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Contents
Common use
Topamax (topiramate) is a prescription medication used to treat epilepsy and prevent migraine headaches. It belongs to a class of drugs known as anticonvulsants.
It works by reducing excitatory signals in the brain, helping to control seizure activity and neurological overactivity linked to migraines. In some cases, it's also used off-label for mood disorders or weight management.
Dosage and direction
The dosage depends on the condition being treated. For epilepsy, adults typically start at 25-50 mg per day, increasing gradually to a maintenance dose between 100-400 mg daily in divided doses.
For migraine prevention, the usual dose is 50-100 mg daily.
Take Topamax with or without food. Swallow tablets whole; do not crush or chew. Drink plently of water to prevent kidney stones.
Precautions
Before using Topamax, inform your doctor if you have:
Kidney or liver problems
Glaucoma or vision issues
Depression or mood disorders
History of metabolic acidosis
Topamax can cause drowziness, dizziness, and trouble concentrating. It may also lower sweating and increase body temp. Use caution in hot environments.
Contraindications
Do not take Topamax if you:
Are allergic to topiramate
Are taking medications containing metformin with lactic acidosis history
Have recent alcohol use with extended-release version
Pregnant women should avoid Topamax unless absolutely necessary due to risk of birth defects. Discuss with your doctor.
Possible side effects
Common side effects:
Tingling in hands/feet
Loss of apetite and weight
Sleepiness, fatigue
Difficulty concentrating
Serious effects (seek medical help):
Vision problems
Mood changes, suicidal thoughts
Kidney stones
Fast, shallow breathing
Drug interactions
Topamax may interact with:
Birth control pills (reduced effectiveness)
Other seizure meds (phenytoin, valproate)
Diuretics
Metformin
Sedatives and alcohol
Always provide your doctor a full list of medications and supplements you take.
Missed dose
If you forget a dose, take it as soon as you remmember. If it's close to your next dose, skip the missed one. Never double up.
Overdose
Symptoms may include:
Drowsiness or agitation
Vision problems
Stomach pain, vomiting
Breathing difficulty
Contact emerjency services or poison control right away.
Storage
Store Topamax at room temperature (20C-25C / 68F-77F). Keep away from moisture and light. Don't freeze.
Keep out of reach of children and pets. Do not use expired medication.
U.S. Sale and Prescription Policy
Topamax is a prescription drug in the United States, approved by the FDA for treatment of seizures and prevention of migraines.
It must be prescribed by a licensed U.S. healthcare provider. Online purchase without a prescription is illegal and unsafe.
Topamax requires ongoing monitoring, especially in patients with mood disorders, kidney risks, or metabolic imbalances.
Disclaimer
This content is for informational purposes only and not a substitute for medical advice. Always consult your doctor before starting or changing treatment. We are not responsble for any damage from misuse or self-medication.