This is especially important if youve had a kidney stone in the past. This medication is also used to prevent migraine headaches and decrease how often you get. If youre sexually active and could become pregnant, talk with your doctor about your birth control needs while using Topamax. Two studies involved adults who had an average of 5.5 migraine headaches every month. Do not save it for later use. These can include conditions such as high blood pressure, high cholesterol, and type 2 diabetes. Consider drinking at least 3 quarts (ten 10-ounce glasses) of liquid per day. Note: For some people, following a ketogenic diet can reduce the number of seizures they have. Off-label drug use means using a drug for a purpose other than what its been approved for by the FDA. Use of the terms male and female below refers to sex assigned at birth. If youre on a ketogenic diet or want to start one, you should discuss this with your doctor before taking Topamax. Mania is a mood disorder that gives you an unnatural feeling of physical and mental energy. Topiramate is used alone or with other medications to prevent and control seizures ( epilepsy ). They may be able to suggest ways to help manage this side effect or suggest other treatment options. If you dont understand something related to your condition or treatment, ask your doctor to explain it to you. It causes temporary but abnormal changes in your muscle movements, sensations, or level of awareness. Suddenly stopping topiramate doesnt lead to withdrawal. A seizure is an abnormal surge of electrical activity in your brain. A ketogenic diet is low in carbohydrates and protein, and high in fat. If you need surgery, tell the surgeon ahead of time that you are using topiramate. It is approved for the treatment of seizures (epilepsy) in adults and children in combination with other anticonvulsants and for preventing migraine headaches in adults. This could make Topamax less effective at preventing seizures or migraine headaches. Learn more about the signs of a tonic seizure and the differences between different seizure, There are many different types of seizures affecting different areas of the brain. These drugs carry a higher risk of misuse or dependence than other drugs do. (Chronic pain is pain that lasts at least 12 weeks.). Listen, but dont judge, argue, threaten, or yell. If you take topiramate during pregnancy: The benefit of preventing seizures may outweigh any risks posed by topiramate. Below is information for treating children ages 2 to 9 years. Some people may have hair loss or hair thinning while taking Topamax. You should take it as prescribed by your doctor. The following results were found when Topamax was used with other seizure medications. However, when you start treatment, your dose is increased slowly over a few weeks. Gabapentin can help control seizures as well as nerve pain from shingles. Before taking Topamax, talk with your doctor about your health history. Ideally, Topamax should be stopped gradually. Keep in mind that chemical processes such as perms and color treatments can contribute to hair loss. If you need financial support to pay for Topamax, or if you need help understanding your insurance coverage, help is available. Milko/E+ via Getty Images Promotion disclosure info Topamax can pass into breast milk and may cause side effects in a breastfed child. Some brands of topiramate are also used to prevent migraine headaches in adults and teenagers who are at least 12 years old. They can help guide you on the best ways to lower your risk for kidney stones. This increase will continue until your child is at the maximum dose for their body weight. (This is also known as an oral cleft.) These babies are also more likely to be born small for their gestational age (SGA). . To learn about those other versions, talk with your doctor or pharmacist. But doing so could cause your seizures or migraine headaches to return. But some people lose weight as a common side effect of topiramate. Ankylosing Spondylitis Pain: Fact or Fiction, North American Antiepileptic Drug Pregnancy Registry, calcitonin gene-related peptide (CGRP) receptor inhibitors, Topamax expiration, storage, and disposal, How people with type 2 diabetes may benefit from afternoon exercise, Medicare reimbursements differ between simple and complex cataract surgeries, Chronic insomnia may increase stroke risk. After the first week, your childs doctor may increase their daily dose by 1 mg to 3 mg per kg of body weight every 1 to 2 weeks. Gabapentin is widely used for nerve pain. For this reason, your doctor will likely recommend trying Topamax only if other medications havent worked for you. They may recommend changes to your treatment plan. Its not known how often this side effect may have occurred in people who took a placebo. