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Doctor insights on: Take Topamax Topiramate

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Dr. Colin Sanner
401 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 it safe to take topamax (topiramate) with other pain medications?

Maybe: Topamax (topiramate) can be used in combination therapy with other pain medications. Treatment should be done by a qualified pain management specialist familiar with chronic medication management with topamax (topiramate) and other pain medications. Topamax (topiramate) can have the desirable side-effect of significant weight loss. ...Read more

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Could you take topamax (topiramate) and hydrocodone togather?

Could you take topamax (topiramate) and hydrocodone togather?

Simple answer is yes: Yes they can be taken together under the care of an md though so that the dosages can be titrated slowly and to effect. The two medications are different, with different profiles and can be used together for synergism depending on the ailment that is in question. ...Read more

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Is it common to take topamax (topiramate) for nerve pain?

Topamax (topiramate): Topamax is used for the treatment of neuropathic pain like lyrica, (pregabalin) gabapentin, gabitril, tegretol etc. ...Read more

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Can I take topamax (topiramate) and hydrocodone together?

Depends on the indic: You must be having severe migraine etc'i don't recommend hydrocone for this kind of pain. ...Read more

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I take topamax (topiramate) for migraines 2x daily, is it safe to discontinue it suddenly? I lost my insurance & it is to expensive for me to purchase.

I take topamax (topiramate) for migraines 2x daily, is it safe to discontinue it suddenly? I lost my insurance & it is to expensive for me to purchase.

No: With any neurologic medication it is best to taper down the dose instead of stopping it suddenly. By stopping it suddenly you may experience some side effects such as mood disturbances, headaches, insomnia, anxiety. Ask you provider to give you a regimen to come off of it. ...Read more

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Is it safe to take topamax (topiramate) while pregnant?

No: It's pregnancy class d (definite evidence of fetal risk) for pregnancy and unknown for lactation. ...Read more

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How long does it take Topamax (topiramate) to work on migraine versus Propranalol extended release?

How long does it take Topamax (topiramate) to work on migraine versus Propranalol extended release?

6-8 weeks: Many of the beta-blocker medications (propranolol) come in long-acting formulations. Compared with propranolol, low-dose Topamax (topiramate) has better results. It will take several weeks to see enough changes in your symptoms to decide if Topamax (topiramate) is the right medication for you. ...Read more

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Every morn I wake up with headache. Take topamax (topiramate) 50 mg qam & 100 mg qhs & desipramine 50 mg qhs. What do you suggest?

Every morn I wake up with headache. Take topamax (topiramate) 50 mg qam & 100 mg qhs & desipramine 50 mg qhs. What do you suggest?

Reason for meds: Desipramine is an antidepressant. Depression can cause many somatic symptoms including headache, so an increase in desipramine may be indicated. Topamax (topiramate) can be used for several different conditions including migraine headache prophylaxis. Doses up to 200 mg daily may be used for this indication. Talk to your prescribing doctor about a possible increase in topomax or desipramine. ...Read more

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I'm afried to take topamax (topiramate) I'm scared if the side affects my doc wants me to take 25mg 2xs a day for headches don't think I have miagranes tho?

Might miss benefit: I have a number of pts on topomax who love it--some take it for headaches some for mood some feel it helps ocd some feel it helps with weight loss--sounds you aren't 100% confident in your docs advice-- might want to talk to doc and/or get a second opinion. ...Read more

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Keep getting severe headaches I take topamax (topiramate) 50mg twice a day but the OTC meds do not work. What do I do?

Keep getting severe headaches I take topamax (topiramate) 50mg twice a day but the OTC meds do not work. What do I do?

Some answers: It would help to know what kind of headaches you have. They may be migraines. I cannot tell from this information.

If you have frequent migraines, preventive medicine is recommended. How frequently do you have them? Preventive medicine may not stop them, but ideally, it should reduce them.

You should also have something to stop the migraines when the start. An abortive medicine - triptan. ...Read more

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Can you take topamax, (topiramate) wellbutrin and Adderall at the same time? I don't mean one after the other, I mean can you be on them the same time?

Can you take topamax, (topiramate) wellbutrin and Adderall at the same time? I don't mean one after the other, I mean can you be on them the same time?

Yes: No problem. But, with your afib. Make sure to get your Coumadin (warfarin) levels checked regularly if you are on these and get cardiac clearance from your cardiologist as well. ...Read more

Dr. Paul Grin Dr. Grin
2 doctors agreed:
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Is it safe to take Unisom when you also take Topamax (topiramate)? I really need a good night of sleep. Very worried about someting and can't sleep well.

