TOPAMAX
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Manufactured by Janssen Pharmaceuticals
*You can pay as little as $0 per fill using Drug Coupons or Patient Assistance Programs. Subject to applicability & eligibility requirements.
This content is intended for US audiences only
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TOPAMAX Uses, Side Effects, Interactions, Warnings & Dosing
What is TOPAMAX?
TOPAMAX is the brand name for topiramate and is available as an oral tablet and capsule.
What dosages is TOPAMAX available in?
TOPAMAX is available as a 25 mg, 50 mg, 100 mg, and 200 mg oral tablet and a 15 mg and 30 mg oral capsule.
What is TOPAMAX used for?
TOPAMAX is an antiepitleptic that is used for:
- Seizures (partial seizures, tonic-clonic seiures, Lennox-Gastaut syndrome)
- Migraine prevention
How does TOPAMAX work?
TOPAMAX is an antiepileptic. It’s not exactly clear how this medication works to prevent migraines. But in order to control seizures, topiramate blocks your brain from sending certain signals or chemicals that can overly excite your nerves. This helps to reduce the bursts of activity in your brain, which prevents seizures.
How do I take TOPAMAX?
TOPAMAX initial dose, titration, and recommended maintenance dose varies by indication and age group. See Full Prescribing Information for recommended dosage, and dosing considerations in patients with renal impairment, geriatric patients, and patients undergoing hemodialysis.
Is it safe for me to take TOPAMAX?
TOPAMAX is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you.
TOPAMAX Common Side Effects
Common side effects of TOPAMAX:
- Feeling “pins and needles”
- Drowsiness
- Weight loss
- Nervousness
- Fatigue
- Dizziness
- Lack of appetite
- Trouble sleeping
- Upper respiratory tract infection (e.g., cough, stuffy nose, sore throat)
- Fever
- Change in taste
- Trouble moving or keeping balance
TOPAMAX Serious Side Effects
Serious side effects are rare with TOPAMAX. Contact your healthcare provider immediately if you experience any of the following.
- Suicidal thoughts or behaviors
- Seizures (from withdrawal)
- Vision problems: blurred vision, loss of vision, double vision, blind spots
- Serious bleeds: bleeding that’s difficult to stop, vomiting blood, blood in the urine or stool, “coffee-ground” stool
Severe skin reactions: rash, skin pain or peeling, blisters, fever, sore throat, extreme tiredness, swelling of the face, swollen lips - Extreme drop in body temperature: shivering, feeling tired, feeling confused, slurred speech, coma
- Dangerously high body temperature: fever, headache, dizziness, feeling confused, nausea, vomiting muscle cramps, skin that’s very warm or hot to the touch
- Dangerously high blood acid levels: feeling very tired, breathing very fast, poor appetite, irregular heartbeat, trouble thinking clearly, sharp pain near the side and back from kidney stones
- Extremely high blood ammonia levels: fatigue, poor mental alertness, vomiting
Effects of other drugs, drug classes and over-the-counter products on TOPAMAX
The following medications may interact with TOPAMAX:
- Contraceptives: decreased contraceptive efficacy and increased breakthrough bleeding, especially at doses greater than 200 mg/day
- Monitor lithium levels if lithium is used with high-dose TOPAMAX
Who makes TOPAMAX?
Janssen Pharmaceuticals
Is TOPAMAX safe in pregnancy?
TOPAMAX use during pregnancy can cause major congenital
malformations, including but not limited to cleft lip and/or palate, and being small for gestational age. TOPAMAX should be used during pregnancy only if the potential
benefit outweighs the potential risk.
The FDA's medical product safety reporting program for health professionals, patients and consumers.
Learn more about reporting side effects
Drug Savings Tips
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Medical Disclaimer
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
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