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Topiramate Medication Information (dosing, side effects, patient counseling)

1 Views • 08/26/25
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Your Medication Topiramate

Topiramate is also known as the brand name: Topamax, Qudexy XR, Topamax Sprinkle, Trokendi XR.

Topiramate is most commonly used for: seizures and migraine prevention but can also be used for tremors, weight loss, and to help people stop drinking alcohol. No matter what your doctor has you taking it for, topiramate is usually started at a lower dose and increase every week to a higher dose that will treat your symptoms. You can take topiramate with or without food. DO NOT stop taking topiramate at once. If your doctor tells you to stop taking it then you will go from your normal dose and decrease to a smaller dose every week until you are off the medication. Do not drink alcohol 6 hours before or after taking topiramate because it will increase its effects.


Standard dosing of topiramate ranges from: 25mg to 200 mg

Some common side effects with topiramate include: in women making your birth control not work, tingling in the hands and feet, memory loss, change in the taste of foods and drinks, feeling tired, dizziness, change in mood, weight loss because you don’t want to eat, diarrhea, fever, and upper respiratory tract infection.
Some less common side effects with topiramate include: skin turning red, blurred vision, can’t sleep, having trouble talking or moving, hair loss, and muscle weakness
Topiramate also has some rare side effects. If you experience anything unusual while taking topiramate be sure to tell you doctor or pharmacist.

While taking topiramate, remember it is important to tell your doctor or pharmacist if you have:
• Depression or suicidal thoughts
• Extreme dizziness or fainting
• Not sweating during activities or warm weather
• A big weight loss
• Feeling very tired or weak
• Change in eye sight, eye pain, or irritation
• Any back pain, belly pain, or blood in urine (kidney stones)
• If you are pregnant

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