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Topiramate No Prescription
Topiramate is prescribed for the treatment and control of partial seizures and severe tonic-clonic (grand mal) seizures and also for the prevention of migraine headaches. In children it is also used for treatment of Lennox-Gastaut syndrome.
Topiramate is prescribed with alone or with other prescriptions to treat certain types of seizures in people who have epilepsy. Topiramate is also used with other prescriptions to control seizures in people who have Lennox-Gastaut syndrome (a disorder that causes seizures and developmental delays). Topiramate is prescribed to treat patients who continue to have seizures even when they take other anti-seizure prescriptions. Topiramate is also used to prevent migraine headaches, but not to relieve the pain of migraine headaches when they occur. Topiramate is in a class of prescriptions called anticonvulsants. It works by decreasing abnormal excitement in the brain.
Topiramate (brand name Topiramate) is an anticonvulsant drug produced by Ortho-McNeil Neurologics, a division of Johnson & Johnson. It is prescribed to treat epilepsy in both children and adults. In children it is also prescribed for treatment of Lennox-Gastaut syndrome (a disorder that causes seizures and developmental delays). It is also Food and Drug Administration (FDA) approved for, and now most frequently prescribed for, the prevention of migraines.
Topiramate is contraindicated in patients with a history of hypersensitivity to any component of this product.
Topiramate Without a Prescription
Topiramate comes as a tablet and a sprinkle capsule (capsule that contains small beads of prescription that can be sprinkled on food) to take by mouth. It is usually taken with or without food twice a day in the morning and evening. Take topiramate at around the same times every day.
There is another prescription with a name similar to the brand name for topiramate. You should be sure that you receive topiramate and not the similar prescription each time you fill your prescription. Be sure that the prescription your doctor gives you is clear and easy to read. Talk to your pharmacist to be sure that you are given topiramate. After you receive your prescription, compare the tablets to the pictures in the manufacturer's patient information sheet. If you think you were given the wrong prescription, talk to your pharmacist. Do not take any prescription unless you are certain it is the prescription that your doctor indicated.
Topiramate tablets have a bitter taste and lose their effectiveness quickly when broken, so you should swallow them whole. Do not split, chew, or crush them.
Your doctor will probably start you on a low dose of topiramate and gradually increase your dose, not more than once every week.
Topiramate may control your seizures or migraines, but will not cure your condition.
The sprinkle capsules may be swallowed whole or opened and poured over food. To take the sprinkle capsule with food, follow these steps:
* Prepare a teaspoonful of soft food such as applesauce, custard, ice cream, oatmeal, pudding, or yogurt.
* Hold the capsule upright over the food. You should be able to read the word 'TOP' on the capsule.
* Twist off the clear part of the capsule and pour the entire contents onto the spoonful of food.
* Swallow the entire mixture immediately without chewing.
* Drink fluids right after swallowing to wash down the mixture and to be sure that you swallow all of it.
Topiramate is an anticonvulsant prescribed in the treatment of epilepsy and migraine. Topiramate enhances GABA-activated chloride channels. In addition, topiramate inhibits excitatory neurotransmission, through actions on kainate and AMPA receptors. There is evidence that topiramate has a specific effect on GluR5 kainate receptors. It is also an inhibitor of carbonic anhydrase, particular subtypes II and IV, but this action is weak and unlikely to be related to its anticonvulsant actions, but may account for the bad taste and the development of renal stones seen during treatment. Its possible effect as a mood stabilizer seems to occur before anticonvulsant qualities at lower dosages. Topiramate inhibits maximal electroshock and pentylenetetrazol-induced seizures as well as partial and secundarily generalized tonic-clonic seizures in the kindling model, findings predective of a broad spectrum of antiseizure activities clinically.
Topiramate Side Effects
Topiramate side effects that you should report to your health care professional or doctor as soon as possible:
- aggressive behavior;
- back, muscle, or bone pain;
- bloody, cloudy, or foul smelling urine;
- blurred vision;
- change in ability to taste food;
- chest pain;
- constant need to urinate;
- difficulty concentrating;
- difficulty falling or staying asleep;
- difficulty urinating or pain when urinating;
- double vision;
- dry mouth;
- excessive menstrual bleeding;
- excessive movement;
- excessive tiredness;
- extreme thirst;
- eye pain;
- fast, shallow breathing;
- growth of hair in unusual places;
- hair loss;
- inability to respond to things around you;
- increased saliva;
- intense back or side pain;
- lack of coordination;
- loss of appetite;
- loss of consciousness;
- loss of coordination;
- memory problems;
- missed menstrual periods;
- mood swings;
- numbness, burning, or tingling in the hands or feet;
- overgrowth of the gums;
- pounding or irregular heartbeat;
- ringing in the ears;
- skin problems or changes in skin color;
- slow heart rate;
- slowed reactions;
- speech problems;
- speech problems, especially difficulty thinking of specific words;
- stomach pain;
- swelling of the hands, arms, feet, ankles, or lower legs;
- swelling of the tongue;
- teary or dry eyes;
- trouble breathing;
- trouble swallowing;
- trouble thinking;
- uncontrollable eye movements;
- uncontrollable shaking of a part of the body;
- weight loss;
- worsening of seizures;