Topamac 25mg Tablet
Prescription Required
Product introduction
Topamac 25mg Tablet is a medicine used to treat epilepsy (seizures) and to prevent migraines. It is also used in the treatment of Lennox-Gastaut syndrome (a rare, but severe form of epilepsy that starts in early childhood).
Topamac 25mg Tablet may be taken with or without food, preferably at the same time, each day. If you have missed a dose, take it as soon as you remember it and finish the full course of treatment even if you feel better. Stopping the medication suddenly without talking to your doctor may cause an increased frequency of seizures. Your doctor may advise regular monitoring of serum bicarbonate levels while you are taking this medicine.
Some of the common side effects of this medicine include nausea, taste change, fatigue, diarrhea, weight loss, loss of appetite, and memory impairment. It may also cause vision problems like myopia or glaucoma, so it is important to get your eyesight checked before you start the treatment and regularly thereafter. You may experience dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Please consult your doctor if these side effects bother you or do not go away.
Uses of Topamac Tablet
- Epilepsy
- Mania
- Epilepsy/Seizures
- Lennox–Gastaut syndrome
- Migraine
- Trigeminal neuralgia
- Seizures
Benefits of Topamac Tablet
In Epilepsy/Seizures
Topamac 25mg Tablet is an anticonvulsant (or anti-epileptic) medicine that works by decreasing the nerve impulses which cause the seizures. By controlling the frequency of seizures, it will help you go about your daily activities with more confidence. It helps reduce symptoms such as confusion, uncontrollable jerking movements, loss of awareness, and fear or anxiety.
This medicine is not associated with any physical or psychological dependence (addiction) but it should not be stopped suddenly. It must be taken regularly as prescribed to be effective. Missing doses may trigger a seizure.
This medicine is not associated with any physical or psychological dependence (addiction) but it should not be stopped suddenly. It must be taken regularly as prescribed to be effective. Missing doses may trigger a seizure.
In Lennox–Gastaut syndrome
Lennox-Gastaut syndrome (LGS) is a rare but severe form of epilepsy that usually starts in early childhood. Affected children may experience several different types of seizures. Topamac 25mg Tablet helps prevent and control these seizures by decreasing the nerve impulses which cause the seizures.
Side effects of Topamac Tablet
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Topamac
- Abdominal pain
- Diarrhea
- Dizziness
- Fatigue
- Fever
- Loss of appetite
- Memory impairment
- Nausea
- Nervousness
- Numbness
- Psychomotor impairment
- Sleepiness
- Speech disorder
- Taste change
- Upper respiratory tract infection
- Visual impairment
- Weight loss
How to use Topamac Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Topamac 25mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
How Topamac Tablet works
Topamac 25mg Tablet is an antiepileptic medication. It controls seizures or fits by decreasing the abnormal and excessive activity of the nerve cells in the brain.
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Topamac 25mg Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Topamac 25mg Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Topamac 25mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Topamac 25mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Topamac 25mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Topamac 25mg Tablet may be needed. Please consult your doctor.
Liver
CAUTION
Topamac 25mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Topamac 25mg Tablet may be needed. Please consult your doctor.
What if you forget to take Topamac Tablet?
If you miss a dose of Topamac 25mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
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Quick tips
- Take your medication regularly as directed by your doctor as missing doses can trigger seizures.
- Do not change the brand of your medicine and make sure that you have sufficient amount of medicine present with you.
- Some healthy tips to prevent seizures:
- Practice yoga every day.
- Get enough sleep at nighttime.
- Limit the use of screen time such as mobile/laptop.
- Take your medication on time.
- It may cause dizziness and sleepiness. Do not drive or do anything that requires mental focus until you know how it affects you.
- Keep yourself hydrated by drinking plenty of fluids throughout the day while taking Topamac 25mg Tablet. This can reduce the risk of kidney stones.
- Monitor your weight during treatment with this medicine as it can cause weight gain.
- Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
- Do not stop taking the medication suddenly without talking to your doctor as it may increase the seizure frequency.
Fact Box
Chemical Class
Dioxolopyrans Derivative
Habit Forming
No
Therapeutic Class
NEURO CNS
Action Class
Sodium Channel Modulators- Antiepileptic drugs (AEDs)
Interaction with drugs
Taking Topamac with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Concurrent use may increase the risk of breakthrough bleeding and contraceptive failure.
It is recommended to use barrier methods (like condoms), IUDs, or a depot for contraceptio
Concurrent use may increase the risk of breakthrough bleeding and contraceptive failure.
It is recommended to use barrier methods (like condoms), IUDs, or a depot for contraceptio
Topiramate may reduce the efficacy of Ulipristal acetate.
Do not consume Ulipristal acetate with Topiramate. If Ulipristal acetate is essential, ensure a gap of At least 4 weeks a
Orlistat may reduce efficacy of Topiramate.
