Topamax (Topiramate)

Topamax (Topiramate) Medication Information

Uses

Topamax is an antiepileptic that is used to treat epilepsy and migraines. 

Dosage

The tablets are available in several different strengths:

• 25 mg
• 50 mg
• 100 mg
• 200 mg

Side Effects

The most common side effects of Topamax include:

• Fatigue 
• Dizziness
• Confusion
• Somnolence
• Nervousness
• Weight decrease

Speak with your doctor for a full list of side effects that apply to you if you are taking Topiramate.

Precautions

There is a risk of an increase in suicide ideation and behavior when using Topamax, so patients should be monitored for behavior changes. 

There is a risk that patients can experience withdrawal symptoms if they abruptly stop taking Topiramate.

Patients can develop kidney stones with Topamax use. 

Interactions

Some common drug interactions with Topiramate include:

• Alcohol
• Phenytoin
• Carbamazepine
• Valproic acid
• Estradiol
• Metformin
• Lithium 

Speak with your doctor for more information and before starting a new medication with Topiramate. 

Storage

Store at room temperature (59-86 ºF). It is important to protect it from moisture. 

Pharmacist Tips

• Seek medical attention if you have blurred vision or vision disturbances while taking Topamax.
• It is important to take Topiramate as it is prescribed. 
• There is a risk that patients can experience an increase in suicide ideation or behavior, so patients taking Topamax should be monitored. 

Topiramate FAQs

What is Topamax used for?

Topamax is used to treat seizures and migraines.

How does Topamax make you feel?

The common side effects with Topiramate include fatigue, somnolence, confusion, and weight loss. 

Does Topamax make you pee a lot?

Topamax can cause kidney stones, and one of the symptoms of kidney stones is frequent urination. If you experience this with Topamax, contact your doctor.

Does Topamax make you dumb?

One of the common side effects with Topamax is confusion. 

Can you lose weight on Topamax?

Yes, one of the common side effects with Topamax is weight loss. 

Related Drugs

• Keppra
• Vimpat
• Trileptal
• Phenytoin

Reference:

Topamax {package insert}. Titusville, NJ: Janssen Pharmaceuticals, Inc.; 2009.

https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/020844s041lbl.pdf