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Generic Topamax®

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Product Overview

Topiramate (generic Topamax)

  • What is topiramate?
    Topiramate is a prescription drug used to treat seizures, migraines, tremors, and sometimes obesity.

    Talk to your doctor about whether topiramate is right for you.

  • What are common side effects of topiramate?
    While adverse reactions to topiramate are rare, some patients who take the drug may experience mild side effects, including numbness, slowed reactions, nervousness, headaches, drowsiness, weakness, uncontrollable shaking or eye movements, weight loss, constipation, heartburn, change in your ability to taste food, dry mouth, nosebleed, teary or dry eyes, bone pain, and changes to your menstrual period.

    Rare, more serious adverse events have been known to occur. If you are concerned about any number of side effects related to topiramate, please contact your doctor.

    This is not a complete list of side effects. For more information about adverse reactions you may experience while taking topiramate, please visit the National Institutes of Health’s DailyMed webpage.

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Do you have more questions?

Frequently asked questions about Topiramate

What is topiramate?

Topiramate is a prescription medication used to treat seizures. As an anticonvulsant medication, it can be used alone or in conjunction with other drugs to treat seizures that affect the whole body (known as tonic-clonic seizures, formerly grand mal seizures) and seizures that affect only one part of the brain (known as partial-onset seizures).

Seizures are sudden, uncontrolled disturbances in the brain that can cause a range of adverse effects, including muscle stiffness, twitching, or limpness, and abnormal sensations and states of awareness.

While often depicted in media by people suddenly collapsing or convulsing uncontrollably, seizures in actuality take on a variety of different forms that range from brief muscle loss to merely short episodes of confusion. Seizures are rarely life-threatening on their own accord; the loss of consciousness or muscle control that accompanies some seizures, though, can lead to serious injuries or death. Most seizures can be effectively treated with medications like topiramate.

What is topiramate used to treat?

Topiramate is used to treat tonic-clonic seizures - which affect the entire body and can include sudden loss of muscular function. It is also used to treat partial-onset seizures, which only involve a single portion of the brain.

Topiramate can also be prescribed to manage Lennox-Gastaut syndrome, a condition in children characterized by severe epilepsy and cognitive disabilities.

In some cases, topiramate can be prescribed to prevent migraines. It is important to note, though, that when it comes to migraines, topiramate is preventative rather than ameliorative.

How does topiramate work?

Topiramate is an anticonvulsant drug. This diverse set of medications treats epileptic seizures by suppressing rapid-firing neurons in the brain. These neurons being to fire at the outset of a seizure and can quickly spread throughout the brain. Topiramate works by suppressing this reaction and preventing a seizure from occurring.

What are common side effects of topiramate?

While there are some common side effects associated with topiramate, it is important to remember that your doctor prescribed this medication because they believe its ability to suppress your seizures outweighs any adverse side effects it may cause.

There are, however, some common side effects you may experience while taking topiramate. According to the National Institutes of Health, these may include:

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 your 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

Contact your doctor if these side effects are severe or do not go away.

Additionally, there are rare but serious side effects associated with topiramate. According to the NIH, these may include:

ash, skin blisters, or skin peeling blurred vision loss of vision double vision eye pain eye redness worsening of seizures feeling cold, chills, or low body temperature difficulty concentrating speech problems, especially difficulty thinking of specific words confusion memory problems loss of coordination pounding or irregular heartbeat chest pain shortness of breath trouble breathing fast, shallow breathing inability to respond to things around you excessive tiredness diarrhea nausea vomiting stomach pain loss of appetite intense back or side pain bloody, cloudy, or foul-smelling urine constant need to urinate difficulty urinating or pain when urinating fever or other signs of infection

If you are experiencing these side effects, contact your doctor immediately.

This is not a complete list of topiramate side effects. To learn more about adverse reactions you may experience while taking topiramate, please visit the NIH’s DailyMed website.

How long does it take for topiramate to work?

Seizures and migraines are complicated conditions, and it takes some time for topiramate to properly address them. You may begin to feel better within 1 to 2 weeks of starting topiramate, though it often takes 2 to 3 months for the drug to take full effect.

What is a typical starting dose of topiramate?

For patients with epilepsey, the recommended dose of topiramate is 400 mg, divided into two daily doses. Most doctors do not start patients at this dosage, however. Initially, topiramate is usually prescribed at 50 mg per day (with all dosages divided between two daily doses). Depending on how your body responds to topiramate, your doctor may gradually increase this dosage each week for a total of 6 weeks until you reach the maximum dose of 400 mg per day.

Can I get topiramate online?

Yep! With SesameRx, you can get medication delivered right to your door starting at just $5 per month - without insurance. Our fully-integrated prescription service lets your doctor write you a prescription (or refill an existing one) during your virtual or in-person visit. Don’t stress about where and how to get your birth control. Use Sesame Rx for convenient and affordable birth control delivery - no insurance needed.

Please note that all prescriptions are at the discretion of your doctor.

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