Topamax

Brand: TOPAMAX

Generic: TOPIRAMATE

TOPAMAX is a prescription medicine used:

• to treat certain types of seizures (partial onset seizures and primary generalized tonic-clonic seizures) in people 10 years and older,
• with other medicines to treat certain types of seizures (partial onset seizures, primary generalized tonic-clonic seizures, and seizures associated with Lennox-Gastaut syndrome) in adults and children 2 years and older,
• to prevent migraine headaches in adults.

TOPAMAX BRAND (origin: Switzerland) 30 tablets  25MG: $ 15.00
TOPAMAX BRAND (origin: Switzerland) 30 tablets 100MG: $ 30.00
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MEDICATION GUIDE

  Topamax Medication Guide (366.6 KiB, 46 hits)

SAFETY INFORMATION

►Most important information about TOPOMAX

• TOPAMAX may cause eye problems. Serious eye problems include:
  • any sudden decrease in vision with or without eye pain and redness,
  • a blockage of fluid in the eye causing increased pressure in the eye (secondary angle closure glaucoma).
  • These eye problems can lead to permanent loss of vision if not treated.  You should call your healthcare provider right away if you have any new eye symptoms.

• TOPAMAX may cause decreased sweating and increased body temperature (fever). People, especially children, should be watched for signs of decreased sweating and fever, especially in hot temperatures. Some peoplemay need to be hospitalized for this condition.

• Like other antiepileptic drugs, TOPAMAX may cause suicidal thoughts or actions in a very small number of people, about 1 in 500.

Call a healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you:

• thoughts about suicide or dying
• attempts to commit suicide
• new or worse depression
• new or worse anxiety
• feeling agitated or restless
• panic attacks trouble sleeping (insomnia)
• new or worse irritability
• acting aggressive, being angry, or violent
• acting on dangerous impulses
• an extreme increase in activity and talking (mania)
• other unusual changes in behavior or mood

► How to watch out for early symptoms of suicidal thoughts and actions

• Pay attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings.
• Keep all follow-up visits with your healthcare provider as scheduled.
• Call your healthcare provider between visits as needed, especially if you are worried about symptoms.

►Before taking MONOPRIL, tell your doctor if you:

• have or have had depression, mood problems or suicidal thoughts or behavior
• have kidney problems, kidney stones or are getting kidney dialysis
• have a history of metabolic acidosis (too much acid in the blood)
• have liver problems
• have osteoporosis, soft bones, or decreased bone density
• have lung or breathing problems
• have eye problems, especially glaucoma
• have diarrhea
• have a growth problem
• are on a diet high in fat and low in carbohydrates, which is called a ketogenic diet
• are having surgery
• are pregnant or plan to become pregnant. It is not known if TOPAMAX will harm your unborn baby.
• are breastfeeding. It is not known if TOPAMAX passes into breast milk and if it can harm your baby. Talk to your healthcare provider about the best way to feed your baby if you take TOPAMAX.

Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.

►What to avoid while taking TOPAMAX?

• Do not drink alcohol while taking TOPAMAX. TOPAMAX and alcohol can affect each other causing side effects such as sleepiness and dizziness.
• Do not drive a car or operate heavy machinery until you know how TOPAMAX affects you. TOPAMAX can slow your thinking and motor skills.

►Do not stop TOPAMAX without first talking to a healthcare provider.

• Stopping TOPAMAX suddenly can cause serious problems.
• Suicidal thoughts or actions can be caused by things other than medicines. If you have suicidal thoughts or actions, your healthcare provider may check for other causes.

POSSIBLE SIDE EFFECTS

►SERIOUS SIDE EFFECTS:

• Metabolic Acidosis. Metabolic acidosis can cause:
  • tiredness
  • loss of appetite
  • irregular heartbeat
  • impaired consciousness

• High blood ammonia levels. High ammonia in the blood can affect your mental activities, slow your alertness, make you feel tired, or cause vomiting.  This has happened when TOPAMAX is taken with a medicine called valproic acid (DEPAKENE and DEPAKOTE).

• Kidney stones. Drink plenty of fluids when taking TOPAMAX to decrease your chances of getting kidney stones.

• Effects on Thinking and Alertness. TOPAMAX may affect how you think, and cause confusion, problems with concentration, attention, memory, or speech. TOPAMAX may cause depression or mood problems, tiredness, and sleepiness.

• Dizziness or Loss of Muscle Coordination. Call your healthcare provider right away if you have any of the symptoms above.

►MOST COMMON SIDE EFFECTS:

• tingling of the arms and legs (paresthesia)
• not feeling hungry
• nausea
• a change in the way foods taste
• diarrhea
• weight loss
• nervousness
• upper respiratory tract infection

Tell your healthcare provider about any side effect that bothers you or that does not go away.

These are not all the possible side effects of TOPAMAX. For more information, ask your healthcare provider or pharmacist.

INGREDIENTS

Active ingredient:

• topiramate

Inactive ingredients:

• lactose monohydrate, pregelatinized starch, microcrystalline cellulose, sodium starch glycolate, magnesium stearate, purified water, carnauba wax, hypromellose, titanium dioxide, polyethylene glycol, synthetic iron oxide andpolysorbate 80.

DRUG INTERACTION

TOPAMAX and other medicines may affect each other causing side effects.
Especially, tell your healthcare provider if you take:

• Valproic acid (Depakene, Depakote)
• any medicines that impair or decrease your thinking, concentration, or muscle coordination.
• birth control pills. TOPAMAX may make your birth control pills less effective. Tell your healthcare provider if your menstrual bleeding changes while you are taking birth control pills and TOPAMAX.

Ask your healthcare provider if you are not sure if your medicine is listed above.
Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist each time you get a new medicine. Do not start a new medicine without talking with your healthcare provider.