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Topiramate (oral route)

Available brands

Eprontia, Qudexy XR, Topamax, Topiragen, Trokendi XR

About this medication

Topiramate is used alone or together with other medicines to help treat certain types of seizures (eg, partial seizures, tonic-clonic seizures, or Lennox-Gastaut syndrome). This medicine will not cure epilepsy and will only work to control seizures for as long as you continue to take it. It is also used to help prevent migraine headaches. This medicine is available only with your doctor's prescription. This product is available in the following dosage forms:

Before using this medication

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Appropriate studies have not been performed on the relationship of age to the effects of topiramatecapsules, oral solution, or tablets, orQudexy�� extended-release capsulesto treat seizures in children younger than 2 years of age (when used alone or together with other medicines). However, children are more likely to have unwanted effects (eg, rickets, slow growth, and increased risk of kidney stones) to this medicine. Safety and efficacy have not been established. Appropriate studies have not been performed on the relationship of age to the effects ofTrokendi XR® extended-release capsulesfor the treatment of seizures in children younger than 6 years of age. Appropriate studies have not been performed on the relationship of age to the effects of topiramatecapsules, extended-release capsules, tablets, or oral solutionfor the prevention of migraine headaches in children younger than 12 years of age. Safety and efficacy have not been established. Although appropriate studies on the relationship of age to the effects of topiramate have not been performed in the geriatric population, geriatric-specific problems are not expected to limit the usefulness of topiramate in the elderly. However, elderly patients are more likely to have age-related kidney problems, which may require caution and an adjustment in the dose for patients receiving topiramate. There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following is not recommended. Your doctor may decide not to treat you with this medication, change some of the other medicines you take, or give you special instructions about the use of food, alcohol, or tobacco. The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

How to use this medication

Take this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. This medicine comes with a Medication Guide. Read and follow the instructions carefully. Ask your doctor if you have any questions. Topiramate may be taken with or without food. Swallow theTrokendi XR® extended-release capsulewhole. Do not open, crush, chew, or sprinkle on food. Measure theEprontia® oral solutionwith a marked measuring spoon, oral syringe, or medicine cup. Avoid drinking alcohol withEprontia®, Qudexy® XR, or Topamax®, or avoid for6 hours before and 6 hours after taking the Trokendi XR® capsule. Swallow thetabletwhole. Do not break, crush, or chew it. The tablet may taste bitter if it is held in the mouth or chewed. TheTopamax® sprinkle capsuleorQudexy® XR extended-release capsulemay be swallowed whole or opened and sprinkled on a small amount (1 teaspoon) of soft food (eg, applesauce). Swallow the food mixture right away without chewing. Do not save for later use. Drink extra water with this medicine to help prevent kidney stones. The dose of this medicine will be different for different patients. 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. If your next regular dose ofTopamax® capsule or tabletorEprontia® oral solutionis within 6 hours away, wait until then to use the medicine and skip the missed dose. If you miss more than 1 dose ofTopamax® capsule or tabletorEprontia® oral solution, contact your doctor for instructions about how to restart it. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Ask your healthcare professional how you should dispose of any medicine you do not use. Throw away any unusedEprontia® oral solution60 days after first opening.

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