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Doctor insights on: Topamax Alternative

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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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Which are the best alternatives for topamax (topiramate)? Treating migraines

Which are the best alternatives for topamax (topiramate)? Treating migraines

See HA specialist: Once a diagnosis of migraine has been made, effective management of migraine involves three specific strategies: 1) patient education, 2) nonpharmacological management, and 3) pharmacological (medical) management. See an orofacial pain or headache specialist for evaluation and professional management. ...Read more

Dr. Alan Ali Dr. Ali
2 doctors agreed:
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Can topamax be used for fibromyalgia as an alternative to Lyrica, (pregabalin) Cymbalta, etc?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
Can topamax be used for fibromyalgia as an alternative to Lyrica, (pregabalin) Cymbalta, etc?

Topamax (topiramate) for FMS: Very few, but Neurontin (gabapentin) would probably be more effective. ...Read more

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I am currently taking topamax (topiramate) for migraine and experiencing cognitive deficits (memory). What are the best alternatives for migraine prophylaxis?

I am currently taking topamax (topiramate) for migraine and experiencing cognitive deficits (memory). What are the best alternatives for migraine prophylaxis?

NOT SURPRISING: Topamax (topiramate) (sometimes known as "dopeamax") very often causes both speech and cognitive issues due to it's affect on an short-term memory pathway (perforant pathway, ampa). Would advise considering possibly depakote, or Naproxen (not beta blockers or calcium channel blockers). But how about otc preps such as riboflavin, coq-10, butterbur, feverfew, maybe magnesium, and lastly botox? ...Read more

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Natural alternative for Diamox or topamax? I've dysautonomia (hyperPOTS) and mast cell activation disorder with connective tissues disorder. I'm allergic to gluten which is part of diamox. I have an intracranial pressure and breathing difficulty, when lay

Natural alternative for Diamox or topamax? I've dysautonomia (hyperPOTS) and mast cell activation disorder with connective tissues disorder. I'm allergic to gluten which is part of diamox. I have an intracranial pressure and breathing difficulty, when lay

Comprehensive exam: This question requires either allergic medical or rheumatology comprehensive evaluation and examination. If you in fact, have increased intracranial pressure: please go directly to your local ER. I have seen you post on POTS submitted multiple times and answered by many physicians. Please get examined or hospitalized to resolve your medical issues. ...Read more

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How does topiramate work?

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 theories change about every 5 to 10 years as more insight of how the CNS works is gained. The use of this drug has been supported by double-blind, placebo controlled studies which shows effectiveness for various conditions. ...Read more

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How to tapper off from topiramate?

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 someone is considering coming off of a medication without fully discussing with the prescribing provider. I encourage you to discuss this with your physician. ...Read more

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Can you have topamax (topiramate) overdose?

Yes: Topamax (topiramate) overdoes can happen. It affects speech, vision, produces lethargy, possible seizures, agitation, depression - treatment is supportive and may involve pumping out the stomach. ...Read more

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Please describe the medication: topiramate?

Versatile: 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.
Occasion usage in psychiatry. ...Read more

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How long can I stay on topamax (topiramate)?

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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What can topamax (topiramate) do to your body?

See side effects: Topomax has a wide variety of uses. It is used to treat everything from migraines, binge eating, alcoholism and post traumatic stress disorder. Side effects include short-term memory loss, word finding difficulty, numbness and tingling, upper respiratory tract infections, diarrhea, nausea and anorexia. Side effects which most commonly lead to discontinuing the drug include fatigue and confusion. ...Read more

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Can I go off topamax (topiramate) after 12 days?

Yes, you can: Topamax (topiramate) should be slowly titrated down by 50mg every 3 days and should never be abruptly discontinued. Side effects may include nausea, confusion, drowsiness and weakness, especially in older patients.
Rec.: see your prescribing physician for medication adjustment. ...Read more

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What medicines are similar to topamax (topiramate)?

AED- anticonvulsant: Topamax (topiramate) is a newer anticonvulsant that blocks voltage-gated sodium ion channels similar to carbamazepine, oxcarbazepine, gabapentin, etc. ...Read more

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Why am I getting eyepain with topamax (topiramate)?

