Can I get epilepsy medicines for free? Topiramate. Side Effects. But in order to control seizures, topiramate blocks your brain from sending certain signals or chemicals that can overly excite your nerves. Page last reviewed: 4 April 2022 Doing so can lower your risk of getting a kidney stone. Speak to your doctor about how drug interactions should be managed. Are you looking for information on Qsymia (phentermine / topiramate) instead? In serious cases, high levels of ammonia in the blood can lead to brain damage. http://www.upandaway.org. For most men who have trouble keeping an erection firm enough for sex (erectile dysfunction), these medications work well and cause few side effects. If you want to stop topiramate, talk with your provider. Common medications that may interact with topiramate include: Alcohol may enhance the sedative effects of topiramate. I started having fainting episodes, pancreatitis, memory loss, and an overwhelming foggy brain. It can also cause problems with speech, coordination, mood (new or worsening depression), and make you more sleepy. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. Topiramate (Topamax) can make birth control pills less effective and worsen the side effects of alcohol. If you try one of these options, your provider will instruct you to sprinkle the pellets that are inside the capsule over soft foods, such as applesauce. You may want to ask your healthcare provider about Botox. For individuals and families seeking recovery: Though typically used as an anti-seizure medication, topiramate also shows promise for reducing craving and heavy drinking in individuals with alcohol use disorder. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. Absolutely, in some cases but it's a process that can come with definite risks, primarily related to getting a correct dosage. May be used to prevent the development of migraine headaches in adults and children aged 12 years and older. Do not use a household teaspoon or tablespoon. Tiredness, drowsiness, dizziness, loss of coordination, tingling of the hands/feet, loss of appetite, changes in how foods taste, diarrhea, and weight loss may occur. North American Antiepileptic Drug (NAAED) Pregnancy Registry. Now, youll enjoy a streamlined experience created specifically for healthcare providers. Usually, these vision problems will go away after you stop taking topiramate. How it works Topiramate reduces the frequency and duration of seizures and is used in the treatment of certain types of epilepsy. Eprontia oral solution is usually administered twice daily without regard to meals. Learn more about this registry by calling 1-888-233-2334. Topiramate should be discontinued slowly to minimize the potential for seizures unless a rapid withdrawal is justified. Call 911 if you or your child experience symptoms of heat stroke or heat exhaustion, such as nausea, muscle cramps, and headache. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. Do not take more or less of it or take it more often than prescribed by your doctor. Onfi, gabapentin, clonazepam, propranolol, lamotrigine, atenolol, pregabalin, diazepam, Lyrica, nifedipine. You may report side effects to Health Canada at 1-866-234-2345. Symptoms can include redness, blurry vision, and eye pain. Maximum daily dose: 400 mg/day. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. Your child's provider might calculate their topiramate dose based on their body weight, depending on what product your child is taking. It may also be called an anticonvulsant. Pricing based on most commonly-filled versions: 30 tablets of topiramate 25mg. If you suddenly stop taking topiramate, you may have severe seizures, even if you have not had seizures in the past. Talk with your provider about the benefits and risks of taking topiramate while breastfeeding. Topiramate may also make you sweat less or give you a fever. How does topiramate work? Discuss with your doctor or pharmacist if you should use additional reliable birth control methods while using this medication. If you're pregnant while taking topiramate, youre encouraged to enroll in the North American Antiepileptic Drug (NAAED) Pregnancy Registry. Seek urgent medical attention if you develop eye pain, blurred vision, or visual disturbances while taking topiramate. Canada residents can call a provincial poison control center. Also available in a ready-to-use liquid formulation to treat epilepsy in patients aged 2 years and older and prevent migraine in those aged 12 years and older (brand name Eprontia 25 mg/mL). Topiramate is a medication that is used to treat seizures and prevent migraines. This is not a complete list of possible side effects. How topiramate works Topiramate is an antiepileptic. However, if you are taking this drug to treat seizures, note that untreated seizures are a serious condition that can harm both a pregnant woman and her unborn baby, so do not stop taking this medication unless directed by your doctor. Avoid alcoholic beverages. FAQ What is topiramate? Updated on July 19, 2022 Key takeaways: Topamax (topiramate) is an anticonvulsant (anti-seizure medication) and can help prevent migraines. You shouldn't take topiramate with alcohol because doing so can make you feel more sleepy and dizzy. you should know that you may be more likely to develop a kidney stone while you are taking topiramate. Talk to your doctor before changing your diet or beginning any type of weight loss program. Phentermine and topiramate come as extended-release capsules to take by mouth. