, swallow them whole. Follow your doctor's instructions for taking Topamax exactly. You can take Topamax either with or without food. In children, topiramate dosages are occasionally based on weight. Medical exams will be required frequently. The dosage requirements for your child may alter if they put on or lose weight. Periodically, your doctor might adjust your dosage.

Missed dose

Call your doctor if you have missed more than one dose. Never combine two doses into one. If your next dose of Topamax is less than six hours away, skip the missed dose. Take the medicine as soon as you can.

Overdose

An overdose of topiramate can be fatal. Drowsiness, agitation, depression, double vision, problems with thinking or speaking, problems with coordination or speech, fainting, and seizures (convulsions) can all result from an overdose. Call 1-800-222-1222 for poison help if you need immediate medical attention.

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Side effects

If any of the following apply to you: Call your doctor for medical advice about side effects. The following are examples of common Topamax side effects: Get immediate medical attention if you experience symptoms of an allergic reaction to Topamax (hives, trouble breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling). Consult your doctor if you experience any new or worsening mood symptoms, such as mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), depressed, or have thoughts of suicide or self-harm. Other side effects could occur; this is not a comprehensive list. Symptoms of Topamax (more information) Contact the FDA at 1-800-FDA-1088 to report side effects. a skin rash, no matter how mild; vision issues, blurred vision, eye pain or redness, sudden vision loss (which can be permanent if not treated quickly); confusion; problems with thinking or memory; concentration; problems speaking; dehydration symptoms—lower sweating; high fever; hot and dry skin; kidney stone symptoms—severe pain in your side or lower back; painful or challenging urination; and indications of too much acid in your blood—irregular heartbeats, feeling dizziness, fatigue, sleepiness, sluggishness; issues with speech or memory; abnormal vision; numbness or tingling in your arms and legs; a decrease in sensation (especially in the skin); anxiety; nausea, diarrhea, stomach pain, or loss of appetite; a fever or weight loss; or cold-like symptoms like a runny nose, sneezing, or sore throat.

Interactions

Before taking an opioid, a sleeping aid, a muscle relaxant, or a medication for anxiety or depression, consult your doctor. This list does not include all possible drug interactions. Topiramate may interact with other medications, including prescription and OTC drugs, vitamins, and herbal remedies. Tell your doctor about all of your current medications, in particular: This list is not complete. Topamax drug interactions (more information) This effect can get worse if Topamax is taken with other sedative medications. other glaucoma medications, such as eye drops, valproic acid, divalproex, birth control pills, or zonisamide.

Contraindications

If you experience any of the following symptoms, especially if they are new, worse, or worry you, get in touch with a medical professional right away: suicidal thoughts or attempts, new or worse depression, new or worse anxiety, restlessness, or agitation, difficulty sleeping (insomnia), new or worse irritability, acting violently or aggressively, acting on dangerous impulses, or a marked increase in talking and activity (mania). When necessary, especially if you are concerned about symptoms, call your doctor in between visits. If you've got a fever or lessened sweating, get in touch with your doctor right away. When taking Topamax, avoid drinking alcohol. Before you know how Topamax affects you, do not operate machinery or drive a car. If untreated, metabolic acidosis can lead to kidney stones, brittle or soft bones (osteoporosis, osteomalacia, osteopenia), slowed growth in children, and may even harm your unborn child if you're pregnant. If you are pregnant, you should talk to your healthcare provider about whether you have metabolic acidosis. Your healthcare provider might look for other causes if you have suicidal thoughts or behaviors. Keep all appointments for follow-up visits with your doctor. With or without symptoms, metabolic acidosis can occur. Be aware of any shifts in attitude, actions, thoughts, or feelings, especially ones that occur suddenly. In hot weather, people should be on the lookout for signs of fever and decreased sweating, especially in children. A blockage of fluid in the eye that increases pressure in the eye (secondary angle closure glaucoma) is one example of a serious eye problem. If left untreated, these eye problems can result in permanent loss of vision. Hospitalization may be necessary for some patients with this condition. Your healthcare provider should perform a blood test to determine the level of acid in your blood before and during your treatment with Topamax. People with metabolic acidosis occasionally experience the following symptoms: fatigue, not feeling hungry (loss of appetite), feeling changes in heartbeat, and difficulty thinking clearly. Stopping Topamax abruptly can have detrimental effects. Other factors besides medications can contribute to suicidal thoughts or behavior. Topamax and alcohol can interact, resulting in side effects like sleepiness and vertigo. Topamax may be harmful to your unborn child (see "Pregnant Section"). A condition known as metabolic acidosis can be made worse by taking Topamax. Topamax may impair vision and slow down thinking and motor function. Topamax has the potential to increase body temperature (fever) while decreasing sweating. Topamax may result in eye issues. One in 500 people, or very few, may experience suicidal thoughts or deeds while taking Topamax. Keep an eye out for early indications of suicidal behavior and thoughts. If you notice any new eye symptoms, you should contact your doctor right away.

How long does it take for Topamax to start working?

It may take 8 to 12 weeks for you to see the full effect of Topamax on your migraine headaches. In clinical studies, some people had fewer headaches after 4 weeks of treatment. In the treatment of epilepsy, Topamax is also started slowly and the dose is increased over a 6-week period.

What does Topamax do for weight loss?

Topamax causes weight loss because it affects the appetite. People who take it and have a reduced appetite may feel hungry less often and eat less because of this. Studies have shown that Topamax may also speed up metabolism, which means that the body burns calories more quickly.

Does this drug cause weight loss?

Yes, topiramate (Topamax) has been shown to cause weight loss when used for both seizure control and migraine prevention. Topiramate by itself is not specifically approved by the FDA for weight loss, but is used in an "off-label" fashion for this condition. Qsymia, an extended-release medicine that contains phentermine and topiramate, is FDA approved for weight loss, along with diet and exercise.

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