IN THIS ARTICLE
- What is topiramate (Topamax, Topamax Sprinkle, Topiragen)?
- What are the possible side effects of topiramate (Topamax, Topamax Sprinkle, Topiragen)?
- What is the most important information I should know about topiramate (Topamax, Topamax Sprinkle, Topiragen)?
- What should I discuss with my healthcare provider before taking topiramate (Topamax, Topamax Sprinkle, Topiragen)?
- How should I take topiramate (Topamax, Topamax Sprinkle, Topiragen)?
- What happens if I miss a dose (Topamax, Topamax Sprinkle, Topiragen)?
- What happens if I overdose (Topamax, Topamax Sprinkle, Topiragen)?
- What should I avoid while taking topiramate (Topamax, Topamax Sprinkle, Topiragen)?
- What other drugs will affect topiramate (Topamax, Topamax Sprinkle, Topiragen)?
- Where can I get more information?
What happens if I miss a dose (Topamax, Topamax Sprinkle, Topiragen)?
If you are less than 6 hours late in taking your medicine, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
Call your doctor for instructions if you miss two or more doses.
What happens if I overdose (Topamax, Topamax Sprinkle, Topiragen)?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include drowsiness, dizziness, agitation or depression, blurred vision, problems with speech or balance, stomach pain, chest pain, fast or pounding heartbeats, feeling light-headed, fainting, and seizure (convulsions).
What should I avoid while taking topiramate (Topamax, Topamax Sprinkle, Topiragen)?
Topiramate may cause blurred vision or impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.
Avoid drinking alcohol. It can increase certain side effects of topiramate, and can also increase your risk of a seizure.
Ketogenic or "ketosis" diets that are high in fat and low in carbohydrates can increase the risk of kidney stones. Avoid the use of such diets while you are taking topiramate.
What other drugs will affect topiramate (Topamax, Topamax Sprinkle, Topiragen)?
Cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for depression or anxiety can add to sleepiness caused by topiramate. Tell your doctor if you regularly use any of these medicines, or any other seizure medication.
Tell your doctor about all other medicines you use, especially:
- lithium (Eskalith, LithoBid);
- hydrochlorothiazide (HCTZ, HydroDiuril, Hyzaar, Lopressor, Vasoretic, Zestoretic);
- metformin (Glucophage, Actoplus Met, Avandamet, Fortamet, Janumet, PrandiMet, Riomet);
- atropine (Atreza, Sal-Tropine), belladonna (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop);
- bronchodilators such as ipratropium (Atrovent) or tiotropium (Spiriva);
- bladder or urinary medications such as darifenacin (Enablex), solifenacin (Vesicare), and others;
- glaucoma medications such as acetazolamide (Diamox) or methazolamide (Neptazane); or
- other seizure medications such as carbamazepine (Carbatrol, Equetro, Tegretol), lamotrigine (Lamictal), phenytoin (Dilantin), divalproex sodium (Depakote), valproic acid (Depakene, Stavzor), or zonisamide (Zonegran).
This list is not complete and other drugs may interact with topiramate. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
Where can I get more information?
Your pharmacist can provide more information about topiramate.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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