Take this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. Ask your doctor if you have any questions. Do not open, crush, or chew the capsule. Do not break, crush, or chew it.

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Monotherapy in adults, adolescents and children over 6 years of age with partial seizures with or without secondary generalised seizures, and primary generalised tonic-clonic seizures. Adjunctive therapy in children aged 2 years and above, adolescents and adults with partial onset seizures with or without secondary generalization or primary generalized tonic-clonic seizures and for the treatment of seizures associated with Lennox-Gastaut syndrome. Topiramate is indicated in adults for the prophylaxis of migraine headache after careful evaluation of possible alternative treatment options. Topiramate is not intended for acute treatment. It is not necessary to monitor topiramate plasma concentrations to optimize therapy with Topamax. On rare occasions, the addition of topiramate to phenytoin may require an adjustment of the dose of phenytoin to achieve optimal clinical outcome. Addition or withdrawal of phenytoin and carbamazepine to adjunctive therapy with Topamax may require adjustment of the dose of Topamax. In patients with or without a history of seizures or epilepsy, antiepileptic AEDs drugs including topiramate should be gradually withdrawn to minimize the potential for seizures or increased seizure frequency.

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Tablets Do not break the tablets due to bitter taste. Sprinkle capsules Swallow whole. Prepare entire dose and swallow immediately after preparation. Drink fluids to ensure entire dose is swallowed. Trokendi XR extended-release capsules Swallow whole and intact. Extended-release capsules are not recommended for children younger than 6 years, as they must be swallowed whole and intact.

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Topiramate TPM, marketed as Topamax is an antiepileptic drug which is also used for migraine prophylaxis, weight loss, and, less commonly, as a mood stabilizer. Over the last few years we have seen several studies suggesting an increased risk of oral clefts in infants exposed to topiramate during the first trimester of pregnancy. A large study including 2, infants with prenatal exposure to topiramate has confirmed these earlier findings. Using data from the US — Medicaid Analytic eXtract, researchers examined outcomes in a cohort of 1, pregnant women. Exposure to topiramate was defined as the dispensing of topiramate during the first trimester.

Or in a crisis, text NAMI to All FDA black box warnings are at the end of this fact sheet. Symptoms of depression include With input from you, your health care provider will assess how long you will need to take the medicine. Do not stop taking topiramate or change your dose without talking to with your healthcare provider first. In order for topiramate to work properly, it should be taken every day as ordered by your healthcare provider.

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Patient acceptability may be enhanced by lack of weight gain, lack of major contraindications, and positive effects on quality of life. Migraine is a chronic neurological disorder characterized by recurrent attacks of headache and other symptoms which may last up to 3 days. The pain is moderate to severe, and is associated with other symptoms, such as phonophobia, photophobia, nausea, and vomiting. Prodromes like somnolence and mood changes may also be present. In some patients the headache phase is preceded by aura, a complex of focal neurological symptoms, which may include visual disturbances, numbness, paresthesia, and speech difficulties Headache Classification Subcommittee of the International Headache Society ; Lipton et al

Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. Drink buy nexium pills water while on this medicine. Adults should try to drink cups 48 to 64 oz. It is important that you keep taking each dose of this medicine on time even if you are feeling well. If you forget to take a dose on time, take it as soon as you remember. If it is almost time for the next dose, do not take the missed dose.

Originally developed for epilepsy, Topiramate Topamax is often one of the first drugs considered for migraine prevention. But what is it, what does it do, and how do you know if you should consider trying it? By taking certain medications every day, people with migraine can reduce the number and severity of attacks they have, get more effective results from the acute medications they take when attacks happen, and improve their quality of life. This study by Lipton, Bigal, Diamond, et al confirmed what many experts in migraine suspected — that preventive treatments for migraine were severely underutilized. Although migraine prevention might be lagging, sales of Topamax and topiramate are not.

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