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Topiramate

A 43-year-old member asked:
Dr. James Marx
47 years experience in 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 39-year-old female asked:
Dr. Heidi Fowler
24 years experience in Psychiatry
Topiramate: I don't know if this being prescribed to you by a psychiatrist or a neurologist. I worry when I see this type of question, as it might mean that some ... Read More
A 52-year-old member asked:
Dr. Romanth Waghmarae
38 years experience in Pain Management
Yes: Topamax (topiramate) overdoes can happen. It affects speech, vision, produces lethargy, possible seizures, agitation, depression - treatment is suppor ... Read More
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A 36-year-old male asked:
Dr. Bennett Machanic
51 years experience in Neurology
Versatile: Is indicated to treat epilepsy, but mainly a second line or adjunctive agent, and also useful to prevent migraine headaches. Has several adverse effe ... Read More
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A 43-year-old member asked:
Dr. David Rosenfeld
26 years experience in Pain Management
Same as others: Numbness, burning, or tingling in the hands or feet, slowed reactions, difficulty concentrating, speech problems (especially difficulty thinking of sp ... Read More
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A 47-year-old member asked:
Dr. William Goldie
47 years experience in Pediatric Neurology
Any dose may: Topiramate may interfere with absorption or affect metabolism of some bcps. Discuss with your doctors. For may seizure patients it is advised to con ... Read More
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A 27-year-old female asked:
Dr. Mark Fisher
33 years experience in Neurology
Yes & yes, BUT...: ...you didn't just wander into a pharmacy and made an impulse purchase. You got Rxs from a doctor for a reason, not just on a whim. Why are you trying ... Read More
A 37-year-old female asked:
Dr. Christopher Wilson
20 years experience in Sleep Medicine
Yes: You may be more likely to have cognitive side effects from Depakote and topamax (topiramate). Modafanil may make you an "alert drunk.".
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A 50-year-old member asked:
Dr. Sathish Modugu
31 years experience in Pain Management
Pill identifier: You can try to search for( google) a pill identifier website. These such as drugs.Com will walk you through the steps.
A 37-year-old male asked:
Dr. Bac Nguyen
22 years experience in Family Medicine
Jeff24, U need help: I see that you posted many questions all related to your "seizure" which you may have had 14 yrs ago. Despite multiple answers from different docs, yo ... Read More
A 30-year-old female asked:
Dr. Scott Naftulin
33 years experience in Pain Management
Prophylaxis: Anticonvulsants and antiseizure medications are frequently prescribed for pain problems including headaches. These medications will change biochemical ... Read More
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A 53-year-old member asked:
Dr. Yash Khanna
56 years experience in Family Medicine
Yes it is used: Yes topamax (topiramate) is used as adjunctive therapy along with ssris for ocd.
A 41-year-old female asked:
Dr. Gaston Moran Celayes
25 years experience in Internal Medicine
Not available: Still is not available and, so far, no news of when is going to be in the market. You can still have both pills separated though.
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A 33-year-old female asked:
Dr. George Valdez
Specializes in Family Medicine
Not much: It may help a little, works as mood stabilizer, but Clonidine is used more often.
A 33-year-old member asked:
Dr. Vasu Brown
33 years experience in Integrative Medicine
Yes: It is one of side effect of this medication.
A 84-year-old female asked:
Dr. Alan Cohen
38 years experience in Psychiatry
Topamax (topiramate): It can. Many of the meds used for bipolar disorder can affect sleep patterns. Hopefully they will help normalize your sleep/ wake cycle, which is crit ... Read More
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A 29-year-old female asked:
Dr. William Goldie
47 years experience in Pediatric Neurology
Not likely: Use of topiramate for prevention of migraine usually involves low doses for limited periods of time. Mild side effects have been reported, but not ta ... Read More
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A 35-year-old female asked:
Dr. Paul Grin
Dr. Paul Grin answered
35 years experience in Pain Management
Yes, but: Only small number of patients may experience depression, suicidal thoughts/attempts, or other mental/mood problems. Contact the prescribing physician ... Read More
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A 56-year-old member asked:
Dr. Lynne Weixel
35 years experience in Clinical Psychology
Off label - mixed: Reviews of this - usually in combination with other meds for bipolar generally are positive about the mood stabilizing effects. However, other side ef ... Read More
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A 35-year-old female asked:
Dr. William Goldie
47 years experience in Pediatric Neurology
No: Neurontin (gabapentin) is good for neuritic pain. However, it has also been used for seizures. Topamax (topiramate) is primarily for seizures but is ... Read More
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A 40-year-old member asked:
Dr. Scott Sauer
26 years experience in Pain Management
Sometimes: It is a side effect of the medication and some people do notice weight loss. I would not recommend it as a weight loss medication however.
