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Doctor insights on: Long Term Effects Of Topamax

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I have been taking 25 mg of topamax (topiramate) 2x/day for 12 weeks for migraines. Working well, but how long can I stay on this drug? Long term effects?

I have been taking 25 mg of topamax (topiramate) 2x/day for 12 weeks for migraines. Working well, but how long can I stay on this drug? Long term effects?

A long time: If the current dose of topamax (topiramate) is controlling your headaches, you can stay on it for many years, if needed. Your dose is very low, so the risk of side effects should be low. Long term risks would include kidney stones, but staying well hydrated reduces the risk. If you have lost weight with topamax (topiramate), this usually continues or maintains your current loss as long as you take the medication. ...Read more

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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How long does it take for the side effects of topamax (topiramate)?

Several weeks: I assume you are asking how long they jast...Usually things get better after several weeks. ...Read more

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How long does it take to get used to the effects of topamax (topiramate)?

Variable: While some of the side effects (tingling lips and fingertips) go away after a few days or weeks, others (appetite suppression, word-finding difficulty) persist as long as the medication is continued. ...Read more

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After stooping topiramate usage, how long will it take for side effects such as tongue edema, rashes n white patches on tongue(may be thrush)to go away?

Topiramate: The half life of topiramate is about 31 hours. It takes five half lives for the drug to be removed from your body. Thus, in 155 hours after stopping the medication the side effects should resolve. ...Read more

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How long can I stay on topamax (topiramate)?

Indefinitely: Topamax (topiramate) has been on the market for about 20 years. There has been no long term sequellae reported. ...Read more

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How long should it be before you start losing weight on topamax (topiramate) and what dose do you need for it to start?

How long should it be before you start losing weight on topamax (topiramate) and what dose do you need for it to start?

No guarantee: Tpm is indicated for the treatment of certain types of seizures in children and adults, and for the prevention of migraine headaches in those that have them frequently. Not everyone loses weight on tpm. Standard dosing for migraine is 50 mg twice daily; for seizures the dose is higher. Tpm does not have an fda-indication for weight loss. Many possible side effects so wudn't use unless indicated. ...Read more

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Would it be safe for me to stop taking topamax (topiramate) because side effect are too bad and long will it take to get out off my body?

Would it be safe for me to stop taking topamax (topiramate) because side effect are too bad and long will it take to get out off my body?

Don't just stop: With a medication like this I would urge you to not just suddenly stop this. Depending on why your are taking this you could cause your mood to rapidly destabilize or cause seizures to occur. Please talk with your prescribing physician before you embark on something like this. Best of luck. ...Read more

Topamax (Definition)

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