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Doctor insights on: How Long Does Topamax Take To Control Seizures

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How many weeks will it take for topiramate pills to stop the seizures?

How many weeks will it take for topiramate pills to stop the seizures?

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. ...Read more

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Dr. Colin Sanner
370 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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Is there a problem with switching from topamax to generic topiramate for seizure control?

Is there a problem with switching from topamax to generic topiramate for seizure control?

Generics: Absolutely yes. Generics only need to have anywhere from 80-120% bioavailability when compared to the brand. More often than not what you will get is less than the brand and hence control of seizures will be less and the dose will have to be adjusted. While generics are cheaper you get what you pay for -you cannot pay yugo prices and expect a cadillac. ...Read more

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Switching from topamax to generic topiramate for seizure control ok before ttc?

Switching from topamax to generic topiramate for seizure control ok before ttc?

Yes: Good quality topiramate generic is as good as brand. Be sure to stay with one quality form and not switch brands. A mild change in blood level may occur, but can be improved with minor change in daily dose. ...Read more

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Why may a dr prescribe topiramate ex-rel to a patient with no seizures,due to this med havin severe effects an not supose to take if u have ostioperos?

Why may a dr prescribe topiramate ex-rel to a patient with no seizures,due to this med havin severe effects an not supose to take if u have ostioperos?

It has other uses: FDA indications for topiramate include seizures and prophylaxis (prevention) of migraines. Topiramate has also been used successfully as treatment for alcoholism, methamphetamine addiction, and cocaine addiction. It also helps prevent antipsychotic-induced weight gain and may be useful for promoting weight loss. Psychiatrists prescribe topiramate for a variety of disorders. ...Read more

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Can i take ativan while still taking keppra (levetiracetam) and topamax for my seizures?

Can i take ativan while still taking keppra (levetiracetam) and topamax for my seizures?

Likely fine: Doubt you will encounter any profound problem, but all three can cause drowsiness, and together, you may feel a bit doped up, but since Ativan (lorazepam) has a short half-life, not a continuous problem. ...Read more

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I take topamax (topiramate) 150 mg per day for headaches/seizures. Is it possible those med adjustments cause my hypokalemia?

I take topamax (topiramate) 150 mg per day for headaches/seizures. Is it possible those med adjustments cause my hypokalemia?

Yes its possible.: Yes indeed, topamax (topiramate) can cause infrequent side effects of dehydration, low potassium (hypokalemia), and low calcium (hypocalcemia). Severeal medical studies support this finding. Definitely discuss this with your doctor and see if a different medication might be better for you. ...Read more

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Can birth control pills still be taken when topiramate is taken for seizures?

Not really a problem: But, recognize that there may be drug-drug interaction, with the possiblity of the hormonal levels dropping and creating an inadequate protective effect, and increased risk of pregnancy, or perhaps an effect on the topirimate. Can solve this easily, by switching to drugs which do not interact such as keppra, lyrica, vimpat, (lacosamide) neurontin. ...Read more

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Will 50mg of topamax (topiramate) control seizures if my Dilantin level has only been 3.1 for 14 years and remained seizure free?

Will 50mg of topamax (topiramate) control seizures if my Dilantin level has only been 3.1 for 14 years and remained seizure free?

No 50 mgm is not eno: You have been seozure free with a sub therapeutic level of Dilantin for 14years. You may be able to do withoyt any anti seizure meds, discuss with your doctor 50 mgm od topamax (topiramate) is not enough to control the seizures, you need 200mgm twice a day. Follow up with your doctor with this information. ...Read more

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I didn't take topamax (topiramate) for seizure. I took it for nerve damage. After stop taking for 10 days im dizzy & blurred sight.Took for 7 yrs.Is this normal?

Topamax (topiramate) side effects: Sometimes topamax (topiramate) may cause changes with the vision, but this is rare, and it occurs when it is used regularly. It should not be causing these symptoms now. Two common causes of your symptoms are increased blood pressure and increased blood sugar. I recommend you have those checked before you look for other causes. Hopefully you feel better soon! ...Read more

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I take tegretol (seizure free!) and my dr wants me to switch to topamax (topiramate) to stop side effects. Is topamax (topiramate) as effective in fully preventing seizures?

I take tegretol (seizure free!) and my dr wants me to switch to topamax (topiramate) to stop side effects.  Is topamax (topiramate) as effective in fully preventing seizures?

Yes, but: Both drugs have potential adverse effects, and you should realize that the topamax (topiramate) will be effective, but when meds are switched, there is risk of withdrawal seizures. Also, the side effects include cognitive and speech issues, narrow angle glaucoma, metabolic acidosis, risk of heat stroke, kidney stones, pins and needles parenthesis, drowsiness. ...Read more

Dr. William Singer
1,015 doctors shared insights

Seizure Disorder (Definition)

Seizure disorder also known as epilepsy, is a neurological condition in which the brain's abnormal electrical activity causes muscular convulsions and altered mental states. Epilepsy is diagnosed when an individual has ...Read more


Topamax (Definition)

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