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  • Seek immediate medical attention if you experience blurred vision, changes in vision, or pain in or around the eyes during treatment with Topamax. These may be early signs of a serious side effect.
  • NOT stop taking Topamax without first talking to your physician, even if your symptoms have improved. It is important to continue taking Topamax to prevent seizures from recurring.
  • Carry or wear a medical identification tag to let others know that you are taking Topamax in the case of an emergency.
  • Use caution when driving, operating machinery, or performing other hazardous activities. Topamax may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
  • Alcohol should be avoided while taking Topamax. Alcohol may cause increased sedation or drowsiness. It may also increase the risk of having a seizure.
  • Drink several extra glasses of fluid each day during treatment with Topamax to minimize the risk of kidney stone formation. Additional fluid may be necessary during hot weather, vigorous exercise, and illness.
  • Topamax is used to control seizures. The exact way that it works is unknown. However, it is believed that Topamax alters the chemical impulses in the brain that cause seizures.
  • Topamax may also be used for purposes other than those listed in this medication guide.




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  • Topamax - Drug dosage. Dosage information on Topamax

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

    Topamax side effects

  • If you experience any of the following serious side effects, stop taking Topamax 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.
  • Other, less serious side effects may be more likely to occur. Continue to take Topamax and talk to your physician 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.
  • Side effects other than those listed here may also occur. Talk to your physician about any side effect that seems unusual or that is especially bothersome.

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