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. Regardless of which one you use, its best to combine medication with other forms of treatment, such as therapy and support groups. In children, this can affect their growth. Topamax, Eprontia solution, generic immediate-release tablet. This can cause you to become more tired, unable to concentrate, or vomit. This is so that they can make sure the amount of acid in your blood is not too high. The dose should be achieved by titration: Initiate with 25 mg orally once a day (based on range of 1 to 3 mg/kg/day); increase in increments of 1 to 3 mg/kg/day every 1 or 2 weeks to an effective dose. Seizures can happen when the brain cells are not working properly or working faster than normal. Keep all medications away from children and pets. Enter your medication into the WebMD interaction checker. Available for Android and iOS devices. If you have epilepsy, you're entitled to free prescriptions for all of your medicines, not just your epilepsy ones. ADJUNCTIVE THERAPY: 17 years or older: See Adult Dosing. These medications can interact with topiramate and put you at a higher risk for bleeding. How does topiramate work? Stopping topiramate suddenly can cause your seizures to come back or become worse. Topiramate comes as a tablet, a sprinkle capsule (capsule that contains small beads of medication that can be sprinkled on food), an extended-release (long-acting) capsule and solution (liquid) to take by mouth. Topiramate is an antiepileptic. It is also used to prevent migraine headaches. Avoid drinking alcohol while taking topiramate because it can worsen some of the side effects such as sleepiness and dizziness. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. Children may be more sensitive to the side effects of this drug, especially weakened bones, slowed growth rate, and decreased sweating. Topiramate is a generic prescription medication that is FDA-approved. Talk to your doctor about what type of birth control you should use, because taking topiramate may decrease the effectiveness of some types of birth control. What should I know about storage and disposal of this medication? Do not drive a car or operate machinery until you know how this medication affects you. Your dose for all these topiramate formulations might differ if you have kidney problems. If you're taking topiramate for epilepsy, it's possible that you'll get seizures once you stop taking it. In Canada - Call your doctor for medical advice about side effects. After 14 days, your doctor may increase your dose to 7.5 mg of phentermine and 46 mg of topiramate once a day. Topamax, Qudexy XR, Trokendi XR, Eprontia. Note that this list is not all-inclusive and includes only common medications that may interact with topiramate. Your doctor will explain this to you. There are lots of other medicines that can be used for epilepsy, but they work in different ways. Topiramate may affect the activity of brain chemicals (neurotransmitters) called GABA and glutamate. tell your doctor what nonprescription or herbal products you are taking, especially aspirin and other nonsteroidal anti-inflammatory medications (NSAIDs) such as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn). being able to get an erection sometimes, but not every time you want to have sex. It can be used for migraines, but theres little evidence that its effective at stopping them. It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. These symptoms often appear suddenly, typically about a month after people start the medication. I even lost weight on it. Keep this medication in the container it came in, tightly closed, and out of reach of children. Do not start, stop, or change the dosage of any medicines without your doctor's approval. you should know that your mental health may change in unexpected ways and you may become suicidal (thinking about harming or killing yourself or planning or trying to do so) while you are taking topiramate for the treatment of epilepsy, mental illness, or other conditions. But it can take 2 to 3 months for topiramate to work fully for migraines. antidepressants, such as monoamine oxidase inhibitors (eg, isocarboxazid, selegiline, or tranylcypromine), antiepileptics, such as carbamazepine, phenytoin, and valproate. There are many prescription and OTC options for migraines. To prevent kidney stones from forming, drink plenty of fluids while taking this medication unless otherwise directed by your doctor. If you are taking topiramate extended-release capsules, take the missed dose as soon as you remember it. