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Topamax (Topiramate)

Topomax being an anti-seizure and anti-epileptic drug is useful for the prevention of seizures caused by epilepsy.
Batch Expiry Date: November 2019
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Topomax is useful for the prevention of seizures caused by epilepsy. It is helpful in suppressing the abnormal activity of the nerves in the brain which may lead to seizures and is also helpful by preventing the abnormal activity to spread to the other nerves. It suppresses the nerves directly by not altering the neurotransmitters and makes them less likely to fire.


Medication must always be taken as advised by your medical practitioner/physician. If you are unsure, then please contact your physician for precise instructions. On the other hand, the medicine label usually contains dosage instructions which also may be followed.

Topomax may be taken with a meal or without a meal to prevent stomach problems.

A full glass of water when taken with Topomax always ensures better absorption. It is advisable to drink lots of water so as to avoid kidney problems.

Medications are prescribed according to a dosage schedule which must be completed in order to reap the benefits of the treatment. Lapsed schedules render Topomax ineffective. So, never stop in between unless advised by your physician.

One of the best ways to ensure that you do not miss out on a dose is to maintain a fixed regime for consuming Topomax each day.

Drug Class and Mechanism

Topomax comes under the category of anti-seizure or anti-epileptic drug. It seeks to alter the production as well as the action of the neurotransmitters. Furthermore it suppresses the abnormal activity of the nerves in your brain which may lead to seizures and also prevents this activity from spreading to the other nerves. It may seek to suppress the nerves directly by not altering the neurotransmitters and makes them less likely to fire.

Missed Dose

You must maintain a schedule for taking the medicine at the same time each day so that you do not miss out on any doses. But, in the advent of a missed dose, take it as soon as you remember so that you can compensate for the loss of the dose.

But, then you may need to adjust your remaining doses accordingly. And if it is almost time for the next dose, then please skip the missed dose and continue with the normal schedule.

Never try to compensate for the missed dose by taking a double dose together. It may cause adverse effects.


Topomax must be stored at a cool and dark place that prevents it from direct exposure to sunlight. It should also be protected from kids and pets. You can store it at room temperature preferably between 15 to 30 degrees C.

If you are allergic to any ingredient in Topomax (you may check medicine label) then please do not use it without consulting your doctor.

You must also avoid using Topomax if you are into cetazolamide, dorzolamide, methazolamide, dichlorphenamide as they can increase the risk of kidney stone.

Ensure that your doctor is aware of your past and current medical history before you start any new treatment or medication. This must include any and all diseases that you have suffered /suffer from, all subscription and over the counter medication that you are taking, including vitamins and herbal supplements. This will help avoid a possible interaction or allergy.

Topomax is known to make some people dizzy or drowsy. And if you consume alcoholic beverages, then the chances of this happening increase greatly. Hence, alcohol and alcoholic beverages must be strictly avoided while taking Topomax. If you have experienced drowsiness after taking Topomax, then avoid tasks that require mental alertness for example, driving, handling heavy equipment or machinery etc.

Certain laboratory tests may be made mandatory while you are using Topomax. These tests are conducted to analyze your progress to treatment and guage the degree to which side effects are being experienced. You must never miss out on any such lab tests.

Your lab technician or doctor must be informed that you are taking Topomax before you undergo any lab tests or emergency surgical procedures.

Pregnancy Info

If you are planning to have a baby or are pregnant already then you must seek advice from your doctor before using Topomax. Discuss the effects and possible risks that Topomax usage may have on the unborn baby.

If you are breast feeding your child, then too seek medical advice before using Topomax. Some drugs may be excreted in the breast milk and may harm the baby.
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