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Topiramate is used alone or along with other medications to prevent and control seizures (epilepsy). This medicine can also be used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a headache that is migraine it does occur. As directed by your doctor (such as by taking pain medication, lying down in a dark room) if you get a migraine headache, treat it.

Topiramate is known as an anticonvulsant or antiepileptic drug.

How exactly to use Topamax

Read the Medication Guide and, if available, the Patient Information Leaflet supplied by your pharmacist before you start taking topiramate and each time you get a refill. If you have any relevant questions, ask your doctor or pharmacist.

Take this medication by mouth with or without food as directed by your doctor, usually twice daily. Swallow the tablets whole since breaking them may leave a taste that is bitter. To prevent renal rocks from forming, drink plenty of liquids while taking this medication unless your medical practitioner instructs you otherwise.

Dosage is based on your condition that is medical and to treatment. For children, the dosage is also based on weight. Your doctor will increase your dose gradually to lower your risk of side effects. For a few conditions, you may start therapy with topiramate once daily at bedtime and slowly increase your dosage to twice a day. It may take several weeks or months to reach the dose that is best for you and to have the full benefit with this medication.

Take this medication regularly getting the most benefit from it. To help you remember, take it at the same times each day. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when this medication is suddenly stopped. Your dose may gradually need to be decreased.

Inform your doctor if your condition continues or if it worsens.

What conditions does Topamax treat?

Side Effects

Tiredness, drowsiness, dizziness, loss in coordination, tingling of the hands/feet, lack of appetite, bad style in your lips, diarrhea, and dieting may occur. Mental problems such as confusion, slowed thinking, difficulty focusing or attention that is paying nervousness, memory problems, or speech/language problems may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your particular physician has recommended this medication because he or she has judged that the benefit to you is greater than the risk of adverse effects. Many people using this medication do not have side that is serious.

Tell your physician appropriate away if any of these unlikely but serious unwanted effects occur: indications of renal rocks (such as serious back/side/abdominal/groin pain, temperature, chills, painful/frequent urination, bloody/pink urine).

a small number of people who take anticonvulsants for just about any condition (such as seizures, bipolar disorder, pain) may experience depression, suicidal thoughts/attempts, or other mental/mood dilemmas. Tell your physician immediately if you or your family/caregiver notice any unusual/sudden changes in your mood, thoughts, or behavior including signs of despair, suicidal thoughts/attempts, ideas about harming yourself.

Tell your physician right away if some of these rare but serious side-effects occur: quick breathing, fast/slow/irregular heartbeat, bone pain, broken bones, loss of consciousness, unusual bleeding/bruising.

Seldom, topiramate could cause an extremely serious eye problem, generally within 1 month of starting treatment. If untreated, this eye problem can lead to blindness that is permanent. Consequently, get medical help right away if any one of these side results occur: sudden vision modifications (such as decreased vision, blurred eyesight), eye pain/redness.

This medication can rarely cause a critical metabolic problem (high amount of ammonia in the blood), particularly if you will also be using acid that is valproic. Tell your doctor right away if you experience sudden/unexplained tiredness, vomiting, or mental changes (such as decreased alertness).

A very serious reaction that is allergic this drug is rare. However, get medical help right away in the event that you notice any outward symptoms of a severe allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, difficulty breathing.

It is not a complete list of possible side effects. If you notice other effects not listed above, contact your pharmacist or doctor.

In the US -

Call your medical practitioner for medical advice about unwanted effects. You may report adverse effects to FDA at 1-800-FDA-1088 or at

In Canada - Call your doctor for medical advice about side effects. You may report adverse effects to wellness Canada at 1-866-234-2345.

List Topamax side effects by severity and likelihood.


Before taking topiramate, tell your doctor or pharmacist in the event that you are allergic to it; or if you have any other allergies. This product may contain ingredients that are inactive which can cause allergic reactions or other problems. Confer with your pharmacist for additional information.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: a certain eye problem (narrow angle glaucoma), kidney problems (such as kidney stones), liver problems, mental/mood problems (such as depression, thoughts of suicide), lung/breathing problems, a certain metabolic imbalance (metabolic acidosis), long-term diarrhea, a diet high in fat and low in carbohydrates (ketogenic diet), brittle bones (osteoporosis).

This drug may make you dizzy or drowsy or impair your judgment. Do not drive, use machinery, or do any activity that requires alertness you can perform such activities safely until you are sure. Avoid alcoholic beverages.

This medicine might make you sweat less, making you more likely to get heat stroke. Avoid doing things that may cause you to overheat, such as hard work or exercise in hot weather, or using tubs that are hot. When the weather is hot, drink a complete lot of fluids and dress lightly. If you overheat, quickly look for a accepted place to cool off and rest. Get medical help right away when you have a fever that does not disappear completely, mental/mood changes, frustration, or dizziness.

Before having surgery, tell your physician or dental practitioner about all of the items you use (including prescribed drugs, nonprescription drugs, and natural products).

Young ones may be much more delicate to the relative adverse effects of this drug, especially weakened bones, slowed growth rate, and decreased sweating. Consult your doctor or pharmacist to get more details.

Older adults may be much more responsive to the relative unwanted effects of this medication, especially dizziness. Dizziness can increase the danger of falling.

During pregnancy, this medication should be used only whenever clearly needed. It would likely harm an unborn baby. Discuss the use of reliable forms of birth control with your doctor (see also Drug Interactions section). You may be pregnant, immediately talk to your doctor about the benefits and risks of using this medication during pregnancy if you are planning pregnancy, become pregnant, or think. If you are using this medication to deal with seizures, note that untreated seizures are a serious condition that can damage both a pregnant woman and her developing fetus, therefore do not stop using this medication unless directed by your physician.

This medication passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.

What should I understand regarding pregnancy, nursing and administering Topamax to children or the elderly?

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