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Topamax (Topiramate)DescriptionTopamax ( Topiramate ) is used with other drugs to control various types of convulsions and seizures of epilepsy.
Topiramate (generic Topamax) Reviewbrand name: Topamaxgeneric name: Topiramate Why is Topamax prescribed?Topamax is an antiepileptic drug, prescribed to control both the mild attacks known as partial seizures and the severe tonic-clonic convulsions known as grand mal seizures. It is typically added to the treatment regimen when other drugs fail to fully control a patient's attacks. Topamax is also prescribed for the prevention of migraine headaches (also known as prophylactic treatment). However, due to a lack of studies, it's not known whether the drug can treat acute migraine attacks. What side effects may occur?Some side effects, such as fatigue, are more likely to surface with high doses of Topamax (Topiramate). Others occur regardless of dosage. While many tend to disappear after the first 8 weeks of therapy, it's still important to report them to your doctor. Only your doctor can determine if it is safe for you to continue taking Topamax.
Most important fact about Topamax (Topiramate)Do not abruptly stop taking Topamax (Topiramate). If the drug isn't withdrawn gradually, the frequency of your seizures could increase. Why should Topamax (Topiramate) not be prescribed?If Topamax (Topiramate) gives you an allergic reaction, you'll be unable to use the drug. Special warnings about Topamax (Topiramate)Because Topamax (Topiramate) sometimes causes confusion, fatigue, dizziness, and problems with coordination and concentration, you should not drive, operate machinery, or participate in any hazardous activity that requires full mental alertness until you are certain how the drug affects you. Topamax (Topiramate) has been known to trigger severe nearsightedness along with increased pressure inside the eye. The problem usually occurs within 1 month of starting treatment. If you develop blurred vision or eye pain, call your doctor immediately. Discontinuation of the drug may be necessary to prevent permanent vision loss. Topamax has been known to cause a potentially serious condition known as metabolic acidosis (an increase of acid in the blood). In children, chronic metabolic acidosis may affect growth or cause rickets (a softening or weakness of the bones that can lead to bone deformities). Contact your doctor immediately if you experience symptoms of metabolic acidosis such as fatigue, lethargy, confusion, an irregular heartbeat, rapid breathing, or loss of appetite. Your doctor will decide if you should discontinue taking Topamax (Topiramate). Do not abruptly stop taking this drug on your own; your doctor will gradually taper the dosage to avoid an increase in seizures. DOSAGE ADJUSTMENT For people with poor kidney function, the dosage is usually cut in half. On the other hand, those undergoing hemodialysis may need a supplemental dose. Likewise, the doctor may adjust your dosage if you have liver problems. The usual daily dose for children 2 to 16 years of age is 5 to 9 milligrams for every 2.2 pounds of body weight, divided into two doses. Topamax therapy usually begins with a dose of 25 milligrams (or less) once daily during the first week. The daily dosage is then increased each week until the doctor is satisfied with the patient's response. It may take eight weeks to reach the ideal dose. Possible food and drug interactions when taking Topamax (Topiramate)If Topamax (Topiramate) is taken with certain other drugs, decreased, the effects of either could be increased, or altered. It is especially important to check with your doctor before combining Topamax with: Topamax (Topiramate) can depress the central nervous system. Be extremely cautious about combining it with alcohol, tranquilizers, sedatives, and other central nervous system depressants. |









