Topamax is generically known as Topiramate. Topamax is classified under medicines referred to as anticonvulsant medicines. Its primary use is for the treatment of seizures both in adult and children (
less than 2 years of age). It is also a preventive drug that inhibits migraine headaches in adult patients and children not less than 12 years of age. Topamax works only for the prevention of migraine headaches and reduction to the risks of several attacks and not after it has shown up.
Topamax as a potent drug works effectively for the prevention and control of epilepsy (seizure) with or without using it with other medications. It also prevents you from having migraine headaches and lowers the chances of getting them.
Mode of Indication, Dosage, and Duration of Treatment
Ensure that the intake of Topiramate is done by following all directions given by the doctor. Adhere to all prescription details found on the prescription label and make inquiries when it is necessary relating to the use, duration, and the number of required dose. There may be a need at times for a change by your doctor on your dose for better treatment result. Ensure you take Topamax as prescribed; not more, less or longer than it is required. You may support the intake of Topamax medicine with or without a meal. Avoid the chewing, crushing and breaking of Topamax tablet– it is meant to be swallowed as a whole or sprinkled into applesauce (a spoonful will do) or any other soft meal. There may be a need for a change of dose in children in weight loss or gain situations. Support the use of Topamax with enough quantity of liquid to avoid electrolyte imbalance or kidney stone. Ensure you keep your surgeon abreast on the use of Topiramate earlier before surgery. You may also require regular blood tests. Sudden withdrawal from the use of Topamax should be avoided which may result in increased seizures. Ensure you notify your doctor if there is a need for discontinuation or if there is deterioration on seizures.
Ensure you take the following precautions when or before using Topiramate:
- Patients that are hypersensitive to Topamax should keep away from its use.
- Patients with metabolic acidosis and those on metformin for the treatment of diabetes should avoid the use of extended-release Topiramate.
- Any of the following conditions whether in the past or at present should be brought to your doctor’s awareness:
- Liver disease;
- Kidney problems;
- Eye problems;
- Metabolic acidosis;
- Mood changes;
- Breathing problems;
- Suicidal thoughts or actions;
- An eating disorder;
- Brittle or soft bones;
- A growth disorder.
- There may be a need for blood tests in order to be certain that you are without metabolic acidosis which may be harmful to an unborn baby or children.
- There should be an immediate report on mood or symptoms changes by a caregiver or someone close. This may be the result of the use of an antidepressant. This requires a regular check by your doctor to know your conditions
- Topamax may render pills for birth control impotent. You are therefore advised to use other birth control methods such as diaphragm with spermicide or condom.
- Pregnant women should seek the advice of their doctors before using Topiramate.
- Lactating mothers should seek the advice of their doctors before using Topiramate.
You are advised to seek immediate medical attention when you begin to experience an allergic reaction to Topamax which may be swollen lips, throat, face or tongue; difficulty breathing; and hives. The following are the usual side effects of Topamax:
- Loss of weight loss;
- Tingling or numbness in legs and arms;
- Sluggish reactions;
- Changes in mood;
- Loss of appetite;
- Gustation problem;
- Sore throat;
- Stomach pain;
- Common cold signs.
In a situation whereby you forget to use your prescribed medicine, you can always take it at the moment of recollection. However, mind the time for the next dose if not close. Taking at once two doses that are supposed to be used at different times should be avoided. Ensure you notify your doctor if you skip two doses or more.
Peradventure you take more than the prescribed doses, quickly see your doctor or call for emergency medical help. The signs of Overdose may involve the following:
- Problems with thinking;
- Coordination or speech problems;
- Double vision.
Interaction with other drugs
The use of Topamax with sleeping pills, muscle relaxer, opioid pain drug or drugs for nervousness or depression may exacerbate the effect– ensure you seek the advice of your doctor before the intake of any of these medicines. Your doctor should be aware of the following medications if used in the past or in use at present:
- Birth control pills;
- Seizure medications such as Divalproex or Valproic acid;
- Prescription and over-the-counter medicines;
- Herbal products.