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Topiramate

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Notes
Related terms
Uses
Dosing
Safety
Author information

Notes

    Related terms
    • Brand Names: U.S.: Topamax®
    • Brand Names: Canada: Apo-Topiramate®;CO Topiramate;Dom-Topiramate;Mint-Topiramate;Mylan-Topiramate;Novo-Topiramate;PHL-Topiramate;PMS-Topiramate;PRO-Topiramate;ratio-Topiramate;Sandoz-Topiramate;Topamax®;ZYM-Topiramate
    • Mexican Brand Names: Topamax
    • Pharmacologic Category: Anticonvulsant, Miscellaneous

    Uses
    • It is used to treat seizures.
    • It is used to treat painful nerve diseases.
    • It is used to treat headaches.
    • It is used to stop migraine headaches.
    • Topiramate may slow electrical activity in the brain.
    • It works in the brain to ease pain.

    Dosing

    How to take

    • Take as you have been told, even if you are feeling better.
    • Take with or without food. Take with food if it causes an upset stomach.
    • Drink lots of noncaffeine liquids unless told to drink less liquid by your doctor.
    • Swallow tablet whole. Do not chew, break, or crush.
    • You may sprinkle contents of sprinkle capsule on soft food or liquid. Do not chew.

    Missed Dose

    • Take a missed dose as soon as you think about it.
    • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
    • Do not take 2 doses at the same time or extra doses.
    • Do not change the dose or stop this drug. Talk with the doctor.

    Storage

    • Store at room temperature.
    • Protect from water. Do not store in a bathroom or kitchen.

    Safety



    Warnings

    • Please read the medication guide.

    Avoid

    • If you have an allergy to topiramate or any other part of this drug.
    • Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
    • If you are pregnant or may be pregnant.

    Precautions

    • Do not run out of this drug.
    • Wear disease medical alert ID (identification).
    • If you are 65 or older, use this drug with care. You could have more side effects.
    • Follow laws about driving with a seizure problem.
    • If you have been taking this drug for many weeks, talk with your doctor before stopping. You may want to slowly stop this drug.
    • If you have glaucoma, talk with your doctor.
    • If you are on a ketogenic diet, talk with your doctor.
    • If you have kidney disease, talk with your doctor.
    • If you have kidney stones, talk with your doctor.
    • If you have liver disease, talk with your doctor.
    • If you have lung disease, talk with your doctor.
    • If you have mental illness, talk with your doctor.
    • Have your blood work checked. Talk with your doctor.
    • Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.
    • You may not be alert. Avoid driving and doing other tasks or actions until you see how this drug affects you.
    • Avoid beer, wine, mixed drinks, or other drugs and natural products that slow your actions.
    • Be careful in hot weather. Drink lots of fluids to stop fluid loss.
    • Birth control pills and other hormone-based birth control may not work to stop pregnancy. Use some other kind of birth control while taking this drug.
    • Tell your doctor if you are breast-feeding.

    Side Effects

    • Feeling lightheaded, sleepy, having blurred eyesight, or a change in thinking clearly. Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight until you see how this drug affects you.
    • Feeling dizzy. Rise slowly over a few minutes when sitting or lying down. Be careful climbing.
    • Mood changes.
    • Change in balance.
    • Change in eyesight.
    • Upset stomach or throwing up. Many small meals, good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
    • Feeling tired or weak.
    • Weight loss.
    • Acid balance changes.

    Contact a healthcare provider

    • If you think there was an overdose, call your local poison control center or ER right away.
    • Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat.
    • Signs of low mood (depression), thoughts of killing yourself, nervousness, emotional ups and downs, thinking that is not normal, anxiety, or lack of interest in life.
    • Change in thinking clearly and with logic.
    • A fast heartbeat.
    • Very bad dizziness or passing out.
    • Not able to eat.
    • Very upset stomach or throwing up.
    • Feeling very tired or weak.
    • Back pain, belly pain, or blood in the urine. May be signs of a kidney stone.
    • Sudden change in eyesight, eye pain, or irritation.
    • Not sweating during activities or in warm temperatures.
    • Numbness or tingling in your hands or feet.
    • A big weight loss.
    • If seizures are worse or not the same after starting this drug.
    • For women, if you get pregnant while taking this drug.
    • Any rash.
    • Health problem is not better or you are feeling worse.

    General Statements

    • If you have a very bad allergy, wear an allergy ID at all times.
    • Do not share your drugs with others and do not take anyone else's drugs.
    • Keep all drugs out of the reach of children and pets.
    • Most drugs may be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
    • In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Call your doctor for help with any side effects. If in the U.S., you may also call the FDA at 1-800-FDA-1088 or if in Canada, you may also call Health Canada's Vigilance Program at 1-866-234-2345.
    • Talk with the doctor before starting any new drug, including OTC, natural products, or vitamins.

    Author information
    • Copyright © 1978-2010 Lexi-Comp Inc. All rights reserved.

    Copyright © 2011 Natural Standard (www.naturalstandard.com)


    The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.

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