Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
If you miss a dose of this medicine, 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 dosing schedule. Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
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Remember Me? Results 1 to 6 of 6. Thread: can you cut topamax pills. Thread Tools Show Printable Version. May 3rd, , AM 1. Before taking topiramate, tell your doctor and pharmacist if you are allergic to topiramate, any other medications, or any of the ingredients in topiramate tablets, sprinkle capsules, and extended-release capsules. Ask your pharmacist for a list of the ingredients. Your doctor will probably tell you not to take metformin if you have metabolic acidosis and you are taking this of medication.
Be sure to mention any of the following: acetazolamide Diamox ; amitriptyline; anticoagulants 'blood thinners' such as warfarin Coumadin ; antidepressants; antihistamines; aspirin and other nonsteroidal anti-inflammatory medications NSAIDs such as ibuprofen Advil, Motrin and naproxen Aleve, Naprosyn ; digoxin Lanoxin ; hormonal contraceptives birth control pills, patches, rings, implants, or injections ; hydrochlorothiazide Microzide, Oretic ; lamotrigine Lamictal ; lithium Lithobid ; medications for motion sickness, ulcers, or urinary problems; metformin Fortamet, Glucophage, Riomet, others ; other medications for seizures such as carbamazepine Epitol, Equetro, Tegretol, Teril , phenytoin Dilantin, Phenytek , valproic acid Depakene , and zonisamide Zonegran ; and pioglitazone Actos, in Actoplus Met ER.
Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Also tell your doctor if you have or have ever had metabolic acidosis a disturbance in the body's acid-base balance that results in excessive acidity of the blood ; osteopenia, osteomalacia, or osteoporosis conditions in which the bones are soft or brittle and may break easily ; diabetes; glaucoma a type of eye disease ; any disease that affects your breathing such as asthma or chronic obstructive pulmonary disease COPD ; depression or abnormal moods; a growth problem; or liver or kidney disease.
Also tell your doctor if you have diarrhea or if you develop diarrhea during your treatment. If you are pregnant or plan to become pregnant, your doctor may prescribe a different medication instead of topiramate because topiramate may harm the fetus. If you do not plan to become pregnant, you should use birth control to prevent pregnancy during your treatment with topiramate.
Talk to your doctor about what type of birth control you should use, because taking topiramate may decrease the effectiveness of some types of birth control. If you become pregnant while you are taking topiramate, call your doctor right away, but do not stop taking topiramate before talking to your doctor.
Do not drive a car or operate machinery until you know how this medication affects you. You may need to avoid activities such as swimming, driving, and climbing so that you will not harm yourself or others if you lose consciousness during a seizure. You should not drink alcohol within 6 hours before and 6 hours after you take extended-release capsules Trokendi XR brand only. Your doctor will probably tell you not to drink alcohol while taking topiramate.
This happens most often in warm weather and to children who take topiramate. Avoid exposure to heat, drink plenty of fluids and tell your doctor if you have a fever, headache, muscle cramps, or an upset stomach, or if you are not sweating as usual. Drink 6 to 8 glasses of water every day to prevent kidney stones from forming.
A small number of adults and children 5 years of age and older about 1 in people who took anticonvulsants such as topiramate to treat various conditions during clinical studies became suicidal during their treatment. Some of these people developed suicidal thoughts and behavior as early as 1 week after they started taking the medication.
There is a risk that you may experience changes in your mental health if you take an anticonvulsant medication such as topiramate, but there may also be a risk that you will experience changes in your mental health if your condition is not treated. You and your doctor will decide whether the risks of taking an anticonvulsant medication are greater than the risks of not taking the medication.
You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: panic attacks; agitation or restlessness; new or worsening irritability, anxiety, or depression; acting on dangerous impulses; difficulty falling or staying asleep; aggressive, angry, or violent behavior; mania frenzied, abnormally excited mood ; talking or thinking about wanting to hurt yourself or end your life; withdrawing from friends and family; preoccupation with death and dying; giving away prized possessions; or any other unusual changes in behavior or mood.
Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor if you are unable to seek treatment on your own. Tell your doctor if any of these symptoms are severe or do not go away: numbness, burning, or tingling in the hands or feet slowed reactions nervousness headache drowsiness weakness uncontrollable shaking of a part of the body uncontrollable eye movements weight loss constipation heartburn change in ability to taste food dry mouth nosebleed teary or dry eyes back, muscle, leg, or bone pain missed menstrual periods excessive menstrual bleeding unusual bleeding or bruising Some side effects can be serious.
Symptoms of overdose may include the following: seizures drowsiness speech problems blurred vision double vision trouble thinking tiredness loss of coordination loss of consciousness dizziness stomach pain vomiting agitation depression loss of appetite pounding or irregular heartbeat fast, shallow breathing.
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Try again later. When you shop through retailer links on our site, we may earn affiliate commissions. Learn more. How It Works Your doctor will prescribe a higher dose of medication, often double.
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