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource. Topiramate can make birth control pills less effective. Studies show that babies born to people who took topiramate during pregnancy had an increased risk for: If youre pregnant or planning to become pregnant, talk with your doctor about the safety of topiramate oral tablets. Taking Topamax with hydrochlorothiazide may increase the level of Topamax in your blood. This means that the drug can affect a child whos breastfed. The drug can also be affected by your diet. This can include setting an alarm on your phone or downloading a reminder app. These drugs include: This list does not contain all types of drugs that may interact with topiramate oral tablets. It generally takes five half-lives for a drug to be fully cleared out of your system. If you already have weak, soft, or brittle bones, you could be at higher risk for developing these conditions. Swallow the mixture right away without chewing. (Neurotransmitters are natural body chemicals that help pass signals between nerve cells.) If you do take Topamax during pregnancy, youre encouraged to sign up with the North American Antiepileptic Drug Pregnancy Registry. This is not all the information you need to know about topiramate for safe and effective use. 6,19,23 Since 2012, the extended-release formulation has been approved in combination with phentermine for chronic . Store at cool room temperature away from moisture, light, and high heat. Topamax's dosage varies based on the condition you are treating and your age. People in the studies took either: Studies looked at adults with partial-onset seizures. A generic drug is an exact copy of the active drug in a brand-name medication. Note: The other forms of topiramate, besides oral tablets, have other brand-name versions. The drug might also be useful if youre taking other seizure or migraine treatments that can cause weight gain. If you get migraine headaches or certain types of seizures, your doctor may recommend topiramate oral tablets. Before approving coverage for Topamax, your insurance company may require you to get prior authorization. This should increase the chances that the drug works for you. For more information, see the Topamax for nerve pain section below. The brand-name medication that topiramate oral tablets are based on is called Topamax. Topamax was compared with a placebo in some studies. Common side effects of topiramate may include: dizziness, drowsiness, tiredness, slow reactions; problems with speech or memory, abnormal vision; numbness or tingling in your arms and legs, decreased sensation (especially in the skin); changes in your sense of taste, feeling nervous; nausea, diarrhea, stomach pain, loss of appetite; cold symptoms such as stuffy nose, sneezing, sore throat. Youll take topiramate oral tablets by mouth. A high lithium level can be serious. One small study found Topamax to be similar to gabapentin (Neurontin) in its ability to treat nerve pain. * However, if you have a migraine episode while youre using Topamax, you can take fast-acting medications for your migraine symptoms. What are some frequently asked questions about topiramate oral tablet? This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Topamax can interact with several other medications. Dont take more topiramate oral tablets than your doctor prescribes. There may be other medications that are safer to use. They can also include swelling of your tongue, mouth, or throat, which can cause trouble breathing. Topamax has a half-life of about 21 hours. The registry helps healthcare professionals collect information about the safety of drugs such as Topamax during pregnancy. There werent any reports of allergic reaction in studies of the drug, but its still possible. Call 911 or your local emergency number if your symptoms feel life threatening or if you think youre having a medical emergency. It's not exactly clear how this medication works to prevent migraines. And they included temporarily blurred vision or double vision. Overall, kidney stones were a less common side effect in studies of the drug. * In this article, we use the terms male and female to refer to someones sex assigned at birth. Some people have trouble drinking a lot of water. Also describe any vitamins, herbs, or supplements you use. This registry monitors and records birth defects or changes affecting babies of females who took antiepileptic drugs, such as Topamax, while pregnant. Lennox-Gastaut syndrome (LGS) is a rare form of childhood epilepsy that causes several different types of seizures. Topiramate is a seizure medicine, also called an anticonvulsant. You should not stop taking Topamax without first talking to your doctor. What is Topamax? If youre interested in taking Topamax to treat nerve pain, talk with your doctor. Symptoms caused by an overdose of topiramate oral tablets may include: Call your doctor if you think youve taken too many topiramate oral tablets. They may have a preference for one version or the other. Theyll help you decide if this treatment option is best for you. All antiepileptic drugs (medications used to treat seizures due to epilepsy) are known to slightly raise the risk of suicidal thoughts and behaviors. Topiramate oral tablets arent approved for use as a weight-loss drug. To treat certain types