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What Is Topamax Used For? Topamax, also known as topiramate, is an anti-convulsant medicine used to treat epilepsy and prevent migraines. It is also used off-label to help people lose weight. Topamax is in a class of medicines called anticonvulsants. It works by decreasing the spread of seizure activity in the brain and relaxing the nerve impulses that cause seizures and migraine headaches.
In addition to preventing seizures and migraines, Topamax is often used to treat chronic pain, bipolar disorder, borderline personality disorder, and ADHD. It is also used off-label as a weight loss drug.
Topamax Doses Topamax comes in two forms: immediate-release (Topamax) and extended-release (Trokendi XR or Qudexy SR). The typical starting dose for treating seizures in adults is 50 mg taken orally twice daily. This dose can be gradually increased by 50 mg/day every week to the recommended daily dose of 400 mg. For treating migraines, the starting dose is 25 mg taken orally nightly for the first week, then increased to 50 mg nightly for weeks 2-4, then increased to 50 mg taken orally twice daily after week 4.
For weight loss, the starting dose is usually 25 mg per day. The dosage can be increased by 25 mg each week up to a maximum daily dose of 100-200 mg. Topamax is usually taken with food.
Topamax Side Effects Serious side effects of Topamax include:
- Increased risk of suicidal thoughts and behavior
- Eye problems including sudden vision loss, double vision, blurred vision, drooping eyelid, painful eye
- Increased risk of kidney stones
- Decreased sweating and increased heat stroke risk, especially in children
- Cognitive/adverse neuropsychiatric reactions
- Serotonin syndrome (a potentially life-threatening drug reaction)
Common side effects include:
- Blurred vision
- Confusion/agitation
- Constipation
- Depression
- Difficulty concentrating
- Difficulty speaking
- Dizziness
- Drowsiness
- Fever
- Flushing
- Flu-like symptoms
- Headache
- Indigestion
- Memory problems
- Mood changes
- Numbness or tingling
- Sensitivity to light
- Shaking
- Slurred speech
- Sleepiness
- Taste changes
- Kidney stones
- Birth defects if taken during pregnancy
Topamax Warnings It's important to get medical help right away if you have any of these symptoms:
- Sudden vision loss, double vision, blurred vision, drooping eyelid, painful eye
- Suicidal thoughts or behaviors
- High fever with stiff muscles, sweating, confusion, irregular heartbeat, uneven heartbeat
- Hallucinations, agitation, changes in mental status, nausea/vomiting, diarrhea
- Weakness, numbness or pain from nerve damage
- Chloride imbalance (nausea, dizziness, cramps, muscle weakness)
You should not take Topamax if you:
- Are allergic to topiramate
- Have metabolic acidosis and are taking metformin
- Use methazolamide or dorzolamide
- Need a medicine for depression, obsessive compulsive disorder, or other psychiatric conditions
- Have liver disease
- Have kidney disease
- Have a history of kidney stones
- Are pregnant or breastfeeding
- Need a diuretic for swelling or heart failure
Topamax Interactions Topamax may interact with certain medicines and worsen side effects. These include:
- Valproic acid (Depakote)
- Phenytoin (Dilantin)
- Carbamazepine (Carbatrol, Tegretol, Equetro)
- Phenobarbital (Luminal)
- Primidone (Mysoline)
- Amitriptyline (Elavil)
- Nortriptyline (Pamelor)
- Venlafaxine (Effexor)
- Lithium
- Sumatriptan (Imitrex)
- Hydrochlorothiazide (Microzide)
- Metformin (Fortamet, Glucophage, Riomet)
- Methazolamide (Nebacet)
- Dichlorphenamide (Keveyis)
- Zonisamide (Zonegran)
- Birth control pills
- Medicines for depression
- Medicines for diabetes
- Medicines for sleep, pain or anxiety
- Medicines for psychiatric or seizure disorders
- Medicines for cold or allergies
- Muscle relaxers
- Narcotic pain medicines
- Sedatives
- Tranquilizers
- MAO inhibitors
- Carbapenems (certain antibiotics)
Buying Topamax Online Topamax is available to buy online from various e-pharmacies at discounted prices. You can purchase generic topiramate 100 mg or 200 mg tablets with a credit card, echeck, bitcoin or cash. Shipping is usually free on larger orders. Be sure to buy from a reputable online pharmacy and consult a doctor first.
Here are some online pharmacies that sell generic Topamax:
Pharmacy | Price | Shipping |
---|---|---|
eDrugSearch | $0.85 per 200mg tablet | Free shipping on orders over $100 |
MedStore | $1.02 per 100mg tablet | Free shipping on orders over $150 |
enericPlanet | $0.95 per 200mg tablet | Free shipping on orders over $120 |
CIPA RX | $1.06 per 100mg tablet | Free shipping on orders over $150 |
MedMall | $1.08 per 200mg tablet | Free shipping on orders over $125 |
Discount Topamax Coupons Discount coupons for Topamax can be found on the manufacturer's website, RetailMeNot, Coupons.com, and other coupon sites. Typical discounts are around 10-20% off your prescription. You can also join a patient support program like the Janssen CarePath Savings Program to save money.