Dr. Paul Grin Dr. Grin
2 doctors agreed:
Is it safe to take Unisom when you also take Topamax (topiramate)? I really need a good night of sleep. Very worried about someting and can't sleep well.

It is safe: There is no drug interactions and Topamax (topiramate) has sedation side effect. Make sure your bedroom is a quiet, dark, and relaxing environment, which is neither too hot or too cold. Take care. ...Read more

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I take topamax (topiramate) once daily to prevent migraines. Recently I have noticed an increase in migraines could I be building a tolerance? Is that common?

Dosage: Typical topirimate dose is 50 mg twice daily, but in many cases, the dose needs escalation. In some cases, a fairly high dose may be required. See your doctor about adjusting the level or even using some different medication. ...Read more

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I have bad migraine headaches and sometimes I pass out I take Topamax (topiramate) and zonisamide but it doesn't help...what else can I do or what cause all of that?

I have bad migraine headaches and sometimes I pass out I take Topamax (topiramate) and zonisamide but it doesn't help...what else can I do or what cause all of that?

Follow with your MD: You taking two drugs which are used for seizures and for Migraine Prevention as well. We don't know the dosage and how often you are taking these meds. You did not say what you take to relieve and some time abort the attack of Migraine
You need to follow up with your treating Doctor/Neurologist and follow his/her advice. We on this site really can not recommend what you can do with information given ...Read more

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Can someone with heart failure take topamax (topiramate)?

Can someone with heart failure take topamax (topiramate)?

Risk vs benefit: Check out http://www. Drugs. Com/disease-interactions/topiramate, topamax.Html which discusses risk of metabolic acidosis especially in those w/heart failure who take topiramate. It's important that you analyze w/prescribing doctor your individual risks & benefits from this medication. Ask about alternatives that may have lower risk. ...Read more

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Is it normal to take topamax (topiramate) and get numb finger tips?

Is it normal to take topamax (topiramate) and get numb finger tips?

Topamax (topiramate) numbness: Numbness, tingling in the fingers is a common side effect of topamax (topiramate). One reference stated it was as high as 23.7% of users. I don't know if this or any other effect is dependent upon dosage or how it interacts withy other problems or tingling history before the use of the medication but id thinkt that it might be worse if there was prior history of numbness before use. Tell your doctor about it! ...Read more

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Would it be ok to take topamax (topiramate) when someone has heart failure?

I would not: This is a very hard medication with low success rate and lots of complication.
The problems you point out are more likely associated with neurotransmitter imbalance and would be better served by rebalancing the neurotransmitters.
Visit www. Neurosciencemyts. Com and read the large web site to see many of the issues that are covered and see how they reflect your problem. Also find a doctor to help ...Read more

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My migraines are Getting out of control. I have tried every non narcotic there is and nothing works. I take topamax (topiramate). And been treated for TMJ?

My migraines are Getting out of control. I have tried every non narcotic there is and nothing works. I take topamax (topiramate). And been treated for TMJ?

See pain specialist: And ask him to examine you, and about occipital nerve blocks or medial branch nerve blocks in the upper neck to see if they improve your migraines in addition to evaluation for TMJ problems. ...Read more

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I am working at a paper mill, f/t for the summer and I take topamax (topiramate) 2x for H/A, I get thirsty and hot super quick working in the heat? Why is that?

Drug side effect: Topamax (topiramate) can cause a condition known as anhydrosis or not sweating. This is a common side effect of the medication. Patients taking this medication should be advised to stay well hydrated. If it all possible you should take a water bottle to work and drink regularly as you make it overheated. Please let your doctor know about the conditions in which you work. This may not be the right drug for prevent headach ...Read more

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I can take topamax, (topiramate) celexa and ativan without adverse reactions?

I can take topamax, (topiramate) celexa and ativan without adverse reactions?

Yes, you can: The only side effect is Ativan and Topamax (topiramate) both increase sedation and drowsiness. Many doctors use this combo for chronic pain management. However, it is always good idea to consult with your prescribing physician. Good luck. ...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 I take topamax (topiramate) (50mg) for two weeks safely to assist weight loss. Was prescribed for my hemicrania but I disliked side effects with long term use.

Safe- will it work?: It is safe to use topamax (topiramate) for this, but it is not helpful for most people for weight loss. It is better as a preventer for seizures or headaches. ...Read more

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

Is it unusual to take topamax (topiramate) 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

Topamax (Definition)

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


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