What should I avoid while taking Topamax?
Avoid the use of a ketogenic or “ketosis” diet (high in fat, low in carbohydrates) while you are taking topiramate. Topiramate may cause blurred vision or impair your thinking or reactions. Avoid driving or operating machinery until you know how this medicine will affect you.
What are two unlabeled uses for topiramate?
Topamax (topiramate) is an anticonvulsant medication used in the treatment of epilepsy and migraine headaches. 1 Topamax is also commonly used off-label to treat a wide range of mood disorders and eating disorders and to aid in substance abuse therapy.
What birth defects are caused by Topamax?
March 4, 2011 — Taking the epilepsy drug topiramate (Topamax) during pregnancy raises the risk of oral cleft birth defects such as cleft lip and cleft palate, according to a new warning issued by the FDA.
How long does Topamax take to get out of your system?
Topamax (topiramate) stays in your system between four and six days after your last dose, depending on your personal factors such as dosage and metabolism.
What happens if you get pregnant while taking topiramate?
The use of topiramate, particularly during the first trimester, is linked to an increased risk of birth defects. According to a study published in the American Journal of Obstetrics and Gynecology, using topiramate while pregnant can increase the chance of an oral cleft in a baby.
Should I take Topamax in the morning or at night?
You can take topiramate at any time of day, but try to take your doses at the same time each day. Try to space your doses evenly through the day. For example, first thing in the morning and in the evening. Topiramate tablets can be taken with or without food.
Should I take Topamax at night or in the morning?
Adults and children 10 years of age and older usually start taking Topamax twice a day, in the morning and in the evening. You start with a low dose of Topamax and slowly increase to the amount needed to control your seizures. In children 2 to 9 years of age, treatment may begin with one dose given in at night.
Are there any side effects to Topamax gelatin capsules?
Topamax ® Sprinkle Capsules contain small, white to off-white spheres. The gelatin capsules are white and clear. They are marked as follows: None. A syndrome consisting of acute myopia associated with secondary angle closure glaucoma has been reported in patients receiving Topamax ®.
Are there any over the counter drugs that work with Topamax?
other seizure medications, such as divalproex (Depakote) or valproic acid (Depakene). This list is not complete. Other drugs may interact with topiramate, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.
What can you eat with a Topamax sprinkle capsule?
Topamax Sprinkle Capsule can be swallowed whole. Or you may open the capsule and sprinkle the medicine into a spoonful of applesauce or other soft food. Swallow right away without chewing. Do not save the mixture for later use. Carefully follow the swallowing instructions for your medicine. Topiramate doses are based on weight in children.
How to monitor the titration rate of Topamax?
Rapid titration rate, dose, and higher initial dose associated with higher incidence of neuropsychiatric disorder in both epilepsy and migraine patients; also associated with higher incidences of cognitive-related dysfunction Monitor serum bicarbonate at baseline and then periodically; may also monitor serum chloride, ammonia, and phosphorus