What is Topiramate?
Topiramate is an anticonvulsant medication used primarily to treat certain types of seizures in adults and children over the age of two. It is also used to prevent migraine headaches in adults and adolescents over the age of 12. Topiramate (brand name Trokendi XR) is intended for use by adults and children over the age of six. It helps prevent migraines or reduce the number of attacks but does not treat migraines that have already started.
Topiramate Uses
- Seizures: Used to treat primary generalized tonic-clonic seizures and partial-onset seizures, either alone or in combination with other medications. Also used for seizures associated with Lennox-Gastaut syndrome.
- Migraine Prevention: Helps prevent migraine headaches in adults and adolescents over the age of 12.
How Topiramate Works
Topiramate belongs to the anticonvulsant class of medications. It works by reducing abnormal brain activity, which helps control seizures and prevent migraines.
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- Tablets: Can be taken with or without food. Swallow tablets whole with a glass of water; do not chew them.
- Capsules: Should also be taken whole.
Topiramate Side Effects
Common Side Effects:
- Tingling in arms or legs
- Increased bleeding and bruising
- Loss of appetite
- Nausea and diarrhea
- Weight loss
- Nervousness
- Upper respiratory tract infection
- Speech problems
- Tiredness
- Dizziness
- Trouble with memory
- Abdominal pain
- Fever
- Eye problems
Precautions
- Liver Problems: May accumulate in the body, increasing the risk of side effects. Lower doses may be necessary.
- Kidney Problems: Difficulty clearing the medication, leading to more side effects. Doctor may prescribe a lower dose.
- Pregnancy: Should be used only if the potential benefit outweighs the potential risk. Consult your doctor.
- Breastfeeding: Excreted in breast milk and may have serious consequences for a child. Discuss risks and benefits with your doctor.
- Alcohol: Should be avoided while taking Topiramate as it may worsen sleepiness and dizziness.
Overdose
If an overdose occurs and serious symptoms such as passing out or trouble breathing appear, seek medical advice immediately. Never take more than the prescribed amount.
Missed Dose
If you forget or miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose. Do not double the dose to catch up.
Storage
Store the medication in a safe place away from heat, air, and light to prevent damage. Keep out of reach of children.
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Book an AppointmentTopiramate vs Gabapentin
| Topiramate | Gabapentin |
|---|---|
|
Anticonvulsant used as a seizure medication. |
Anticonvulsant medication known as Neurontin. |
|
Treats certain types of seizures in adults and children over the age of two. |
Primarily used to treat partial seizures and neuropathic pain. |
|
Prevents migraine headaches or reduces the number of attacks. |
First-line therapy for neuropathic pain caused by diabetic neuropathy, postherpetic neuralgia, and central pain. |
