Topamax

Topamax is the brand name of Topiramate. It is an anti-convulsive oral medication primarily used to treat epileptic seizures although it is also used to treat other disorders, such as migraine headaches. More information

A doctor will review your order and write you a prescription, if appropriate. This prescription is then forwarded to a pharmacy. The pharmacy will have your medicine delivered to you within one to three working days. Read more about this process here.

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What is Topamax? 

Topamax is the brand name of Topiramate. It is an anti-convulsive oral medication primarily used to treat epileptic seizures although it is also used to treat other disorders, such as migraine headaches. However, Topamax should only be used as a preventative for migraines; it will not treat a migraine if the symptoms have already started. 

How to take Topamax? 

Always follow the instructions given by your doctor. Topamax capsules should be swallowed whole with or without food, usually twice a day. Drink plenty of fluids whilst taking Topax to prevent the formation of kidney stones.

Dosage 

Dosage varies according to your condition and, in the case of children, weight. Some conditions require a course of treatment that starts on a low dose and builds up to a higher dose over time. This can reduce the severity of side effects. 

Take Topamax regularly, ideally at the same times each day, to achieve the maximum benefit from the medication. Do not suddenly stop taking Topamax without first consulting your doctor as this can exacerbate the symptoms of some conditions. 

Seek medical advice if the symptoms of your condition persist or worsen. 

Side effects 

In common with many medications, Topamax can cause side effects, which are usually minor and subside after a short time. Common side effects include: 

  • Nausea; 
  • Dizziness; 
  • Drowsiness; 
  • Diarrhoea; 
  • Loss of appetite; 
  • Problems with coordination; 
  • Tingling in arms and hands or legs and feet; 
  • An unpleasant taste in the mouth. 

Seek medical advice if you experience any of the above side effects as they can indicate the presence of kidney stones. 

Serious allergic reactions to Topamax are rare. Seek emergency treatment if you experience any of the signs of an allergic reaction, such as hives, difficulty breathing, dizziness and itching or swelling. 

Some people find that Topamax can affect their mood and make them feel increasingly depressed and, in rare cases, even suicidal. Tell your doctor if you, or anyone around you, notice any changes in your mood or behaviour. 

Look out for any sudden vision changes (blurred vision, redness, soreness) as Topamax can rarely cause a very serious eye problem, which if left untreated, can lead to permanent blindness.

When is it not safe to take Topamax? 

It is important to disclose your full medical history to the doctor, as well as the details of any prescriptions or over the counter medications you may be taking, including herbal medicines. Orlistat, for example, is known to interact with Topamax. 
It is particularly important to tell your doctor if you suffer from angle glaucoma, brittle bones, kidney problems, or if you follow a low-carb diet that is high in fat.

Pregnancy / Breastfeeding / Driving / Alcohol 

Topamax should only be taken in pregnancy if your doctor feels that the benefits outweigh the risks. Medical advice should also be sought before breastfeeding as small amounts of the drug can pass into the mother's breastmilk. 
Do not drive until you are confident that Topamax does not make you dizzy or drowsy. 
Alcohol should be avoided.