Topate 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).
Topate 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.
It is not fully established how Topate 25mg Tablet helps prevent migraines. It may change the abnormal and excessive activity of the nerve cells in the brain or increase the activity in a region of the brain associated with migraines. By preventing and reducing the frequency of headaches, it can help you carry out your daily activities and have a better quality of life.
In Epilepsy/Seizures
Topate 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.
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. Topate 25mg Tablet helps prevent and control these seizures by decreasing the nerve impulses which cause the seizures.
Side effects of Topate 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 Topate
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 Topate 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. Topate 25mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
How Topate Tablet works
Topate 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 Topate 25mg Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Topate 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
Topate 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
Topate 25mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Topate 25mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Topate 25mg Tablet may be needed. Please consult your doctor.
Liver
CAUTION
Topate 25mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Topate 25mg Tablet may be needed. Please consult your doctor.
What if you forget to take Topate Tablet?
If you miss a dose of Topate 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.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
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 Topate 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 (AED)
Patient concerns
Dr. I was suffering from severe headache, dizziness, and nausea. When i consulted with my doctor. He suggested me for a spinal & brain MRI. After watching my MRI reports he told me that i am suffering from Vestubal Migraine. And he advised me the following intake of medicines:- 1) Tab. Migitus 1-1/2 2) Tab Topate-25. OD 3) Cap. Cobadex Forte. OD 4) Tab. migragesic. Sos 5) Tab. Minado. Sos 6) Vitamin D3. Evening one tab. I am taking the medicines from some 4 days, but in these days my hands and feet are getting numb. I have to go for urinal very often in the night (3-4 times) and i am also feeling mild pain in my neck. Dr. I am enclosing herewith my MRI report. Please Dr. suggest me what should i do for a better health and to get rid off this pain. Hello doctor could you please help me relieving from the problem, as i have discussed earlier.
Dr. Vikas Sharma
Neurology
continue topate; add tryptomer 25 mg daily; stop migitus; have regular sleep n eat on time
I m taking 1.5gm sodium valporate,1.5 levectram, 1gm clobezam then also seizure r their at period of weekly is there alternate treatment in Ayurveda as every time at multiplying the doses at every visit As MRI eeg every tests r normal
Dr. M. K. Ansari
Neurology
not aware of any ayurvedic medications for epilepsy is not my specialization. However you seems to have difficult to control (intractable) seizures plz follow doctors advice deligently for ur own welfare
?? ???? ?????? ?? ?????? ?? ?? ??? encorate Charon 200 500 tablet use krta hu kya iska koi solution h Jisse main completely thk ho jau
Dr. Jyoti Kapoor Madan
Psychiatry
Epilepsy requires regular treatment with anticonvulsants like encorate chrono for at least 3 years of seizure free period after which medicines may be tapered off unless seizures reappear. At present, there are no other effective treatment options.
Hi I am suffering from epilepsy from the past 1.5 years but before that I have no issues with my health the symptoms are I will get vomiting sensation from evening & heavy body pains & fits will comes only in early morning from 4 & 5 am i will get un concious for about 20 or 30 minutes & I will bite my tongue & after that I will have heavy nerve pains for a day or two from 5 days I am taking encorte 500 tablets between day & night before that I used to take homeopathy treatment
Dr. Jyoti Kapoor Madan
Psychiatry
Epilepsy is a central nervous system disorder (neurological disorder) in which nerve cell activity in the brain becomes disrupted, causing seizures or periods of unusual behavior, sensations and sometimes loss of consciousness. Medicines for epilepsy are initially recommended for at least 3 years of seizure free interval but may continue longer depending on recurrence. Epileptic patient needs to carry a warning card or a medical emergency bracelet with identification details, his/ her epilepsy status and what people can do if fit occurs in public place.
3-4 attack of strokes in 3 yrs nothing found in CT scan & EEG.these tests are done again after 3 months. But nothing found. Doctors prescribed me Oxetol 450 mg.doctor say course of medicine is 2-3 yrs.I drink and smoke addicted to drug I don't understand if the test show nothing then why strokes happens to me?
Dr. Vikas Sharma
Neurology
is it stroke or epilepsy; as u are on medicine for epilepsy
What were the side-effects while using Topate 25mg Tablet?
Nausea
100%
How do you take Topate Tablet?
With or witho*
100%
*With or without food
Please rate Topate 25mg Tablet on price
Average
100%
FAQs
For how long do I need to take Topate 25mg Tablet?
The dose and duration of this medicine will depend on your doctor’s advice. Topate 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 Topate 25mg Tablet good for anxiety?
Topate 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 Topate 25mg Tablet?
Serious side effects of Topate 25mg Tablet are rare. The serious effects of Topate 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 Topate 25mg Tablet could be suicidal thoughts and insufficient sweating (some children taking Topate 25mg Tablet may not sweat enough in hot weather, causing their body temperatures to rise).
I am taking valproic acid for fits. Will Topate 25mg Tablet interfere with the working of valproic acid? Can this combination be taken?
Topate 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, Topate 25mg Tablet alone can cause hyperammonemia.
Can Topate 25mg Tablet be used in children?
Yes, Topate 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 Topate 25mg Tablet people are saying that I have lost weight. Is it because of Topate 25mg Tablet or something else for which I should get investigated?
It could be due to Topate 25mg Tablet because Topate 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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References
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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.
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