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how does topiramate work

A 43-year-old member asked:
Dr. James Marx
47 years experience Pain Management
Multiple Mechanisms: The current theory proposes that the excitability of neurons in the central nervous system are reduced by a number of different mechanisms. These theo ... Read More
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A 44-year-old member asked:
Dr. Paul Reynolds
34 years experience Pain Management
Awhile: Topamax (topiramate) is an antineuropathic. Primarily a seizure med it will take time for titration to an effective dose. Starting slow and incrementa ... Read More
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A 28-year-old female asked:
Dr. Bennett Machanic
51 years experience Neurology
DOSEAGE A BIT LOW: Topamax (topiramate) dosing for migraine works best at about 50 mg twice daily and higher. It is quite effective at 200 mg twice daily, but side effe ... Read More
A 34-year-old female asked:
Dr. Paul Grin
Dr. Paul Grin answered
35 years experience Pain Management
Not likely: The recommended starting dose of Topamax (topiramate) is 15-25 at night increasing very slowly. Based upon tolerability and clinical response, additio ... Read More
A 32-year-old female asked:
Dr. John Gaffney
24 years experience Psychiatry
Phentermine: Phentermine is a central nervous system stimulant (much like the ADHD medications). Hope that helps!
A 37-year-old member asked:
Dr. Mark Reynolds
32 years experience Psychiatry
Acetazolamide: As a carbonic andydrase inhibitor, acetazolamide decreases the rate of carbonic acid and hydrogen ion production of the kidney, this increases the exc ... Read More
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A 38-year-old member asked:
Dr. Linda Everett
21 years experience Internal Medicine
Not by itself: Phentermine is very effective for weight loss for short term use when used in conjunction with diet and exercise. Appetite returns once the medication ... Read More
A 48-year-old member asked:
Dr. Alan Ali
Dr. Alan Ali answered
31 years experience Psychiatry
Modafinil: Modafinil (provigil) is an analeptic drug approved for treatment of narcolepsy & excessive daytime sleepiness associated with sleep apnea. It works by ... Read More
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8 thanks
A 50-year-old member asked:
Dr. Benjamin Nguyen
12 years experience Anesthesiology
GABA: Secobarbital binds to the GABA receptors in the central nervous system to increase chloride ion entry and hyperpolarization of neurons. Please cons ... Read More
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A 48-year-old member asked:
Dr. Anthony Vita
Specializes in Psychiatry
SSRI: Fluoxetine is the first of the "newer generation" of antidepressants developed around 1990, called selective (or specific) serotonin re-uptake inhibit ... Read More
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2 thanks
A 43-year-old member asked:
Dr. Alan Ali
Dr. Alan Ali answered
31 years experience Psychiatry
Maxolon: Maxolon (reglan) is used for nausea & vomiting. It speeds up the emptying of the stomach. Mechanism is by inhibiting dopamine2 receptors, & at higher ... Read More
A 43-year-old member asked:
Dr. Pamela Pappas
41 years experience Psychiatry
Sulpiride: Sulpiride is an atypical antipsychotic used to treat schizophrenia and psychotic depression, etc. It is not used for non-psychotic anxiety, but can c ... Read More
A 56-year-old member asked:
Dr. Scott Beard
24 years experience Urogynecology
It inhibits: The muscarinic receptors in the bladder. These receptors stimulate the bladder muscles to squeeze.
A 51-year-old member asked:
Dr. Ahmad M Hadied
48 years experience Orthopedic Surgery
Not long: The onset of effect of 'propranolol' tablets is between 1 -2 hours, and will last for between 6 - 12 hours. Lethargy and fatigue are common sde effect ... Read More
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A 50-year-old member asked:
Dr. Ronald Krauser
51 years experience Rheumatology
See details: Prednisone works by suppressing the immune system. By doing this it stabilizes the immune system if it is overactive. It also works as an anti-inflamm ... Read More
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3 thanks
A 44-year-old member asked:
Dr. Keith Stockerl-Goldstein
29 years experience Hematology and Oncology
Need more info: Methrotrexate is used for many diseases. Please ask this question again and be specific about what the Methotrexate is being used for.
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1 thank
A 54-year-old member asked:
Dr. Michael Taylor
21 years experience Critical Care
Multiple effects: Amiodarone is primarily a class iii anti-arrhythmic agent. It prolongs the depolarization phase of cardiac muscle--the muscle takes longer to reset af ... Read More
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7 thanks
A 40-year-old member asked:
Dr. Laurence Green
37 years experience Bariatrics
Waste of money: I've seen a lot of patients that had no results with lipozene. They use, as most tv ads for weight loss products, very clever, but deceptive ads. As a ... Read More
A 50-year-old member asked:
Dr. Heidi Fowler
24 years experience Psychiatry
Inositol is believed: To have anxiolytic effects, allowing a person to become calm so that they can fall asleep.
A 48-year-old member asked:
Dr. Paul Grin
Dr. Paul Grin answered
35 years experience Pain Management
Not recommended: Topamax is a newer anticonvulsant that blocks voltage-gated sodium ion channels and not recommended for weight loss. Ask your doctor about QSYMIA (phe ... Read More
A 49-year-old member asked:
Dr. Sean Canale
29 years experience Breast Surgery
Eliminating estrogen: Letrozole like anastrazole and Exemestane is an aromatase inhibitor. In postmenopausal pts, the ovaries no longer produce estrogen but the body creat ... Read More
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4 thanks
A 54-year-old member asked:
Dr. Jerome Litt
70 years experience Dermatology
Valacyclovir TO WORK: How long does it take valacyclovir to work? For what? Cold sores? Genital herpes? Shingles (herpes zoster)? It varies with the disease, with the lengt ... Read More

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