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A 45-year-old member asked:
Dr. David Rosenfeld
26 years experience in Pain Management
See below: All medicines may cause side effects, but many people have no, or minor, side effects. Constipation; decreased sweating; diarrhea; dizziness; drowsine ... Read More
A female asked:
Dr. Nathaniel Schuster
Specializes in Pain Management
Yes: Birth control is effective at topiramate doses under 200mg daily. Hope that helps!
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A 23-year-old female asked:
Dr. Paul Grin
Dr. Paul Grin answered
35 years experience in Pain Management
Not recommended: Topamax (topiramate) is a newer anticonvulsant that prescribed for a variety of pain disorders including the prophylaxis of migraine headache. The rec ... Read More
A 50-year-old member asked:
Dr. Julian Bragg
16 years experience in Neurology
Yes, but wean down: Yes, the Fioricet will stop headaches that occur, while the topamax (topiramate) will keep them from coming on in the first place. That being said, i ... Read More
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A 31-year-old male asked:
Dr. Bennett Machanic
51 years experience in Neurology
Yes: Among the side effects, including cognitive issues, narrow angle glaucoma, heat stroke risk in kids, kidney stones; is also, metabolic acidosis, which ... Read More
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A 50-year-old member asked:
Dr. Carla Enriquez
49 years experience in Pediatrics
Yes: Used appropriately and properly monitored, topiramate is quite safe.
A 38-year-old member asked:
Dr. Cyma Khalily
34 years experience in Psychiatry
NOT INDICATED: Topamax (topiramate) is in the class of anti-convulsant medications, so used for seizures. Also used for migraine prophylaxis. Not too sure about use ... Read More
A 43-year-old female asked:
Dr. Olav Jaren
18 years experience in Neurology
Weekly migraine: Most people would not take a medicine every day to prevent a migraine that occurs once per week. Unless that migraine lasts several days. Substitute ... Read More
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A 33-year-old female asked:
Dr. A V
Dr. A V answered
17 years experience in Neurology
Topamax (topiramate): Typically it is for seizures and headaches but it can also be used for weight loss.
A 35-year-old female asked:
Dr. George Arcos
37 years experience in Pain Management
Yes: While not a common side effect, it can occur more commonly in adults compared to children.
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A 51-year-old member asked:
Dr. Scott Sauer
26 years experience in Pain Management
Yes: It can be one side effect.
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A 53-year-old member asked:
Dr. David Rosenfeld
26 years experience in Pain Management
Most common are...: Constipation; decreased sweating; diarrhea; dizziness; drowsiness; dry mouth; flu-like symptoms; headache; loss of appetite; nausea; nervousness; numb ... Read More
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A 25-year-old female asked:
Dr. Allen Seely
30 years experience in General Practice
SOME RIGHT AWAY: From drugs.Com. Topamax (topiramate) side effects are: fatigue, constipation; decreased sweating; diarrhea; dizziness; drowsiness; dry mouth; flu-like ... Read More
A 35-year-old female asked:
Dr. Colin Sanner
19 years experience in Neurology
Drug interaction: Topiramate (topamax) can provoke unplanned pregnancy in women using estrogen-containing contraception by speeding up metabolism of estrogen. Get a con ... Read More
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A 55-year-old female asked:
Dr. Philip Kern
42 years experience in Endocrinology
Drug interactions: Levothyroxine should be taken on an empty stomach. I am not aware of any interactions between levothyroxine and topiramate. Best to get on a regular ... Read More
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A 55-year-old female asked:
Dr. Catherine Carroll
10 years experience in Internal Medicine
Interactions: Many medications can interact with vitamins and supplements. For specific questions, your pharmacist or doctor is a good place to start.
A 40-year-old member asked:
Dr. Jullius Ancheta
28 years experience in Neurology
Several weeks: Topiramate dosing is usually titrated up slowly over 4 weeks to avoid side effects and usually takes some time to reach the target dose.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

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Personalized answers
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