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What is Topamax used for?

Topamax is an anticonvulsant and is prescribed for the prevention of seizures in adults and children over the age of two.  It can also be used for the prevention of migraines but will not treat a migraine which has already started.

What are Topamax side effects?

Side effects of Topamax can include speech problems, fatigue, dizziness, numbness, difficulty concentrating, insomnia, loss of appetite and headaches.  More serious side effects can include vomiting, drowsiness, vision loss, muscle pain, severe pain in the lower back or side, dry mouth, confusion, pain in th eyes, or urination problems.  You should contact your doctor if you experience any of these serious side effects.  If you experience any of the signs of an allergic reaction, you should get emergency help immediately.  These signs can include swelling of the face, mouth or tongue; trouble breathing; rash or hives.

What to know before taking Topamax?

If you have any pain in your eyes or sudden loss of vision, you should seek emergency medical assistance as it could be the signs of a very serious side effect.  Topamax can cause you to have suicidal thoughts.  You should not use Topamax if you have ever had an allergic reaction to Topiramate.  You may need to have special tests to determine a safe dose of Topamax, if you have conditions such as liver disease, asthma, kidney stones, glaucoma, emphysema, kidney disease, bronchitis, or if you are allergic to any other medication.  Topamax should not be taken by pregnant women as it could cause harm to an unborn baby.  You should make sure to use other forms of contraception as well as birth control pills as Topamax can lessen the effectiveness of birth controls.

What is the Topamax dosage?

You should take Topamax as directed by your doctor.  Only take the amount of Topamax that has been prescribed by your doctor and do not take it for longer than the recommended course.  Dosage will vary from person to person. The normal dosage for preventing seizures in adults and children over the age of ten is 50mg per day split into two doses.  This may be increased if necessary.   Dosage for children under the age of ten should be determined by a doctor.  Topamax can be taken with food or without.  You should not stop taking your medication suddenly as this could cause you to have an increase in seizures.  You should make sure to drink lots of fluids while taking Topamax to reduce the risk of kidney stones.

What are the Topamax interactions?

Topamax may interact with certain drugs such as Hydrochlorothiazide, Atropine, Benztropine, Pioglitazone, Methazolamide, Oxybutynin, Amitriptyline, Acetazolamide, Ipratropium, Carbamazepine, Hyoscyamine, Cystospaz, Tiotropium, and Glycopyrrolate.  There may also be other drugs which could interact with Topamax so it is advisable to inform your doctor of any other medication you might be taking including vitamins, over the counter pain killers and herbal products.

What should I avoid while taking Topamax?

Topamax could cause impaired reactions or impaired vision so it is important to take extra care when doing anything that requires full alertness such as driving or operating full machinery. Taking Topamax with alcohol could increase side effects so it is advisable to avoid alcohol.  You should avoid any ketosis or ketogenic diets while taking Topamax as they can increase the chance of kidney stones.

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