You may need to avoid activities such as swimming, driving, and climbing so that you will not harm yourself or others if you lose consciousness during a seizure. Topiramate can decrease the effectiveness of oral contraceptives. This happens most often in warm weather and to children who take topiramate. Avoid exposure to heat, drink plenty of fluids and tell your doctor if you have a fever, headache, muscle cramps, or an upset stomach, or if you are not sweating as usual. Drink glasses of water every day to prevent kidney stones from forming.
What special dietary instructions should I follow? Talk to your doctor about increasing the amount of food you eat if you lose weight while you are taking topiramate. Talk to your doctor before changing your diet or beginning any type of weight loss program. Do not follow a ketogenic diet a high-fat, low-carbohydrate diet used to control seizures or any other high-fat, low-carbohydrate diet, such as the Atkins diet, while you are taking this medication.
What should I do if I forget a dose? Take the missed dose as soon as you remember it. However, if it is less than 6 hours before you are scheduled to take your next dose, skip the missed dose and continue your regular dosing schedule. It is important to take Topamax exactly as prescribed by your health care provider. Topamax may be taken before, during or after a meal.
It is important to drink an adequate amount of fluids during the day to prevent the formation of kidney stones. Avoid drinking alcohol while taking Topamax, alcohol may cause an increased risk for side effects. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action.
Beth Isaac, PharmD Q: I am taking mg of Topamax for bipolar 1 as a mood stabilizer. I am having side effects that are typical-sleepiness, memory problems, tingling in fingers and toes, but it is controling manic episodes. I am taking divided doses mg in the morning and mg in the evening. I have tried many other mood stabilizing drugs and could not tolerate side effects, especially those of antipsychotic type drugs.
I am also using Emsam along with two different thyroid medications, and Klonopin for anxiety. I am extremely treatment resistant, as far as medications are concerned. Does mg of Topamax seem extreme? Topamax topiramate is an anticonvulsant or anti-seizure medication.
It is used to prevent seizures, either alone or in combination with other medications. Topamax can also be used as a mood stabilizer for bipolar disorder, to prevent migraine headaches, and to treat certain types of pain.
The dose of Topamax varies depending on the use. Generally, it is started low and titrated or increased gradually until the desired effect is seen. The recommended maximum daily dose is mg. Daily doses of mg have been used in studies looking at Topamax for mood stabilization in patients with bipolar disorder. However, much higher doses have been studied for this use, up to mg per day.
If you are experiencing side effects, consult your doctor to see if a lower dose would be appropriate for you. Your doctor is best able to guide your treatment decisions based on your specific circumstances. Do not stop or change the amount of medication you take without talking to your doctor first. Sarah Lewis, PharmD Q: Does Topamax really eliminate your cravings and appetitie? My sister takes it and has lost over 80lbs, she's actually underweight now, but won't stop taking it in fear she will gain weight back.
Why are they prescribing it for migraines and depression, but not for the morbidly obese? Don't you think someone who is over lbs overweight is depressed? It should be a common diagnosis for every single obese person in the U. It is used to prevent seizures, either alone or in combination with other anti-seizure medications. Topamax is also used to prevent migraines. These are the official uses approved by the U. In the synaptic cleft normally neurotransmitters work like a domino effect.
One neuron receives a signal from a sensory organ that stimulates the release of neurotransmitters that are specific to the type of stimulus. The neurotransmitters then get to be picked up by the neuron connected to the releasing neuron and pass the signal along. When the signal volume, intensity, frequency reaches a particular threshold, the brain sends a command to the body: Blocking the voltage dependent calcium channels from firing means that no neurotransmitters can be released and thus no message is passed on to the necessary number of neurons to reach the threshold.
Since Topamax is systemic, every function of the body is hampered to some degree. Neurons have five types of voltage dependent calcium channels based on voltage requirements: L-type that directs skeletal muscles, cardiac related muscle cells, endocrine cells, adrenal, etc. The calcium channel must go through all stages of voltage levels to be able to perform all five types of actions, as the body requires all of them.
Note that when the voltage gated calcium channels are blocked, none of these 5 types of actions can properly function. The body will utilize its reserves to maintain vital functions. People who take Topamax can still breathe and their hearts beat — but they have serious issues, for example, with body cooling, which is a pretty basic, built-in automatic motor function.
People who take Topamax overheat and cannot cool themselves. In addition, Topamax blocks both voltage dependent sodium-potassium channels. I have written extensively on voltage dependent sodium-potassium channels in previous articles so here I just present a short summary. Continued Reporting at the American Diabetes Association's 63rd Annual Scientific Sessions, Vinik says he studied 11 patients, whose average age was 59 years, who suffered from type 2 diabetes and peripheral neuropathy.
Standard antidiabetic therapy was used to stabilize blood sugar levels, and the patients were weaned off pain medication. Then, all the patients were administered Topamax once a day for 96 days. By the end of the study, patients reported a reduction in pain that was comparable to that seen with the drug that is now considered the gold standard for treating peripheral neuropathy, Vinik says.
More importantly, "Nerve fibers actually grew back," he says. Do not drink alcohol. Dangerous side effects or increased seizures may occur. Topamax and alcohol in more detail Avoid becoming overheated or dehydrated in hot weather.
Topiramate can decrease sweating and increase body temperature, leading to life-threatening dehydration especially in children. Ketogenic or "ketosis" diets that are high in fat and low in carbohydrates can increase the risk of kidney stones.
Avoid the use of such diets while you are taking Topamax. Topiramate may cause blurred vision or impair your thinking or reactions. Avoid driving or operating machinery until you know how this medicine will affect you.
Also avoid activities that could be dangerous if you have an unexpected seizure, such as swimming or climbing in high places. Topamax side effects Get emergency medical help if you have signs of an allergic reaction to Topamax: Report any new or worsening mood symptoms to your doctor, such as: Call your doctor at once if you have: Common Topamax side effects may include:
Neither Everyday Health nor its licensors endorse drugs, diagnose patients or recommend therapy. Take the missed dose as soon as you remember it. Do not drive a car or operate machinery until you know how this medication affects you. Antiepileptic drugs with the risk of suicidal behavior or ideation 5. If you need surgerytell the surgeon ahead of time that you are using this medicine. This may affect each person a little differently, topamax with diabetes. The body will utilize its reserves to maintain vital functions. Does Topamax really treat so many disparate conditions that doctors prescribe it for everything, even when it is not FDA approved for these conditions? You didn't mention whether you are taking it for seizure control or migraine headaches, but in either case, there are diabetes therapies your health care provider might topamax able to consider if you find these feelings to be unbearable. At least one study has looked at the use of Topamax for the treatment of obesity. A search of prescribing information did not specifically state an increase rate of osteoporosis from Topamax use.
© Copyright 2017 Topamax with diabetes - Epilepsy Drug Topamax Targets Diabetes.