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topamax
topiramate (toe PEER ah mate)

What is the most important information I should know about Topamax?
• Seek immediate medical attention if you experience blurred vision, changesin vision, or pain in or around the eyes during treatment with Topamax topamax. Thesemay be early signs of a serious side effect topamax.
• Do not stop taking Topamax without first talking to your doctor, evenif your symptoms have improved topamax. It is important to continue taking Topamax toprevent seizures from recurring topamax.
• Carry or wear a medical identification tag to let others know that youare taking Topamax in the case of an emergency topamax.
• Use caution when driving, operating machinery, or performing other hazardousactivities topamax. Topamax may cause dizziness or drowsiness topamax. If you experience dizzinessor drowsiness, avoid these activities topamax.
• Alcohol should be avoided while taking Topamax topamax. Alcohol may cause increasedsedation or drowsiness topamax. It may also increase the risk of having a seizure topamax.
• Drink several extra glasses of fluid each day during treatment with Topamaxto minimize the risk of kidney stone formation topamax. Additional fluid may be necessaryduring hot weather, vigorous exercise, and illness topamax.


What is Topamax?
• Topamax is used to control seizures topamax. The exact way that it works is unknown topamax. However, it is believed that Topamax alters the chemical impulses in the brainthat cause seizures topamax.
• Topamax may also be used for purposes other than those listed in thismedication guide topamax.


What should I discuss with my healthcare provider before taking Topamax?
• Before taking Topamax, tell your doctor if you have liver or kidney disease topamax. You may not be able to take Topamax, or you may require a dosage adjustmentor special monitoring during treatment topamax.
• Topamax is in the FDA pregnancy category C topamax. This means that it is notknown whether Topamax will harm an unborn baby topamax. Do not take this medicationwithout first talking to your doctor if you are pregnant or if you could becomepregnant during treatment topamax.
• It is not known whether Topamax passes into breast milk topamax. Do not takeTopamax without first talking to your doctor if you are breast-feeding a baby topamax.
• The safety and effectiveness of Topamax have not been established forchildren younger than 2 years of age topamax.


How should I take Topamax?
• Take Topamax exactly as directed by your doctor topamax. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you topamax.
• Take each dose of Topamax with a full glass of water topamax.
• The Topamax Sprinkle Capsules may be carefully opened and the contentssprinkled onto a small amount (teaspoon) of soft food topamax. This drug/food mixtureshould be swallowed immediately, without chewing topamax. The mixture should not bestored for future use topamax. If the mixture is combined in a small container, addsome water to the container after the dose has been taken, and drink the waterto ensure the whole dose has been taken topamax.
• Due to their bitter taste, the Topamax tablets should not be broken topamax.
• Topamax can be taken with or without food topamax.
• Carry or wear a medical identification tag to let others know that youare taking this medicine in the case of an emergency topamax.
• Do not stop taking Topamax without first talking to your doctor, evenif your symptoms have improved topamax. It is important to continue taking Topamax toprevent seizures from recurring topamax.
• Drink several extra glasses of fluid each day during treatment with Topamaxto minimize the risk of kidney stone formation topamax. Additional fluid may be necessaryduring hot weather, vigorous exercise, and illness topamax.
• Store Topamax at room temperature away from moisture and heat topamax.


What happens if I miss a dose?
• Take the missed dose as soon as you remember topamax. However, if it is almosttime for the next dose, skip the dose you missed and take only the next regularlyscheduled dose topamax. Do not take a double dose of this medication topamax.


What happens if I overdose?
• Seek emergency medical treatment topamax.
• Symptoms of a Topamax overdose are unknown but may include severe drowsiness,poor coordination, tremor, confusion, difficulty speaking, and nausea topamax.


What should I avoid while taking Topamax?
• Use caution when driving, operating machinery, or performing other hazardousactivities topamax. Topamax may cause dizziness or drowsiness topamax. If you experience dizzinessor drowsiness, avoid these activities topamax.
• Alcohol should be avoided while taking Topamax topamax. Alcohol may cause increasedsedation or drowsiness topamax. It may also increase the risk of having a seizure topamax.
• Drink several extra glasses of fluid each day during treatment with Topamaxto minimize the risk of kidney stone formation topamax. Additional fluid may be necessaryduring hot weather, vigorous exercise, and illness topamax.
• Ketogenic diets (high protein, very low carbohydrate diets that may induceketosis) may increase the risk of kidney stone formation and should be avoidedduring treatment with Topamax topamax.


What are the possible side effects of Topamax?
• If you experience any of the following serious side effects, stop takingTopamax and seek emergency medical attention:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives);
· blurred vision, changes in vision, or pain in or around the eyes
· worsening of seizures topamax.
• Other, less serious side effects may be more likely to occur topamax. Continueto take Topamax and talk to your doctor if you experience
· dizziness, poor coordination, sluggishness, or drowsiness;
· irregular back-and-forth movements of the eyes;
· nausea, loss of appetite, or weight loss;
· tremor, numbness, or tingling;
· confusion, difficulty concentrating or decreased memory;
· speech or language difficulties; or
· changes in behavior, depression, nervousness, or agitation topamax.
• Side effects other than those listed here may also occur topamax. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome topamax.


What other drugs will affect Topamax?
• Before taking Topamax, tell your doctor if you are taking any of thefollowing medicines:
· another seizure medication such as valproic acid (Depakote, Depakene),carbamazepine (Tegretol, Carbatrol, Epitol), phenytoin (Dilantin), and others;
· a carbonic anhydrase inhibitor such as acetazolamide (Diamox), methazolamide(Neptazane), or dichlorphenamide (Daranide); or
· digoxin (Lanoxin, Lanoxicaps) topamax.
• You may not be able to take Topamax, or you may require a dosage adjustmentor special monitoring during treatment if you are taking any of the drugs listedabove topamax.
• Topamax may decrease the effectiveness of birth control pills topamax. Talk toyour doctor about other birth control options to prevent unintended pregnancy topamax.
• Topamax may increase the effects of other drugs that cause drowsiness,including antidepressants, alcohol, antihistamines, pain relievers, sedative(sleep aids), anxiety medicines, and muscle relaxants topamax. Dangerous sedation, dizziness,or drowsiness may occur if Topamax is taken with any of these medications topamax.
• Drugs other than those listed here may also interact with Topamax topamax. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines topamax.


Where can I get more information?
• Your pharmacist has additional information about Topamax written forhealth professionals that you may read topamax.


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