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. How does topiramate compare with other medicines for migraines? It is also important information to carry with you in case of emergencies. It's best not to drink too much alcohol while taking topiramate. Next review due: 4 April 2025. If you have any questions, ask your doctor or pharmacist. Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor if you are unable to seek treatment on your own. May cause hypothermia or hyperammonemia with or without encephalopathy; the risk is greater with concomitant valproate use. You may need to avoid activities such as swimming, driving, and climbing so that you will not harm yourself or others if you lose consciousness during a seizure. But I stayed with it and the side effects went away. May interact with several other drugs including seizure medications (such as phenytoin and carbamazepine), oral contraceptives, lithium, and pioglitazone. Things to remember when you fill your prescription. Are there any long-term side effects? Last updated on Jan 19, 2023. This can raise your risk for pregnancy. Here are 9 side effects to know before taking topiramate and tips to manage symptoms. This medication has a "stabilizing" effect on nerves, which in turn helps to reduce severe mood fluctuations (e.g. Alcohol can potentiate these effects so should be avoided. Get immediate medical attention if you experience a lack of energy, aren't able to concentrate, or vomit while taking topiramate. They're not tested in the same way as pharmacy and prescription medicines. These can be signs of ammonia build-up in your brain. Topiramate can cause serious problems to unborn babies, such as birth defects or slower growth, if used by mothers in pregnancy. Although not all of these side effects may occur, if they do occur they may need medical attention. It is not intended as medical advice for individual conditions or treatment. Trokendi XR is for use in adults and children who are at least 6 years old. In case of overdose, call the poison control helpline at 1-800-222-1222. tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. topiramate XR 25 mg capsule sprinkle,extended release 24 hr, topiramate XR 200 mg capsule sprinkle,extended release 24 hr, topiramate XR 150 mg capsule sprinkle,extended release 24 hr, topiramate XR 100 mg capsule sprinkle,extended release 24 hr, Select a condition to view a list of medication options. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Can be used on its own or with other medications to control seizures, Available in short-acting and long-acting forms, so options to take once or twice daily, Available as a solution (Eprontia), so it's convenient for people who has trouble swallowing, Can be used to treat different types of seizures, Can be used to treat seizures in both adults and children, Can prevent migraines from happening, but it won't help if you have a migraine attack, Interacts with many medications, such as warfarin (Coumadin), phenytoin (Dilantin), and divalproex (Depakote), Children taking this medication for long periods of time will need to have their doses adjusted often due to changes in body weight as they grow. Prices for topiramate start at just $4.00 with a GoodRx coupon. If you notice other effects not listed above, contact your doctor or pharmacist. Since this medication can cause serious birth defects, topiramate should only be used in pregnancy if the benefit is greater than the risk to the unborn baby. Tell your doctor or pharmacist if you need to take high doses of vitamin C or calcium supplements. During pregnancy, this medication should be used only when clearly needed. This medication may be prescribed for other uses. For example, taking topiramate with medications like acetazolamide and zonisamide (Zonegran) can raise the risk of acid in your blood as well as kidney stone. Do not drive or operate machinery or perform other hazardous tasks if topiramate makes you dizzy or drowsy. Topiramate can interact with many medications. Mechanism of Action Although the precise mechanism of action of topiramate is unknown, there is sufficient evidence to explain the drug's anticonvulsant activity. Also tell your doctor if you have any new spotting or breakthrough bleeding, because these may be signs that your birth control is not working well. In some rare cases, topiramate can raise the level of acid in your blood (metabolic acidosis). tell your doctor if you or any family members have or have ever had kidney stones, and if you have ever thought about killing yourself or tried to do so. WebMD does not provide medical advice, diagnosis or treatment. Contact your doctor immediately if you experience any of the following: The following side effects may get better over time as your body gets used to the medication. Topiramate is a seizure medication that helps treat and prevent seizures. Your doctor will talk to you about tapering topiramate down when it comes time to discontinue it. 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