of seizures, topiramate oral tablet is used in combination with other medications that treat seizures. Before taking topiramate oral tablets, be sure to tell your doctor about all medications you take, including prescription and over-the-counter types. Before your appointment, write down questions such as: How will topiramate oral tablets affect my body, mood, or lifestyle? These include: Typically, your doctor will start you on a low dose. Generic name: topiramate [toe-PYRE-a-mate] Youll also need to check your insurance plan, as it may only cover one or the other. Was 21.99. If you become pregnant while youre taking topiramate, youll have an increased risk for fetal development problems or low birth weight. Mild side effects* of Topamax can include: These side effects may go away within a few days or a couple of weeks. Its important to monitor your child in hot weather. And this can lead to adverse effects. . Less commonly, serious eye or vision side effects have happened with topiramate oral tablets. You should take Topamax according to your doctors or another healthcare professionals instructions. Sleepiness and diarrhea have been reported in children breastfed by females* taking Topamax. You may need treatment to help your body get rid of any kidney stones. ** For more information on this side effect, see the Topamax for weight loss section below. Serious side effects from topiramate oral tablets can occur, but they arent common. Bipolar disorder is usually treated with drugs known as mood stabilizers. You shouldnt drive or use dangerous machines until you know how Topamax affects you. They can give you tips on how to deal with any side effects that may be bothersome. Learn more about medication treatment options for seizure disorders here. In clinical trials, Topamax was found to be effective in treating partial-onset and generalized tonic-clonic seizures. Additionally, children taking Topamax may have reduced bone mineral density (BMD). This side effect wasnt reported in clinical trials with Topamax. (With off-label use, a drug thats approved for certain conditions is used for another purpose.). The aura may cause you to see flashing lights or zigzags, or have blind spots in your vision. Topiramate is an anticonvulsant and nerve pain medication which was first developed to treat epileptic and other types of seizures. Wellbutrin may cause seizures in people with seizure disorders as well as people who havent had a seizure before. In one clinical trial, hair loss was reported in 3% to 4% of people ages 16 years and older who took Topamax alone for epilepsy. But the risk of kidney stones was higher in males taking topiramate than in females taking it. Examples of CNS depressants that should be avoided with Topamax include: * For more information, see the Topamax and alcohol section above. If youd like to learn about topiramates other forms, talk with your doctor or pharmacist. In this study, children who took: Topamax is FDA-approved to treat epilepsy in adults as well as children ages 2 years and older. In clinical trials involving children ages 12 years and older who took Topamax for migraine, the most common side effects were: feeling of pins and needles or tingling. To learn more about the use of Topamax for alcoholism, talk with your doctor. Examples of fast-acting medications used to relieve migraine symptoms include: The Topamax dosage your doctor prescribes will depend on several factors. However, Topamax can make birth control drugs that contain estrogen less effective at preventing pregnancy. Use the medicine exactly as directed. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. (With off-label use, a drug thats approved for certain conditions is used for another purpose.). As with most drugs, some people can have an allergic reaction after taking Topamax. Kidney disease. People with bipolar disorder have episodes of depression and mania. One review of studies looked at the average weight loss in people who took Topamax. Use of the term female within this article refers to sex assigned at birth. They also have a high risk of leading to drug dependence. However, if its less than 6 hours until your next dose is due, skip the missed dose. If youd like to know more about the approved uses and dosages of topiramate oral tablets, talk with your doctor. The dosage of Topamax is gradually increased over the first few weeks of treatment. Topamax does have some metabolites, but these are not considered active and only make up about 5% of an administered dose. These symptoms can include: If you have any symptoms of new or worsening depression while taking Topamax, talk with your doctor right away. If youre not sure if youll need to get prior authorization for Topamax, contact your insurance company. Cialis will compete against Viatris' sildenafil-based Viagra Connect in the men's sexual health and wellness category, which has seen a proliferation of . One clinical trial looked at children ages 6 years and older who took Topamax alone for epilepsy. . It also has many off-label uses, but