Topamax Alternatives Some doctor prescribed alternatives to Topamax include:
- Neurontin (gabapentin)
- Depakote (divalproex sodium)
- Lamictal (lamotrigine)
- Keppra (levetiracetam)
- Trileptal (oxcarbazepine)
- Zonegran (zonisamide)
- Felbatol (felbamate)
- Gabarone (gabapentin)
- Gralise (gabapentin)
- Horizant (gabapentin)
- Neuraptine (gabapentin)
You can also ask your doctor about alternative off-label weight loss drugs like Qsymia, Contrave, or Belviq. Always consult a doctor before switching medicines.
We hope this detailed article on Topamax was helpful. As with any prescription drug, it's important to fully understand the risks and benefits, and monitor your symptoms closely. Let me know if you have any other questions!
Seizures are a neurological disorder that affects millions of people worldwide. They can be caused by a variety of factors, including genetics, head injuries, infections, and brain tumors. Seizures can be debilitating and disrupt daily life, making it essential to seek medical attention if you or a loved one is experiencing them. In this article, we will discuss the causes, symptoms, and treatment options for seizures, as well as provide answers to frequently asked questions and list the benefits and risks of various treatment methods.
What are Seizures?
Seizures are sudden, temporary disruptions in brain activity that can cause changes in a person's behavior, movement, or sensation. They can be categorized into two main types: generalized seizures and focal seizures. Generalized seizures affect both sides of the brain and can cause loss of consciousness, muscle contractions, and convulsions. Focal seizures, on the other hand, affect only one side of the brain and can cause symptoms such as numbness, tingling, or muscle weakness.
Causes of Seizures
Seizures can be caused by a variety of factors, including:
- Genetics: Some people may be born with a genetic predisposition to seizures.
- Head injuries: Traumatic brain injuries can cause seizures.
- Infections: Infections such as meningitis or encephalitis can cause seizures.
- Brain tumors: Tumors in the brain can cause seizures.
- Stroke: A stroke can cause seizures.
- Neurodegenerative diseases: Diseases such as Alzheimer's or Parkinson's can cause seizures.
Symptoms of Seizures
The symptoms of seizures can vary depending on the type and severity of the seizure. Common symptoms include:
- Loss of consciousness
- Muscle contractions
- Convulsions
- Numbness or tingling
- Muscle weakness
- Confusion
- Disorientation
Treatment Options for Seizures
There are several treatment options available for seizures, including:
Medications
Medications are the most common treatment for seizures. They can help control the frequency and severity of seizures. Some common medications used to treat seizures include:
Medication | Dosage | Side Effects |
---|---|---|
Carbamazepine | 200-400 mg/day | Dizziness, drowsiness, nausea |
Valproate | 500-1000 mg/day | Weight gain, hair loss, liver damage |
Lamotrigine | 50-200 mg/day | Dizziness, headache, nausea |
Surgery
In some cases, surgery may be necessary to treat seizures. Surgery can help remove the part of the brain that is causing the seizures.
Alternative Therapies
Alternative therapies such as acupuncture, yoga, and meditation may also be helpful in managing seizures.
Benefits and Risks of Treatment Options
Here are the benefits and risks of various treatment options for seizures:
Benefits:
- Medications can help control the frequency and severity of seizures.
- Surgery can help remove the part of the brain that is causing the seizures.
- Alternative therapies can help manage stress and anxiety.
Risks:
- Medications can have side effects such as dizziness, drowsiness, and nausea.
- Surgery can have risks such as infection, bleeding, and brain damage.
- Alternative therapies may not be effective for everyone.
Frequently Asked Questions
Here are some frequently asked questions about seizures:
- Q: What is the cause of seizures? A: Seizures can be caused by a variety of factors, including genetics, head injuries, infections, and brain tumors.
- Q: What are the symptoms of seizures? A: The symptoms of seizures can vary depending on the type and severity of the seizure, but common symptoms include loss of consciousness, muscle contractions, and convulsions.
- Q: How are seizures diagnosed? A: Seizures are diagnosed through a combination of medical history, physical examination, and diagnostic tests such as EEG and MRI.
- Q: Can seizures be cured? A: In some cases, seizures can be cured through surgery or medication. However, in many cases, seizures can only be managed through treatment.
- Q: Can I drive if I have seizures? A: It is generally not recommended to drive if you have seizures, as they can cause loss of consciousness and increase the risk of accidents.
Conclusion
Seizures are a neurological disorder that can be caused by a variety of factors. While there is no cure for seizures, there are several treatment options available, including medications, surgery, and alternative therapies. It is essential to seek medical attention if you or a loved one is experiencing seizures, as they can be debilitating and disrupt daily life. By understanding the causes, symptoms, and treatment options for seizures, you can take the first step towards managing this condition and improving your quality of life.
Additional Resources
For more information on seizures, you can visit the following websites:
- National Institute of Neurological Disorders and Stroke (NINDS)
- Epilepsy Foundation
- American Academy of Neurology (AAN)
Lists of Seizure Triggers
Here are some common seizure triggers to avoid:
- Stress: Stress can trigger seizures in some people.
- Lack of sleep: Lack of sleep can trigger seizures in some people.
- Certain medications: Certain medications such as antidepressants and antihistamines can trigger seizures.
- Alcohol: Alcohol can trigger seizures in some people.
- Caffeine: Caffeine can trigger seizures in some people.
By avoiding these triggers and seeking medical attention if you or a loved one is experiencing seizures, you can take the first step towards managing this condition and improving your quality of life.