Topamax is an anti-seizure drug widely used as anticonvulsant. It is used for treating seizure in children, more than 2 years of age. It is also used as a preventive medicine for the onset of migraine headache. There are also other medical conditions that can be treated trough this drug, many of which are classified under off-label use.

How it works?

The drug works by affecting the chemicals in the brain and the nervous system. This helps to control the seizures as most are caused by the abnormal behavioral incidences of the nervous system. Topamax helps in immediately alleviating the seizure symptoms as it can now easily bring the nervous system under control.


Topamax, the brand name for topiramate, is used mainly for the purpose of treating convulsions and seizures. As extended use, the drug may also be prescribed to reduce the recurrence of migraine headaches. The drug may be used to control a seizure attack but it is not effective in controlling a igraine attack.


The medication has many formulations like Topamax, Topamax Sprinkle, Qudexy XR and others. The generic name of this drug is Topiramate. You can also choose generic medicine and experience the same effect as that of brand medicine. Dosage may differ with respect to strength of the drug in each generic medicine.

The medication should be taken orally by swallowing it whole without breaking or chewing it. It may be consumed either with or without food. Follow the exact dosage instructions as provided by the doctor and by reading the instructions on the product label. You may require regular blood tests while taking Topamax drug to check for possible side effects if any. Keep your body hydrated by drinking plenty of water to avoid kidney stones.

Avoid discontinuing the drug suddenly even if you feel well as doing so can result in increased seizures. Do not skip doses and inform the doctor if you miss more than two doses consecutively.


First, you need to take a pregnancy test to make sure that you are not pregnant. Topamax would harm your baby. On the other hand, having seizures during pregnancy is not good for the mother and child as well. Thus, it is always a doctor’s call to use or stop the medication, during pregnancy. This decision is taken by assessing health of child and mother.

Talk to your doctor about any medical history or medical conditions you have related to eye, blood sugar level, liver, bones, kidney and mental problems. Do ensure a proper consultation with the doctor and identify whether the use of medicine in your body

It is advisable to take Topamax only when the patient is aware of the dosage strengths and other particulars about the drug. People consuming this medication or other seizure drugs might have some suicidal thoughts. Thus, it is important to talk to a doctor during the course of therapy. The medication can trigger mood swings, causes depression and behavioral change too.

Side effects

Topamax use can result in a few side effects. Commonly reported symptoms include:

  • Weight loss
  • Loss of appetite
  • Nausea
  • Diarrhea
  • Headache
  • Dizziness
  • Changes in mood
  • Flushing
  • Nervousness
  • Trouble with memory and thinking
  • Tiredness
  • Changes in sense of taste

Severe side effects that may require emergency medical treatment include:

  • New or worsening symptoms
  • Changes in vision
  • Confusion
  • Trouble with memory
  • Signs of kidney stones
  • Signs of dehydration
  • Indications of excess ammonia in the blood
  • Symptoms of excess acid in the body


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