Watch out for symptoms such as tremors. seizures or impaired coordination and consult your doctor if you experience them. Your doctor m
Topiramate may reduce blood levels and efficacy of Imatinib mesylate.
Do not consume Imatinib mesylate with Topiramate. If concurrent use is essential, your doctor may monitor you
Patient concerns
User feedback
Patients taking Topamac 25mg Tablet
Twice A Day
60%
Once A Day
40%
What are you using Topamac Tablet for?
Migraine
71%
Others
18%
Epilepsy
12%
How much was the improvement?
Average
42%
Poor
30%
Excellent
28%
What were the side-effects while using Topamac 25mg Tablet?
Dizziness
23%
Sleepiness
21%
Paresthesia (*
15%
No Side Effec*
15%
Nausea
10%
*Paresthesia (tingling or pricking sensation), No Side Effect
How do you take Topamac Tablet?
With food
74%
With or witho*
22%
Empty stomach
4%
*With or without food
Please rate Topamac 25mg Tablet on price
Average
46%
Expensive
33%
Not Expensive
21%
FAQs
For how long do I need to take Topamac 25mg Tablet?
The dose and duration of this medicine will depend on your doctor’s advice. Topamac 25mg Tablet does not cure your condition (seizures/migraine) but prevents them from occurring. So, you may have to keep taking it for months or years depending on improvement in your symptoms and side effects that may occur.
Is Topamac 25mg Tablet good for anxiety?
Topamac 25mg Tablet is not indicated for the treatment of anxiety. Please consult your doctor before taking the medicine.
What are the serious side effects of Topamac 25mg Tablet?
Serious side effects of Topamac 25mg Tablet are rare. The serious effects of Topamac 25mg Tablet may include glaucoma (difficulty in seeing, eye pain, and blurred vision), kidney stones (sharp pain in your sides or lower back), and metabolic acidosis (tiredness, loss of appetite, irregular and faint heartbeat). Other serious side effects of Topamac 25mg Tablet could be suicidal thoughts and insufficient sweating (some children taking Topamac 25mg Tablet may not sweat enough in hot weather, causing their body temperatures to rise).
I am taking valproic acid for fits. Will Topamac 25mg Tablet interfere with the working of valproic acid? Can this combination be taken?
Topamac 25mg Tablet does not interfere with the working of valproic acid, but it increases the risk of getting excess levels of ammonia in the blood (hyperammonemia). Increased levels of ammonia in the blood can be dangerous and may cause difficulty in thinking, remembering information, or solving problems. It may also decrease your alertness and make you feel very sleepy with low energy. Immediately inform your doctor if you notice these symptoms. It is important to know that, in rare cases, Topamac 25mg Tablet alone can cause hyperammonemia.
Can Topamac 25mg Tablet be used in children?
Yes, Topamac 25mg Tablet is used for seizures in children more than 2 years of age. However, because of the lack of any reports, this medicine is not recommended to be used in children for migraines.
Since I have started using Topamac 25mg Tablet people are saying that I have lost weight. Is it because of Topamac 25mg Tablet or something else for which I should get investigated?
It could be due to Topamac 25mg Tablet because Topamac 25mg Tablet commonly causes weight loss probably due to a decrease in appetite. If you still have any doubts, talk to your doctor who will advise you appropriately.
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Disclaimer:
Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.References
- Stahl SM, editor. Topiramate. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 669-73.
- McNamara JO. Pharmacotherapy of the Epilepsies. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 601.
- Porters RJ, Meldrum BS. Antiseizure Drugs. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 12.
- Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1380-82.
- Topiramate. High Wycombe, Bucks: Janssen-Cilag Ltd.; 1995 [revised 13 Dec. 2017]. [Accessed 22 Jan. 2019] (online) Available from:
- Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Topiramate. [Updated 2020 Jan 20]. [Accessed 20 Feb. 2020] (online) Available from:
- Topiramate. Gurabo, Puerto Rico: Janssen Ortho; 2012. [Accessed 18 Mar. 2019] (online) Available from:
- Central Drugs Standard Control Organisation (CDSCO). [Accessed 19 Mar. 2019] (online) Available from:
- Topiramate [Prescribing Information]. 2012. Titusville, NJ: Janssen Pharmaceuticals, Inc.; 2009. [Accessed 20 Feb. 2024] (online) Available from:
Marketer details
Name: Janssen Pharmaceuticals
Address: Johnson & Johnson Private Limited., 501 Arena Space, Behind Majas Bus Depot, Off Jogeshwari Vikhroli Link Road, Jogeshwari (E), Mumbai 400 060
Country of origin: India
Expires on or after: July, 2025
A licensed vendor partner from your nearest location will deliver Topamac 25mg Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
Expires on or after: July, 2025
A licensed vendor partner from your nearest location will deliver Topamac 25mg Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
In case of any issues, contact us
Email ID: [email protected]Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
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