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Doctor insights on: Doctor Eye Pains Topamax

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Dr. Colin Sanner
364 doctors shared insights

Topiramate (Definition)

Is indicated to treat epilepsy, but mainly a second line or adjunctive agent, and also useful to prevent migraine headaches. Has several adverse effects including: kidney stones, narrow angle glaucoma, metabolic acidosis, heatstroke in kids, paresthesias, slowing of speech and cognition, drowsiness. ...Read more


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Hello doctor, I am on topamax and i've lost between 5-10 pounds in just 2 weeks is this healthy?

Hello doctor, I am on topamax and i've lost between 5-10 pounds in just 2 weeks is this healthy?

Appetite: A known side effect of topamax is decreased appetite. Make sure that you are eating regular meals, even if you do not feel hungry. Check with your doctor to see if your dosage can be reduced ...Read more

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I have had a H/A everyday since last Thurs. Sometimes 2x a day. Today I had 3 HA episodes at work at diff times. Unilateral on the right side behind eye. I take 25mg topamax 2x a day. Please Help!

I have had a H/A everyday since last Thurs. Sometimes 2x a day. Today I had 3 HA episodes at work at diff times.  Unilateral on the right side behind eye. I take 25mg topamax 2x a day. Please Help!

Migraine Cluster: You are in a midst of a cluster. you are on topiramate for preventative therapy, but you need acute abortive therapy such as oxygen or other therapies. Best to discuss with your doctor. ...Read more

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How difficult is it to get a doctor to prescribe topamax?

No: Family doctors, neurologists or pain doctors can prescribe it if you need it. ...Read more

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Is topamax an inhibitor or inducer or cyp2c19? Weak or not, i'd still like to know. Thank you kind doctors.

Weak inhibitor: Topamax is a weak inhibitor of the cyp2c19 enzyme. This enzyme is responsible for the metabolism of several drugs including Phenytoin (dilantin). Therefore, the concomitant use of Dilantin and topamax may be associated with increased Dilantin levels. This is probably more evident with topamax doses that exceed 200 mg/day. I hope this helps! ...Read more

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I see in reading some of these posts about the side effects and how they will substitute gabapentin for topamax what if your doctors have you on both?

Neurontin: Not uncommonly used combination, possibly to treat mood instability, headaches, wt. Changes or side effects. Consult the prescriber for exact reason. ...Read more

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I have been taking 25mg of Topamax for the last month and a half - my doctor and I just decided that we should take me off, but he failed to tell me if I need to cut the pills and taper off or not - should I be concerned? Should I stop cold turkey or cut

I have been taking 25mg of Topamax for the last month and a half - my doctor and I just decided that we should take me off, but he failed to tell me if I need to cut the pills and taper off or not - should I be concerned? Should I stop cold turkey or cut

Tapering TPM slowly: Tapering Topamax quickly can lead to rebound seizures (if used for epilepsy) or rebound migraines (if for headache prevention). While 25mg is low dose it is advisable to speak to physician about tapering suggestions ...Read more

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Is it unusual to take topamax for migraines and still have eye pain?

Is it unusual to take topamax for migraines and still have eye pain?

No: Most migraine prophylactic medications do not "cure" migraines. Instead, success is measured in decreased frequency and intensity of the migraines. ...Read more

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My doctor prescribed topamax for my migraine. I took 2 tablets (25mg each) stop it now bec of tingling effect.Will it affect if i want to conceive?

My doctor prescribed topamax for my migraine. I took 2 tablets (25mg each) stop it now bec of tingling effect.Will it affect if i want to conceive?

Side effect: You are manifesting one of the more troublesome ; common side effects which cause people to stop taking topamax and that is the tingling sensations or neuropathy. In your case, it seems to be happening at a low-dose but in any event if you're trying to conceive then i recommend you tell your doctor first so they may safely prescribe other medications for your headaches. ...Read more

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Topamax (Definition)

Topiramate is a seizure agent which is a kind of ...Read more