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Topamac 50 mg Tablet

Prescription Required
Overview

Uses of Topamac Tablet

Topamac 50 mg Tablet is used for epilepsy/seizures and preventive treatment of migraine.

Topamac Tablet side effects

Common
  • Dizziness
  • Sleepiness
  • Nausea
  • Taste change
  • Paresthesia (tingling or pricking sensation)
  • Fatigue
  • Diarrhea
  • Weight loss
  • Memory impairment

How to use Topamac Tablet

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 50 mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Topamac Tablet works

Topamac 50 mg Tablet is an antiepileptic medication. It controls seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain.

Topamac Tablet related warnings

Alcohol
CAUTION
Topamac 50 mg Tablet may cause excessive drowsiness and calmness with alcohol.
Pregnancy
WEIGH RISKS VS BENEFITS
Topamac 50 mg Tablet is unsafe to use during pregnancy.
There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
Lactation
Topamac 50 mg Tablet is probably safe to use during lactation. Limited human data suggests that the drug does not represent a significant risk to the baby.
Driving
Topamac 50 mg Tablet may make you feel dizzy, drowsy or affect your vision. Do not drive until your vision is clear.
Kidney
CAUTION
Topamac 50 mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Topamac 50 mg Tablet may be needed. Please consult your doctor.
Liver
CAUTION
Topamac 50 mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Topamac 50 mg Tablet may be needed. Please consult your doctor.

What if you miss a dose of Topamac Tablet?

If you miss a dose of Topamac 50 mg 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.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
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Expert Advice

  • Topamac 50 mg Tablet should be taken at the same time every day to maintain consistent levels in your body.
  • Do not stop using Topamac 50 mg Tablet without talking to your doctor, even if you feel better.
  • Keep yourself hydrated by drinking plenty of fluids throughout the day while taking Topamac 50 mg Tablet. This can reduce the risk of kidney stones.
  • Proper hydration prior to and during activities such as exercise or exposure to warm temperature may reduce the risk of side effects such as decreased sweating and rise in body temperature.
  • It causes sleepiness or drowsiness. If this happens to you, do not drive or use machinery.
  • Avoid consuming alcohol when taking the Topamac 50 mg Tablet, as it may cause excessive sleepiness or drowsiness.
  • Inform your doctor if you are taking any medicines to treat glaucoma.
  • Inform your doctor if you have ever been diagnosed with kidney or liver problems.
  • Inform your doctor if you are pregnant or planning to conceive or breastfeeding.

Interaction with Drugs

Taking Topamac with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Clonazepam
Brand(s): Panik
SERIOUS
Clobazam
Brand(s): Risure
SERIOUS
Nitrazepam
Brand(s): Konit
SERIOUS
Alprazolam
Brand(s): Eurolam, Alwel, Tenzo
SERIOUS
Phenytoin
Brand(s): Stoin
SERIOUS
Diazepam
Brand(s): Dizapam
SERIOUS
Chlordiazepoxide
Brand(s): Equblam
SERIOUS
Lorazepam
Brand(s): Psycopan, Anxionil
SERIOUS
Carbamazepine
Brand(s): Antep
SERIOUS
Phenobarbitone
Brand(s): Shinosun
MODERATE
View all interactions

Patient Concerns

Questions Related to Topamac

I'm suffering from Epilepsy (mainly GTCs) from last 12 years. Currently on Multiple AEDs 1. Topamac 400mg/day, 2. Encorate Chrono 800mg/day, 3. Lonazep 2mg/day. My present problem is I have some onset of agitation and anger and loss my control on my self. Previously I was suggested Quel (quetiapine) 25mg (OD.HS) for anger, but it did not work, recently my Neurologist prescribed me Zolfresh 5mg (OD.HS). Zolfresh reduced my agitation and anger but increased my sleep. My question is whether Anger is normal in Epilepsy and how to overcome this anger. Here to mention that I practice meditation regularly.
Dr. Jyoti Kapoor Madan
Psychiatrist
Zolpidem is a sleep inducer with high addictive potential. If agitation and anger are not a part of your personality, the genesis of it needs to be explored and understood. It may happen in depression, anxiety, mood disorders, substance use disorders, psychotic disorders or impulse control disorders etc. Anger management is aimed at identifying the triggers and the thought patterns behind this response. You can start by identifying what makes you angry and why and then start analysing your perceptions. You may see a psychotherapist/psychiatrist to guide you. Some anger issues are biological impulse control issues and one needs medicines to treat them. Treatment of primary psychiatric conditions like depression, anxiety and psychosis also mitigates anger.
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User Feedback

FAQs

Q. Is Topamac a narcotic, benzodiazepine, MAOI, or blood-thinning drug?

No. Topamac is not a narcotic, benzodiazepine, MAOI, or a blood-thinning drug

Q. Can I take Topamac for weight loss?

No. Topamac is not indicated for weight loss. It is indicated for the treatment of seizures and migraine headaches. Please consult your doctor before taking the medicine

Q. Is Topamac good for anxiety?

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

Q. Is Topamac safe?

Topamac is relatively safe if used as recommended. In case of any side-effects, consult your doctor

Q. Can I take topiramate with naproxen, paracetamol, tramadol, Nyquil, Advil, Wellbutrin, methadone, phenteramine, Percocet, Adderall, Zoloft,Vicodin or garcinia?

Topiramate can be taken with naproxen, paracetamol, tramadol, Advil (ibuprofen), or garcinia only if prescribed by your doctor. Topiramate should not be taken with Nyquil, methadone, Percocet (oxycodone), Phenteramine, Zoloft (sertraline), and Vicodin (hydrocodone)

Q. Does Topamac cause acne, tiredness, weight gain, weight loss, itching, low blood pressure, or insomnia?

Yes. Topamac may cause acne, tiredness, weight loss, itching, low blood pressure, or insomnia. It does not cause weight gain. If you experience any such symptoms, please consult your doctor

Q. Does Topamac affect birth control?

Yes. Topamac may affect the action of oral contraceptive pills. Please consult your doctor to confirm whether you require a secondary birth control measure while taking Topamac.

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Information last updated by Dr. Varun Gupta, MD Pharmacology on 5th Dec 2018.
The medicine details are for information purpose only. Consult a doctor before taking any medicine.
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Johnson & Johnson Private Limited., 501 Arena Space, Behind Majas Bus Depot, Off Jogeshwari Vikhroli Link Road, Jogeshwari (E), Mumbai 400 060
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