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Topamac 25mg Tablet
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Topamac 25mg Tablet

Topiramate (25mg)

by Janssen Pharmaceuticals

strip of 10 tablets

About this medicine

Topamac 25mg Tablet is a medicine used to treat epilepsy (seizures) and to prevent migraines. It is also used in the treatment of Lennox-Gastaut syndrome (a rare, but severe form of epilepsy that starts in early childhood). Topamac 25mg Tablet may be taken with or without food, preferably at the same time, each day. If you have missed a dose, take it as soon as you remember it and finish the full course of treatment even if you feel better. Stopping the medication suddenly without talking to your doctor may cause an increased frequency of seizures. Your doctor may advise regular monitoring of serum bicarbonate levels while you are taking this medicine. Some of the common side effects of this medicine include nausea, taste change, fatigue, diarrhea, weight loss, loss of appetite, and memory impairment. It may also cause vision problems like myopia or glaucoma, so it is important to get your eyesight checked before you start the treatment and regularly thereafter. You may experience dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Please consult your doctor if these side effects bother you or do not go away.

Uses

  • Prevention of Migraine
  • Epilepsy/Seizures
  • Lennox–Gastaut syndrome

Benefits

In prevention of Migraine

It is not fully established how Topamac 25mg Tablet helps prevent migraines. It may change the abnormal and excessive activity of the nerve cells in the brain or increase the activity in a region of the brain associated with migraines. By preventing and reducing the frequency of headaches, it can help you carry out your daily activities and have a better quality of life.

How it works

Topamac 25mg Tablet is an antiepileptic medication. It controls seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain.

How to use

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Topamac 25mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

Common side effects

  • Abdominal pain
  • Diarrhea
  • Dizziness
  • Fatigue
  • Fever
  • Loss of appetite
  • Memory impairment
  • Nausea
  • Nervousness
  • Numbness
  • Psychomotor impairment
  • Sleepiness
  • Speech disorder
  • Taste change
  • Upper respiratory tract infection
  • Visual impairment
  • Weight loss

Safety advice

AlcoholUNSAFE
It is unsafe to consume alcohol with Topamac 25mg Tablet.
PregnancyCONSULT YOUR DOCTOR
Topamac 25mg Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breast feedingCONSULT YOUR DOCTOR
Topamac 25mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
DrivingUNSAFE
Topamac 25mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
KidneyCAUTION
Topamac 25mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Topamac 25mg Tablet may be needed. Please consult your doctor.
LiverCAUTION
Topamac 25mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Topamac 25mg Tablet may be needed. Please consult your doctor.

If you miss a dose

If you miss a dose of Topamac 25mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Quick facts

Chemical Class
Dioxolopyrans Derivative
Habit Forming
No
Therapeutic Class
Neuro cns

Frequently asked questions

For how long do I need to take Topamac 25mg Tablet?

The dose and duration of this medicine will depend on your doctor’s advice. Topamac 25mg Tablet does not cure your condition (seizures/migraine) but prevents them from occurring. So, you may have to keep taking it for months or years depending on improvement in your symptoms and side effects that may occur.

Is Topamac 25mg Tablet good for anxiety?

Topamac 25mg Tablet is not indicated for the treatment of anxiety. Please consult your doctor before taking the medicine.

What are the serious side effects of Topamac 25mg Tablet?

Serious side effects of Topamac 25mg Tablet are rare. The serious effects of Topamac 25mg Tablet may include glaucoma (difficulty in seeing, eye pain, and blurred vision), kidney stones (sharp pain in your sides or lower back), and metabolic acidosis (tiredness, loss of appetite, irregular and faint heartbeat). Other serious side effects of Topamac 25mg Tablet could be suicidal thoughts and insufficient sweating (some children taking Topamac 25mg Tablet may not sweat enough in hot weather, causing their body temperatures to rise).

I am taking valproic acid for fits. Will Topamac 25mg Tablet interfere with the working of valproic acid? Can this combination be taken?

Topamac 25mg Tablet does not interfere with the working of valproic acid, but it increases the risk of getting excess levels of ammonia in the blood (hyperammonemia). Increased levels of ammonia in the blood can be dangerous and may cause difficulty in thinking, remembering information, or solving problems. It may also decrease your alertness and make you feel very sleepy with low energy. Immediately inform your doctor if you notice these symptoms. It is important to know that, in rare cases, Topamac 25mg Tablet alone can cause hyperammonemia.

Can Topamac 25mg Tablet be used in children?

Yes, Topamac 25mg Tablet is used for seizures in children more than 2 years of age. However, because of the lack of any reports, this medicine is not recommended to be used in children for migraines.

Since I have started using Topamac 25mg Tablet people are saying that I have lost weight. Is it because of Topamac 25mg Tablet or something else for which I should get investigated?

It could be due to Topamac 25mg Tablet because Topamac 25mg Tablet commonly causes weight loss probably due to a decrease in appetite. If you still have any doubts, talk to your doctor who will advise you appropriately.

Product details

Manufacturer
Janssen Pharmaceuticals
Salt composition
Topiramate (25mg)
Pack
strip of 10 tablets
Dosage form
Tablet
Storage
Store below 30°C

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The content above is for information only and is not a substitute for professional medical advice, diagnosis or treatment. Always consult a registered medical practitioner before starting, stopping or changing any medicine.