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Topamax

Form.

Tablets: 25 milligrams,
Tablets: 100 milligrams,
Tablets: 200 milligrams;
Capsules: 15 milligrams,
Capsules: 25 milligrams.

No Prescription

Topamax is prescribed in combination with other anti-seizure drugs among adults and children aged 2-16 years with partial seizures or generalized tonic-clonic seizures (in which there is prolonged contraction of the muscles of the body that causes rigidity as well as jerking motions). Topamax sprinkle capsules are approved for treatment without other drugs in patients 10 years of age and older.
Topamax is prescribed in patients two years of age and older with seizures associated with the Lennox-Gastaut Syndrome, a severe form of epilepsy which accounts for up to 10 percent of all cases of childhood epilepsy. Children with Lennox-Gastaut Syndrome experience delays in their development and up to dozens of different, mixed types of seizures a day. The most common types of seizures in this syndrome are tonic (stiffening of the body, with the eyes rolling upwards, dilation of the pupils and shallow, irregular breathing), atonic (brief loss of muscle tone and consciousness, causing abrupt falls), myoclonic (sudden muscle jerks), and absence (staring spells).

Topamax is prescribed for the prevention of migraine headaches in adults.

Topamax is an antiepileptic drug, prescribed to control both the mild attacks known as partial seizures and the severe tonic-clonic convulsions known as grand mal seizures. It is typically added to the treatment regimen when other drugs fail to fully control a patient's attacks.

Topamax is also prescribed for the prevention of migraine headaches (also known as prophylactic treatment). However, due to a lack of studies, it's not known whether the drug can treat acute migraine attacks.

Dosage.

Most commonly, Topamax is started in low doses, 25 or 50 milligrams per day, and then increased slowly, under a doctor's orders, by 25 to 50 milligrams per week until an effective daily dose is reached. This slow approach to treatment reduces side effects.

In children, the starting dose is up to 25 milligrams (1 to 3 milligrams/kg/day), taken nightly for the first week. The dose is then increased at 1 or 2 week intervals by 1 to 3 milligrams/kg/day.

Although the usual adult dose is 200 milligrams twice daily, some adult patients may begin to see a clinical response at 200 milligrams per day. Some patients need doses higher than 200 milligrams daily. In children, the usual dose is 2.5 to 4.5 milligrams/kg twice daily.

Patients should maintain an adequate fluid intake in order to minimize the risk of kidney stones.

ADULTS

For Seizures

Topamax therapy usually begins with a dose of 50 mg once daily during the first week. The daily dosage is then increased each week until, by the eighth week, the patient is taking 200 mg twice a day.

If you are also taking Dilantin or Tegretol, the dosage of Topamax may need adjustment.

For Prevention of Migraine Headaches

The recommended total daily dose is 100 mg a day, taken in two divided doses. Your doctor will increase the dose slowly over 4 weeks. The usual regimen is as follows: Week 1: No morning dose; take 25 mg at night. Week 2: Take 25 mg in the morning and again at night. Week 3: Take 25 mg in the morning and 50 mg at night. Week 4: Take 50 mg in the morning and again at night.

CHILDREN

The usual daily dose for children 2 to 16 years of age is 5 to 9 mg for every 2.2 pounds of body weight, divided into two doses. Topamax therapy usually begins with a dose of 25 mg (or less) once daily during the first week. The daily dosage is then increased each week until the doctor is satisfied with the patient's response. It may take eight weeks to reach the ideal dose.

DOSAGE ADJUSTMENT

For people with poor kidney function, the dosage is usually cut in half. On the other hand, those undergoing hemodialysis may need a supplemental dose. Likewise, the doctor may adjust your dosage if you have liver problems.

Side Effects.

In adults, the most common side effects of Topamax are:
- Changes in vision or double vision;
- Coordination problems;
- Difficulty with memory;
- Dizziness;
- Sensory distortion;
- Speech problems;
- Tiredness;

In children, the most common side effects are:
- Aggressive reaction;
- Difficulty with concentration/attention;
- Difficulty with memory;
- Drowsiness;
- Loss of appetite;
- Nervousness;
- Tiredness;
- Weight decrease;

Topamax side effects that you should report to your health care professional or doctor as soon as possible:
- Weight Loss;
- Weakness;
- Viral Infection;
- Urinary Incontinence;
- Tremors;
- Tingling Or Burning Sensations;
- Speech Problems;
- Sore Throat;
- Slowing Of Movements;
- Sinusitis;
- Rash;
- Pneumonia;
- Nosebleed;
- Nose Inflammation;
- Nervousness;
- Nausea;
- Mood Problems;
- Menstrual Problems;
- Loss Of Coordination;
- Loss Of Appetite;
- Leg Pain;
- Language Problems;
- Injury;
- Indigestion;
- Increased Saliva;
- Increased Muscle Movement;
- Flu-Like Symptoms;
- Fatigue;
- Fatigue;
- Drowsiness;
- Drowsiness;
- Double Vision;
- Dizziness;
- Difficulty With Memory;
- Difficulty With Concentration;
- Difficulty Sleeping;
- Difficulty Concentrating;
- Depression;
- Constipation;
- Confusion;
- Chest Pain;
- Breast Pain;
- Behavior Problems;
- Back Pain;
- Appetite Loss;
- Anxiety;
- Agitation;
- Aggressiveness;
- Abnormal Vision;
- Abnormal Coordination;
- Abnormal Gait;
- Abdominal Pain;
(c) 2017