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Doctor insights on: Topamax Nausea

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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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Can a lowering of dose from 200mg to 100mg in topiramate cause any momentarty sleep disturbance? And nausea ?

Definitely, yes: Any abrupt tapering down may create a withdrawal symptoms. Always gradually tapper down topiramate by 25mg every 3-4 days to minimize side effects. Take care. ...Read more

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Can topiramate cause nausea and lack of appetite ?

Can topiramate cause nausea and lack of appetite ?

Definitely, yes: Topiramate is a newer anticonvulsant that blocks voltage-gated sodium ion channels. Because it is not extensively metabolized in the liver, topiramate is being promoted as the successor to Gabapentin and is prescribed for a variety of pain disorders including the prophylaxis of migraine headache. Common side effects are dry mouth, loss of appetite, slow thinking, and trouble concentrating. ...Read more

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Began a thyroid med last week (mornings), but also take Prozac (fluoxetine) 40mg and topiramate (eves). In mornings now wake with crosseyed double vision/nausea, and during day at times get disoriented/nauseous?

Began a thyroid med last week (mornings), but also take Prozac (fluoxetine) 40mg and topiramate (eves). In mornings now wake with crosseyed double vision/nausea, and during day at times get disoriented/nauseous?

Probably not the med: These symptoms don't sound like things the thyroid med would cause. Perhaps you have a problem with circulation or the brain. See your doctor and get checked as soon as possible. Good luck! ...Read more

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Taking 200 mg of topamax (topiramate) for ptc/iih. Anthing I can do to counteract side effects:nausea, extremity tingling, hair falling out, groggyness?

Probably not: If these effects haven't gone away within about 2 weeks after being on your current dose, the liklihood that these dise effects will completely abate is low. You will likely have to stop the topamax (topiramate) and this will have to be stopped gradually to avoid withdrawal seizures. ...Read more

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Taking 50mg of Topomax for chronic migraine. Did 25 for a week then 50. Started 2.5'weeks ago and still nausea from it. Will the nausea go away?

Taking 50mg of Topomax for chronic migraine. Did 25 for a week then 50. Started 2.5'weeks ago and still nausea from it. Will the nausea go away?

Comments: You could blunt the nausea by taking twice daily after food on your stomach. Your target dose is 50 mg twice daily. The nausea might be quelled by ginger root prior to meds. You should get accommodated over next week or so. ...Read more

Topamax (Definition)

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


Dr. Stephen Noga
1,712 doctors shared insights

Nausea (Definition)

Nausea is the sensation of having ...Read more