{"product_id":"topamax-topiramate","title":"TOPAMAX (Topiramate)","description":"\u003ch5 data-mce-fragment=\"1\"\u003eWhat is this medication?\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003e\u003cstrong data-mce-fragment=\"1\"\u003eTopiramate, Topamax\u003c\/strong\u003e\u003cbr data-mce-fragment=\"1\"\u003eAnticonvulsive Agent\u003cbr data-mce-fragment=\"1\"\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eTopiramate\/Topamax is officially indicated for migraine prophylaxis and seizures.  It is also prescribed off-label to help manage antipsychotic-induced weight gain, binge eating disorder, prevention of tension\/cluster headaches, and for essential tremor. (may be used for other conditions not listed)\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003eHow does this medication work?\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eThe exact mechanism of Topiramate\/Topamax is not full known however it is thought that the anticonvulsant effects are due to a combination of effects of voltage-dependent sodium channels in neurons, enhanced GABA-A activity, inhibition of carbonic anhydrase, and inhibited AMPA\/kainite\/glutamate receptors.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eHow should I take this medication?\u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003e\u003cem data-mce-fragment=\"1\"\u003eOral:\u003c\/em\u003e 25-400mg daily divided into one or two dosages depending on condition it is used for, efficacy and patient tolerance to side effects\u003c\/span\u003e\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cb data-mce-fragment=\"1\"\u003eHow to Take:\u003c\/b\u003e\u003cspan data-mce-fragment=\"1\"\u003e Follow instructions provided by physician\/pharmacy label, swallow whole due to bitter taste, take consistently at same times each day unless otherwise directed, store at room temperature.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cb data-mce-fragment=\"1\"\u003eYou Need to Avoid:\u003c\/b\u003e\u003cspan data-mce-fragment=\"1\"\u003e Do not mix with alcohol due to increased suppression of central nervous system and if used should be done so with extreme caution.  Extended release formulations cannot be mixed with alcohol at all.  Do not stop this medication abruptly due to possibility of increasing seizure frequency or exacerbation of migraine.  Ketogenic diets may increase risk of metabolic acidosis associated with this medication rarely.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eWhat should I watch for while using this medication?\u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eBefore starting Topiramate\/Topamax make sure your physician is aware of any allergies or medications you currently take, if you have kidney disease, liver disease, a history of depression, suicidal tendencies, an eating disorder, or are pregnant or breastfeeding.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eWhat if I miss a dose?\u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eIf you miss a dose of medication, try to take it as soon as possible.  However, if it is almost time for your next dose, take only that scheduled dose.  Do not take double or extra doses.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eHow should I store this medication?\u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eKeep out of the reach of children at all times.  Store at room temperature, 59 to 86° F (15 to 30° C).  Protect from light.  Keep the container tightly closed.  Properly dispose of any unused medication after the expiration date.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch5 data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eWhat are the possible side effects of using this medication?\u003c\/span\u003e\u003c\/h5\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eParesthesia (tingling sensation in skin), fatigue, drowsiness, dizziness, memory impairment, decreased serum bicarbonate, hyperammonemia, weight loss, abdominal pain, anorexia, dysgeusia, nausea, diarrhea, upper respiratory tract infection, or fever.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cspan data-mce-fragment=\"1\"\u003eNote this is not a complete list of side effects, only common ones.\u003c\/span\u003e\u003c\/p\u003e","brand":"JANSSEN","offers":[{"title":"25mg - 100 Tab - Canada","offer_id":47149612138814,"sku":null,"price":455.0,"currency_code":"USD","in_stock":true},{"title":"100mg - 60 Tab - Canada","offer_id":47149612237118,"sku":null,"price":700.0,"currency_code":"USD","in_stock":true},{"title":"200mg - 60 Tab - Canada","offer_id":47149612302654,"sku":null,"price":868.0,"currency_code":"USD","in_stock":true},{"title":"15mg - 60 Sprinkle Cap - Canada","offer_id":47149612368190,"sku":null,"price":274.0,"currency_code":"USD","in_stock":true},{"title":"25mg - 60 Sprinkle Cap - Canada","offer_id":47149612400958,"sku":null,"price":313.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0711\/0321\/7982\/products\/Topamax25mg.jpg?v=1695212690","url":"https:\/\/www.advochealth.com\/products\/topamax-topiramate","provider":"AdvocHealth","version":"1.0","type":"link"}