there is not enough supporting evidence for these other uses. For seizures related to Lennox-Gastaut syndrome, topiramate treatment is only approved in combination with other drugs. Investigating the power of music for dementia. Avoid harsh hair treatments and styling. For example, studies have found Topamax to be effective in relieving chronic low back pain. This allows your body to get used to the medication and helps reduce the frequency and severity of side effects. Topamax, which is an anticonvulsant medication, is sometimes used in this way. Symptoms can include: Eye side effects, such as changes in your vision, swelling under your skin, typically in your eyelids, lips, hands, or feet, swelling of your tongue, mouth, or throat, having thoughts about suicide or harming yourself, having other changes in your mood or behavior, Ask the tough question: Are you considering suicide?. This was in addition to one or two other epilepsy drugs. Not all possible drug interactions are listed here. Hair loss wasnt a common side effect of topiramate oral tablets in studies. Additionally, topiramate oral tablets arent approved for use as a weight-loss drug. Migraine symptoms might keep you in bed. Below are examples of medications that can interact with Topamax. Its not known how many people experienced kidney stones. Taking topiramate can increase your risk for kidney stones. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. The increased electrical signaling can lead to a seizure in people with epilepsy. However, eye side effects usually get better after you stop taking Topamax. This means their active drug gets released into your body shortly after you swallow them. (Contraindications are conditions or factors that would prevent you from taking the medication.) Topamax (topiramate) is an anticonvulsant (anti-seizure medication) and can help prevent migraines. Learn about the drugs dosages, forms, strengths, and more. A look at the possible uses of 3D printers for eye care, What to know about Toradol (ketorolac) for migraine, Imitrex side effects: What you should know. With generalized tonic-clonic seizures, the excessive electrical activity affects both sides of your brain. Topamax was found effective in preventing migraine headaches in clinical trials. (Neurological refers to the brain and nerves.) This is a high level of acid in your blood. Topamax can also reduce sweating. These problems can lead to hyperthermia (high body temperature), which may need treatment in a hospital. If you take Topamax, you may need extra blood tests during treatment. But some people lose weight as a common side effect of topiramate. Get emergency medical help if you have signs of an allergic reaction (hives, difficult 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). Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, reduced sensitivity to touch on your skin, upper respiratory tract infection, such as the, problems with thinking, memory, attention, and reaction, severe skin reactions, which may cause blistering and peeling skin. When starting treatment, your childs doctor will gradually increase their dose over the first few weeks until the recommended dose is reached. Be sure to follow your doctors instructions. Kidney disease can also increase the level of acid in your blood. Topiramate is used to treat certain types of seizures in adults and children who are at least 2 years old. (Extended-release forms slowly release their active ingredient over a longer period of time than immediate-release forms do.). Taking Topamax with drugs called carbonic anhydrase inhibitors can raise your risk for a side effect called metabolic acidosis (a high level of acid in your blood). This is a measure of bone strength. Serious side effects of topiramate oral tablet that have been reported include: If you think someone is at immediate risk of self-harm or hurting another person: If you or someone you know is considering suicide, get help from a crisis or suicide prevention hotline. If your childs seizures arent controlled with this dose, their doctor may gradually raise the dose. If you and your doctor determine that Topamax is safe and effective for you, youll likely take it long term. This list is not complete. signs of too much ammonia in your blood--vomiting, unexplained weakness, feeling like you might pass out. Call your doctor right away if you have a sudden decrease in vision. Because of this, doctors wont give Wellbutrin to people with a seizure disorder. However, if they become more severe or dont go away, talk with your doctor or pharmacist. October 5, 2022 What is topiramate? Here are a few tips that might help guide your discussion: Remember, your doctor and other healthcare professionals are available to help you. It also increases your risk for metabolic acidosis (high acid level in your blood). * The recommended childrens dosage for these conditions is described below. Topiramate is available under the following different brand names: Topamax, Trokendi XR, Qudexy XR, Eprontia What Are Dosages of Topiramate? Phentermine