Toxic effect: One of the side effects of topomax is eye problems and especially glaucoma.

Get off the med and get evaluated fast. ...Read more

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Is there a maximum dosage for topamax (topiramate)?

Depends: Best to review with your doctor, depends on the indication. It's used for many different illnesses and conditions. Here's a link:

http://www. Janssenmedicalinformation. Com/assets/pdf/products/files/topamax/pi/lib-top-068362-08.Pdf. ...Read more

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What are the effects of topamax (topiramate) on women?

What are the effects of topamax (topiramate) on women?

Many.: Many, but most not severe. Cannot get pregnant! difficulty concentrating, speech problems, especially difficulty thinking of specific words, memory problems, lack of coordination, confusion, nervousness, irritability, mood swings, depression, headache, drowsiness, weakness, excessive movement, uncontrollable shaking of a part of the body, uncontrollable eye movements, extreme thirst, weight loss! ...Read more

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Anything to be aware of when taking topamax (topiramate)?

Topamax (topiramate): Is a newer anticonvulsant that blocks voltage-gated sodium ion channels. Topamax (topiramate) is being promoted as the successor to Gabapentin and is prescribed for a variety of pain disorders including the prophylaxis of migraine headache. A common side effects of the topamax (topiramate) are loss of appetite, diarrhea, and weight loss. Also topamax (topiramate) is a prophylactic medication for migraine and other headaches.. ...Read more

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How much weight will I lose while on topamax (topiramate)?

How much weight will I lose while on topamax (topiramate)?

Topamax (topiramate): Not everyone will lose weight. If you are one of the lucky ones who does - there is no exact figure amount to the weight loss. ...Read more

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What exactly does generic topamax (topiramate) looks like?

Pill identifier: You can try to search for (google) a pill identifier website. These such as drugs. Com will walk you through the steps. ...Read more

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I overdosed on topamax; would that leave any permanent effects?

Treated?: I assume that if you wrote the question you lived through it, so at least that is not in question.
There should be no lasting effects if you survived the acute od episode without problems. ...Read more

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How long will take for topamax (topiramate) to get out you body?

Topamax (topiramate) withdrawal: Topiramate (Topamax (topiramate)) is a newer anticonvulsant that blocks voltage-gated sodium ion channels. Topamax (topiramate) should not be discontinued abruptly or withdrawal symptoms, including confusion, loss of hearing or vision, fear, panic, convulsions, difficulty talking, tremors, headaches, just to name a few. Topamax (topiramate) should be gradually tapered down 25 mg every3-4 days. ...Read more

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How long does it take for topamax (topiramate) to start to work?

Awhile: Topamax (topiramate) is an antineuropathic. Primarily a seizure med it will take time for titration to an effective dose. Starting slow and incrementally increasing the dose slowly allows for accommodation to side effects. Look for some relief of symptoms as the dose is optimized. ...Read more

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Stopping Topiramate 25 mg once a night after 4 days, is that okay?

It is OK: Topiramate needs to be tapered off the same way it was titrated on. Usually, dropping 25mg every 4-7 days at the fastest. Good luck. ...Read more

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What to do if I got off topamax (topiramate) help me! Emergency!?

Go back on it?: Some people have to go off topamax (topiramate) because of side effects. A replacement medication would depend upon the reason you were started on in in the first place. (epilepsy, migraine, pseudotumor, etc). ...Read more

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What is the definition or description of: Topamax (topiramate) overdose?

What is the definition or description of: Topamax (topiramate) overdose?

Excess topamax dose: Topamax is an anti-convulsant/neuro-modulator that is widely used in both psychiatry, pain medicine and neurology. It dampens seizure activity, dampens manic/hypomanic symptoms, and reduces neuropathic pain. Normal dosing is 50-400mg /day. Overdosing generally causes severe sedation and only respiratory depression at extremely high doses. The worry is rashes which can lead to massive skin loss ...Read more

Topamax (Definition)

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