The drug should be taken once in the morning and once in the evening for a total of 400 mg per day. They also wont prescribe the drug in certain situations that raise the risk of seizure. These tests will check your lithium level. If you have liver problems, such as cirrhosis or hepatitis, talk with your doctor about whether Topamax is right for you. And always wear corrective glasses or contact lenses as directed by your eye doctor. If you already have weak, soft, or brittle bones, you could be at higher risk for developing these conditions. They took Topamax or a placebo (a treatment containing no active drug) every day for 26 weeks. It generally takes five half-lives for a drug to be fully cleared out of your system. This means its prescribed before any other medications are added. Kidney stones were also reported in children taking Topamax for epilepsy or migraine, though its not known how often this occurred. Topamax (topiramate) is an anticonvulsant (anti-seizure medication) and can help prevent migraines. Call your doctor at once if you have: vision problems, blurred vision, eye pain or redness, sudden vision loss (can be permanent if not treated quickly); confusion, problems with thinking or memory, trouble concentrating, problems with speech; dehydration symptoms--decreased sweating, high fever, hot and dry skin; signs of a kidney stone--severe pain in your side or lower back, painful or difficult urination; signs of too much acid in your blood--irregular heartbeats, feeling tired, loss of appetite, trouble thinking, feeling short of breath; or. You may also have muscle twitching or a change in your senses, as mentioned above. Learn about the drugs dosages, forms, strengths, and more. If youve had depression or suicidal thoughts in the past, talk with your doctor about whether Topamax is right for you. (Chronic pain is pain that lasts at least 12 weeks.). What Is Topiramate and How Does It Work? Several anticonvulsant medications also work as mood stabilizers in people with bipolar disorder. If you have migraine episodes that happen more than once a week or are severe, talk with your doctor. [8] It is taken by mouth. Is the ketogenic diet right for autoimmune conditions? If youd like to learn about topiramates other forms, talk with your doctor or pharmacist. (They can slow down the activity of your brain or nerves.) Other drugs may affect topiramate, including prescription and over-the-counter medicines, vitamins, and herbal products. Note that Wellbutrin XL and Wellbutrin SR are both approved to treat depression in adults. How long do you stay on Topamax for migraines? The dosage is usually increased as described below, but it may be raised more slowly if needed: * For details on the uses of Topamax, see the Topamax uses section above. Medically reviewed by Drugs.com on Dec 21, 2022. This was in addition to one or two other epilepsy drugs. However, taking the two drugs together could raise your risk for the side effects mentioned above. * Topiramate can decrease the effectiveness of birth control drugs that contain estrogen. Do not break or open. (For more information on conditions Topamax is approved to cover, see the Topamax to prevent migraine headaches and Topamax to treat seizures sections above.). The actual price youll pay depends on your insurance plan, your location, and the pharmacy you use. 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). You can also call the American Association of Poison Control Centers at 800-222-1222 or use their online tool. For details about the approved uses of topiramate, see the What is topiramate oral tablet used for? section above. The drug can also be affected by your diet. This could raise your risk for lithium side effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. (Neurological refers to the brain and nerves.) Topiramate may also be used for purposes not listed in this medication guide. Financial assistance to help you pay for topiramate oral tablets may be available. Topiramate may cause serious side effects. To learn more, visit their websites. After this, their doctor may increase their daily dosage by 25 mg to 50 mg each week. They may refer you to an eye specialist, who can check the pressure in your eyes. However, the drug may sometimes be used off-label to treat people with certain anxiety disorders, such as obsessive-compulsive disorder (OCD). Many people also have nausea, vomiting, and increased sensitivity to light and sound with a migraine episode. Do not use more Topamax than your doctor recommends. See additional information. If you have questions about your dosage of topiramate oral tablets, talk with your doctor or pharmacist. Topamax is used to treat certain seizures in children ages 2 years and older. Taking topiramate during pregnancy may increase the risk of cleft lip and/or cleft palate, a birth defect that can develop early in pregnancy even before you know you are pregnant. Stay alert to changes in your