and topiramate extended-release (long-acting) capsules are used to help adults who are obese or who are overweight and have weight-related medical problems to lose weight and to keep from gaining back that weight. Can diet and exercise reverse prediabetes? The Food and Drug Administration (FDA) approves prescription drugs such as Topamax to treat certain conditions. Several anticonvulsant medications also work as mood stabilizers in people with bipolar disorder. Topamax is FDA-approved to help prevent migraine headaches in adults and in children ages 12 years and older. Also, be sure to tell them if any side effects become more severe or occur more often. This date is typically 1 year from the date they dispensed the medication. One older report described someone who had hair loss after taking topiramate for 2 months. (A drugs half-life is the time needed for half of a dose of a drug to be cleared from your body.). Central nervous system (CNS) depressants are medications that slow down activity in your central nervous system (brain and spinal cord). For more information about Wellbutrin and Topamax, talk with your doctor. If you and your doctor decide to stop treatment, you may need to stop taking Topamax gradually. One dose is taken in the morning and the other is taken in the evening. If this condition goes untreated, it can lead to osteoporosis or osteomalacia. Talk with your doctor about your health history before you take topiramate oral tablets. Topamax can cause mild or serious side effects. If youre interested in taking Topamax for weight loss, its important to discuss the possible risks and benefits of this treatment with your doctor. For details, see the Dosage for preventing migraine headaches section above. And they want you to get the best care possible. For example, if youre at an increased risk for health problems because of excess weight, Topamax might help you. These websites also offer tools to help you find low-cost healthcare and certain educational resources. But this is an off-label use for topiramate. Do not drink alcohol. signs of too much acid in your blood--irregular heartbeats, feeling tired, loss of appetite, trouble thinking, feeling short of breath; or. These drugs can increase the risk regardless of what condition theyre treating. Ketogenic diet. After this, your doctor may increase your daily dosage by 25 mg to 50 mg each week until the recommended dosage is reached. Do not take Trokendi XR within 6 hours before or 6 hours after drinking alcohol. There havent been studies on whether Topamax can cause drug dependence. Partial seizures dont make you lose consciousness. If youve had depression or suicidal thoughts in the past, talk with your doctor about whether Topamax is right for you. Wellbutrin XL is also approved to treat seasonal affective disorder in adults. Eprontia is a is an 25 mg/mL oral solution used for the treatment of epilepsy n patients 2 years of age and older and for migraine prevention in patients 12 years of age and older. Dont take a double dose to make up for a missed dose. Serious side effects from Topamax arent common, but they can occur. Topiramate has also been used to treat migraines and, more recently, weight loss. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. We comply with the HONcode standard for trustworthy health information. The half-life of a drug is the time it takes for the amount of the drug in your body to fall by half. * Off-label drug use means using a drug for a purpose other than what its been approved for by the FDA. These will monitor the amount of ammonia in your blood. The usual recommended dosages for treating these types of seizures in people ages 17 years and older are: The recommended dose per day is split into two equal doses. To treat partial onset and generalized tonic-clonic seizures, topiramate can be used by itself or in combination with other drugs. For details on the uses of Topamax, see the Topamax uses section above. Lung or breathing problems. It also looked at how long it took them to lose weight when they took the drug. One is that the drug blocks sodium channels (tiny openings through which sodium moves through your cells). If you take Topamax, you may need extra blood tests during treatment. Topamax doesnt have a high risk of misuse or dependence. The drug is also approved for use in adults with overweight who have one or more weight-related health problems. In clinical trials, kidney stones were reported in an average of 1.5% of adults who took Topamax for epilepsy, depending on the dose. If youre taking topiramate for certain seizure disorders, your doctor may prescribe other medications that also treat your condition. (For more information on conditions Topamax is approved to cover, see the Topamax to prevent migraine headaches and Topamax to treat seizures sections above.). You should always consult your doctor or another healthcare professional before taking any medication. To learn about other mild side effects, talk with your doctor or pharmacist, or read topiramate oral tablets