Doctor insights on:
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
Im taking Trileptal for tinnitus& hyperacusis &recently started Topamax (topiramate) for migraines.Is it true that trileptal reduces amount of topamax (topiramate) in system?
What has more side effects Dilantin or topamax (topiramate) and can topamax (topiramate) cause seizures?
Jeff24, U need help: I see that you posted many questions all related to your "seizure" which you may have had 14 yrs ago. Despite multiple answers from different docs, you are not satisfied and seem to obsess about this issue quite abit. Topamax (topiramate) is actually used to treat both seizure and migraine. Jeff24, call your doc and make an appointment for follow-up. I think you have obscessive-compulsive-disorder. Good luck. ...Read more
Have IIH, taking Topamax (topiramate). Have nausea, headache, diarrhea, eye blurriness/pain/grey tint to vision, grey/blck/whte blurs. Pupils rapidly grow/shrink.
Topamax (topiramate): It can. Many of the meds used for bipolar disorder can affect sleep patterns. Hopefully they will help normalize your sleep/ wake cycle, which is critical for this condition. Sleep deprivation is a major trigger for a manic episode. If topamax (topiramate) is helpful for your mood cycling, i would ask your md about taking it in the am only. ...Read more
Topamax (topiramate) addto Dilantin + med change then increased multiple seizures ER dr said Dilantin levels are toxic. Caused by topamax (topiramate)? When seizures stop?
Me no understand: Your statement sounds like Morse Code to me. Some of it I get but maybe you can restate it a bit more calmly. If Dilantin were added to Topamax (topiramate) then, yes toxic levels of Dilantin could occur. If other way around then, we'd expect levels of Topamax (topiramate) to decrease not Dilantin increase. Sounds like you need to check in with your neurologist for a "realignment" of some sort with your meds. ...Read more
Probably not: Not likely in my experience. Your ophthalmologist can examine your eyes to confirm this. ...Read more
Variable: Timolol is a beta blocker and has been used for decades for treating glaucoma. It is generally very effective, but has potential side effects. Every eye responds differently to the available glaucoma treatments. This is why the eye pressure is checked 4-6 weeks after starting any new glaucoma drop for effectiveness. ...Read moreSee 1 more doctor answer
Can you take Depakote and Topamax (topiramate) together? Is 500mg Depakote safe with 50mg of Topamax (topiramate)?
Yes & yes, BUT...: ...you didn't just wander into a pharmacy and made an impulse purchase. You got Rxs from a doctor for a reason, not just on a whim. Why are you trying to go around him/her? Asking anyone other than the MD who knows you and who knows the rationale for your treatment is unwise at best and dangerous at worst. You are entitled to an explanation in terms you understand FROM YOUR DOCTOR. ...Read more
Topamax (topiramate) side effects: I agree 100%. We have seen some dramatic weight loss in some patients on topamax (topiramate) and I have several patients whose type ii diabetes has resolved from the associated weight loss. My poster child for topamax (topiramate) lost about 150 lbs. Not everyone tolerates it and it has be be tapered up very slowly. About 40% of patients eem to get some significant weight loss from our experience. ...Read moreSee 1 more doctor answer
Progressive macular pucker 20/30 vision, distortion & glaucoma. Visual fIeld good,nerve damage 30-45%.Would vitrectomy cause glaucoma to progress?
Possible: Vitrectomy and glaucoma may have an association. It is suspected that glaucoma occurs more often in patients who have had vitrectomy and subsequent cataract surgery. An ongoing clinical trial is aimed to answer this question with more clarity. PROVE Study. http://www.aaojournal.org/article/S0161-6420(14)00344-3/references AND https://clinicaltrials.gov/ct2/show/NCT01162356 ...Read more
I've Menièrés, bipolar, ADHD & migraine.
Could Topiramate treat these conditions better than Metoprolol combined with hydrochlorothiazide?
No way to tell: Neither the topiramate nor the combo you mentioned are considered the Gold Standard drug to treat ALL 4 of the conditions at the same time. Therefore, on that basis I wouldn't expect EITHER regimen to be terrific. Having said that...each individual is different. If your doctor is recommending one of those options then, I would trust his judgement, take the medication as directed and see wassup. ...Read more
Intra ocular hypertension 23hgmm visual field still clear. Glaucoma meds 13 till 16yrs with only slight decrease in iop off meds since. Rare photopsia?
Ocular hypertension: The term ocular hypertension (oht) implies that the eye pressure is high without optic nerve damage or visual field loss. In many cases oht can be followed on no meds as long as periodic optic nerve testing is done (visual field, oct, photos). The corneal thickness has been found in influence the pressure measurement, and in cases of very thin corneas, treatment might still be recommended. ...Read moreSee 1 more doctor answer