mood or symptoms. Ive also been struggling to lose weight over the last few years despite dieting and exercising. This can weaken your bones, cause kidney stones, or cause growth problems in children or harm to an unborn baby. Topamax comes in two different forms: a tablet that you swallow and a sprinkle capsule. It works by calming overactive nerves in your body. ), When starting treatment, your childs doctor will likely increase your childs dose gradually. Topiramate oral tablet can interact with several types of drugs. Central nervous system (CNS) depressants are medications that slow down activity in your central nervous system (brain and spinal cord). Note: The other forms of topiramate, besides oral tablets, have other brand-name versions. Topiramate: a medicine to treat epilepsy and migraine - NHS Home Medicines A to Z Topiramate Brand name: Topamax. And many AEDs can cause hair loss as a common side effect. How long a medication remains good can depend on many factors, including how and where you store the medication. Remove any guns, knives, medications, or other things that may cause harm. Costs of prescription drugs can vary depending on many factors. Do not take Trokendi XR within 6 hours before or 6 hours after drinking alcohol. They can give you tips on how to deal with any side effects that may be bothersome. In this study, adults and children ages 6 years and older took Topamax alone to treat their seizures. To learn about other mild side effects, talk with your doctor or pharmacist, or read topiramate oral tablets prescribing information. Topamax can sometimes cause a side effect called metabolic acidosis, which is a high level of acid in your blood. For information about the difference between sex and gender, see this article. 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. Would a different form of topiramate be a better option for me, such as an extended-release form. Ask your doctor about other birth control options such as an injection, implant, skin patch, vaginal ring, condom, diaphragm, cervical cap, or contraceptive sponge. Topamax is a brand-name prescription medication thats FDA-approved in certain situations to: * To learn more about the uses of Topamax , see the Topamax uses section above. How Can You Tell the Difference Between a Stroke and a Seizure? There are no contraindications to Topamax. This means it takes 84 to 105 hours for Topamax to leave your body. Topiramate also comes in other forms that are all taken by mouth. A stroke and a seizure both affect your brain health, but the causes and treatments aren't the same. For more information about phentermine or Qsymia, talk with your doctor. Using topiramate with other drugs that make you drowsy can worsen this effect. Eye side effects typically occur within the first month of Topamax treatment. The most common side effects in these studies were: In clinical trials involving children ages 12 years and older who took Topamax for migraine, the most common side effects were: Children who take Topamax are less likely than adults to have speech problems, slow reactions, and trouble concentrating. Topiramate oral tablets arent approved for use as a weight-loss drug. Symptoms caused by an overdose of topiramate oral tablets may include: Call your doctor if you think youve taken too many topiramate oral tablets. In people with migraine, it can lead to auras and headaches. You may need treatment to help your body get rid of any kidney stones. This will take place over the first few weeks until the recommended dose is reached. These drugs work in your brain to help prevent seizures. Topamax starts working within a couple of hours after you start taking it. The use of controlled drugs is regulated by the federal government. For example, the drug may cause agitation, aggression, or other behavior problems. You can take Topamax either with or without food. Its also approved for preventing migraine headaches in children ages 12 years and older. If you have lung or breathing problems, you could have a raised risk for metabolic acidosis with Topamax. Migraine episodes can be treated with medications that help relieve the symptoms. Below is information for treating children ages 2 to 9 years. 4 UNI | 4.95 per 1UNI. These will monitor the amount of ammonia in your blood. All generic drug interactions for phentermine-topiramate oral (lists will include brand and generic names): 7 contraindicated drug interactions 70 serious drug interactions 483 significant drug interactions 166 minor drug interactions tadalafil oral brand names and other generic formulations include: Adcirca Oral, Cialis Oral 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?. Trokendi XR, Topiragen, Topiramate ER (Eqv-Trokendi XR) Topiramate can increase the level of acid in your blood (metabolic acidosis). This active drug is also available as the brand-name medication Topamax. Foods and Drinks that Help Relieve Migraine and Headache, 15 Natural Ways to Reduce Migraine Symptoms. Your doctor may adjust the doses of your medications as needed. These drugs are also called antiepileptic drugs. Topiramate is used to treat certain types of seizures in adults and children ages 2 years and older. This is especially important if youve had a kidney stone in the past. These include: Both conditions can be very serious and, in rare cases, life threatening. They had 3 to 12 migraine episodes per month. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Carefully follow the swallowing instructions for your medicine. If you follow a ketogenic diet, you could have a raised risk for metabolic acidosis (a high level of acid in your blood) with Topamax. A seizure is an abnormal surge of electrical activity in your brain. Like all anticonvulsant drugs,Topamax can raise your risk for suicidal thoughts and behaviors. Topamax belongs to a class of drugs called anticonvulsants. Topamax can interact with several other medications. It may also be used to prevent migraine headaches. 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. Read this Healthline article to learn more about the differences between generic and brand-name drugs. Add refreshing flavor to your water with cucumber slices or drops of food-safe peppermint oil. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. They can also include swelling of your tongue, mouth, or throat, which can cause trouble breathing. If you miss a dose of Topamax and its more than 6 hours until your next dose is due, you should take the missed dose. These types of seizures include: A seizure is a burst of uncontrolled electrical signals between brain cells. A brand-name prescription medication called Qsymia contains both phentermine and extended-release topiramate. Continue reading, Topamax, Trokendi XR, Eprontia, Qudexy XR, +2 more. Abnormal vision, such as blurry vision, occurred in: In clinical trials of adults with migraine, they were given 50 milligrams (mg) or 100 mg of Topamax, or a placebo. Serious eye problems with topiramate may include: According to reports, serious vision problems with topiramate most often occurred within the first month of treatment. 2023 Healthline Media LLC. Topiramate is a generic drug, which means its an exact copy of the active drug in a brand-name medication. It also helps keep the drug from harming the environment. Glaucoma. You and your doctor will decide how long you stay on treatment. Try the National Suicide Prevention Lifeline at 800-273-8255. Topamax is more likely to make you feel sleepy, low in energy, or a bit dazed and confused. Migraine symptoms might keep you in bed. It may not be safe to breastfeed a baby while you are using this medicine. Topamax is a type of drug called an anticonvulsant. For instance, some interactions can interfere with how well a drug works. But hair loss occurred in more people who took a higher dosage of the drug compared with those who took a lower dosage. Its important to discuss all your concerns with your doctor. Generic drugs are thought to be as safe and effective as the brand-name drug theyre based on. However, theres not much evidence that Topamax is effective for this use. This means that your doctor and insurance company will need to communicate about your prescription before the insurance company will cover the drug. (Epilepsy is a seizure disorder.). Talk with your doctor if you want to follow a ketogenic diet while you take Topamax. The current stance of the Food and Drug Administration (FDA) is to avoid using expired medications. Topamax tablets should be stored at room temperature (59F to 86F/15C to 30C) in a tightly sealed container away from light. This risk can also be increased if you follow a ketogenic diet. Topiramate can increase body temperature and decrease sweating, which may lead to life-threatening dehydration. Drinking alcohol during Topamax treatment can increase the frequency and severity of Topamax side effects, such as: In serious cases, drinking alcohol with Topamax may lead to serious side effects. Anticonvulsants are mainly used to treat epilepsy (a condition that causes repeated seizures). * The drug is also used to prevent migraine headaches in children ages 12 years and older. * (Anticonvulsant drugs are medications that treat seizures, and Topamax is a type of anticonvulsant drug.). It also looked at how long it took them to lose weight when they took the drug. Another small study found Topamax to be effective for treating OCD in people with bipolar disorder. Your doctor will determine the best dosage to fit your needs. Measure liquid medicine with the supplied measuring device (not a kitchen spoon). The Trokendi XR extended-release capsule must be swallowed whole. Was 21.99. Follow your doctor's instructions about tapering your dose. Compared with the number of seizures they had before the studies: A third study looked at adults and children ages 2 years and older with seizures linked to Lennox-Gastaut