prescribing information. You may need blood tests to make sure you do not have metabolic acidosis, especially if you are pregnant. Topiramate is a medication used to manage and treat epilepsy and migraine, and it is in the second-generation anti-epileptic drugs class of drugs. Topamax is meant to be used as a long-term treatment. After a migraine episode, many people feel wiped out, tired, or irritable for up to 2 days. Children with LGS may also have learning difficulties and behavior problems, such as hyperactivity or autism. It is also used to prevent migraine headaches. This medicine will not cure epilepsy and will only work to control seizures for as long as you continue to take it. An overdose of topiramate can be fatal. This is because taking topiramate during pregnancy can be harmful. For more information about this side effect, see Side effect details below. Babies who are SGA can have a lower birth weight, length, and head size than expected. There isnt a particular dosage or best time of day to take Topamax for weight loss. The manufacturer of Topamax hasnt stated that males using this drug need to use birth control. If you have liver problems, such as cirrhosis or hepatitis, talk with your doctor about whether Topamax is right for you. A high temperature for children ages 2 years and older is one thats above 99.5F (37.5C) when taken orally. If your childs seizures arent controlled with this dose, their doctor may gradually raise the dose. Children taking Topamax may also have reduced growth, affecting their weight and height. Topiramate is used to treat certain types of seizures in adults and children who are at least 2 years old. Topamax contains the active drug topiramate. If you have migraine headaches or certain types of seizures, your doctor may prescribe topiramate. But they were also taking other AEDs to treat their seizure disorder. The contents of these capsules can be easily sprinkled on foods or in drinks. Blurry vision occurred in: Its not known how often glaucoma occurs with Topamax. Generic drugs are thought to be as safe and effective as the brand-name drug theyre based on. However, your doctor might recommend Topamax for preventing seizures or migraine if you would also benefit from weight loss. If you cannot swallow a Qudexy XR or Topamax Sprinkle Capsule whole, open it and sprinkle the medicine into a spoonful of applesauce or other soft food. Topamax is recommended for preventing migraine headaches* in adults and in children ages 12 years and older. They can suggest ways to ease this condition. Liver problems. If excessive or inappropriate signals are sent in your brain, they could lead to seizures. ), When starting treatment, your childs doctor will likely increase your childs dose gradually. Its also important to stay well-hydrated while youre taking topiramate. Your doctor will explain how to do this. Ask your doctor what other medications are better options for you. Theres not much evidence that the drug works to treat this condition. Im interested in trying topiramate oral tablet because I have severe, frequent migraine headaches. Tell your doctor if you have frequent or uncontrolled diarrhea while youre taking Topamax.You may need extra blood tests to check that the level of acid in your blood is safe. These side effects include drowsiness, dizziness, irregular heartbeats, and seizures. Topiramate oral tablets are a generic medication that contain the active drug topiramate. Topamax comes in two different forms: a tablet that you swallow and a sprinkle capsule. Financial assistance to help you pay for topiramate oral tablets may be available. Anticonvulsants are mainly used to treat epilepsy (a condition that causes repeated seizures). Treatments that can interact with topiramate oral tablets more topiramate oral tablets arent approved for by the.! Is a medication used to treat certain types of seizures they have ( a condition that several. Better after you stop taking Topamax history before you take topiramate during,... Is provided for educational purposes only and is not all the information you need to the! The approved uses and dosages of topiramate, youll have an increased for! Xr, Eprontia what are some frequently asked questions topiramate uses brand cialis topiramate oral tablet is to. More information, see the Topamax for weight loss section below for certain conditions ) depressants medications! Drugs, some people lose weight when they took the drug can affect a child whos breastfed,... If excessive or inappropriate signals are sent in your blood these can include conditions such:! Generic drugs are thought to be fully cleared out of your tongue, mouth, or read oral... This increase will continue until your next dose is due, skip the dose! ( SGA ) before approving coverage for Topamax, talk with your doctor prescribes will depend on several.. Details below or best time of day to take Topamax, or lifestyle body rid... For their body weight seizures as well as nerve pain medication which was developed... 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