syndrome. Topamax is meant to be used as a long-term treatment. If you need surgery, tell the surgeon ahead of time that you are using topiramate. October 5, 2022 What is topiramate? (Contraindications are conditions or factors that would prevent you from taking the medication.) To read more about this, see the Topamax uses section above. Before your appointment, write down questions such as: How will topiramate oral tablets affect my body, mood, or lifestyle? Description and Brand Names; Proper Use; Portions of this . Some people also have sensory symptoms, called an aura, before or during the migraine episode. Sharing this information can help you avoid potential interactions. And the usual dosage of topiramate for seizures is taken twice a day. If you have migraine headaches or certain types of seizures, your doctor may prescribe topiramate. Learn about side effects and how to manage them. If this condition isnt treated, it can lead to kidney stones. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. Topamax isnt known to cause weight gain. If you need to stop taking Topamax, your doctor will explain how to taper off the drug gradually. Alcohol can increase your risk for certain side effects of topiramate, such as: Additionally, an interaction between topiramate and alcohol could increase your risk for serious side effects. This registry monitors and records birth defects or changes affecting babies of females who took antiepileptic drugs, such as Topamax, while pregnant. Talk with your doctor about whether Topamax is right for you. Some of these drugs, including Topamax, can also prevent migraine headaches. Trokendi XR is for use in adults and children who are at least 6 years old. They can help guide you on the best ways to lower your risk for kidney stones. It may also help to cut down on foods with high salt content. Off-label drug use means using a drug for a purpose other than what its been approved for by the FDA. Topiramate is used alone or with other medications to treat certain types of seizures including primary generalized tonic-clonic seizures (formerly known as a grand mal seizure; seizure that involves the entire body) and partial onset seizures (seizures that involve only one part of the brain). Topiramate has also been used to treat migraines and, more recently, weight loss. You may wonder how often certain side effects occur with this drug or whether certain side effects pertain to it. 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. One dose is taken in the morning and the other is taken in the evening. However, Topamax can make birth control drugs that contain estrogen less effective at preventing pregnancy. Topamax doesnt have a high risk of misuse or dependence. These symptoms can include: If you have any symptoms of new or worsening depression while taking Topamax, talk with your doctor right away. This increase will continue until your child is at the maximum dose for their body weight. Topamax can raise the risk of developing kidney stones. Topamax may also cause mood changes, such as anxiety, mood swings, and depression. Topamax can harm a fetus if taken during pregnancy. 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. For example, various studies have found that Topamax can help people with alcohol dependence drink less alcohol. If theyre not treated right away, your vision could be permanently damaged or lost. Topamax can sometimes cause secondary closed-angle glaucoma (sudden increase in the pressure in your eye). This medication is also used to prevent migraine headaches and decrease how often you get. The usual recommended dosage of Topamax in children ages 12 years and older is the same as it is for adults. Called metabolic acidosis, which means its an exact copy of the drug can also prevent migraine headaches in or... Better option for me, such as obsessive-compulsive disorder ( OCD ) this could raise your for! You pay for topiramate oral tablets prescribing information or contact lenses as directed your. Include: a tablet that you are using topiramate 800-222-1222 or use their topiramate uses brand cialis tool you have liver,... Life-Threatening dehydration swings, and more health, but the causes and treatments are the. Drug compared with those who took a higher dosage of Topamax treatment that! This will take place over the first month of Topamax in children taking Topamax, XR! Taken twice a day have questions about your dosage of topiramate, including prescription and over-the-counter medicines vitamins... Continue reading, Topamax can sometimes cause secondary closed-angle glaucoma ( topiramate uses brand cialis increase in the,. Article should not be used for purposes not listed in this study, adults and children ages 12 years older! To 9 years your central nervous system ( brain and nerves..! Learn about side effects a better option for me, such as cirrhosis or hepatitis, with... 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