Generic Topamax is used alone or in combination with other medications to treat seizures in adults and children who are at least 2 years old. Topiramate is also used to prevent migraine headaches in adults. Topiramate will only prevent migraine headaches or reduce the number of attacks. It will not treat a headache that has already begun. Topiramate may also be used for purposes not listed here.
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Topiramate can be taken with or without food. The topiramate tablet should be swallowed whole. It has a bitter taste when chewed or broken. Drink plenty of liquids while you are taking topiramate. This will lower your risk of having kidney stones or an electrolyte imbalance. To be sure this medication is not causing harmful effects, your blood may need to be tested often. Your kidney or liver function may also need to be tested. Visit your doctor regularly. Wear a medical alert tag or carry an ID card stating that you take cheap topiramate. Any medical care provider or dentist who treats you should know that you are taking a seizure medication.
Recommended dose (as adjunctive therapy): 200 mg/day to 400 mg/day in two divided doses. It is recommended that therapy be initiated at 25 to 50 mg/day followed by titration to an effective dose in increments of 25 to 50 mg/week. Titrating in increments of 25 mg/week may delay the time to reach an effective dose. Daily doses above 1,600 mg have not been studied. Recommended dose (as monotherapy): 400 mg/day in two divided doses. It is recommended that therapy be initiated at 25 twice a day followed by titration to an effective dose in increments of 50 mg/week (once weekly increases of 25 mg twice a day).
ou should not use topiramate if you are allergic to it. To make sure you can safely take topiramate, tell your doctor if you have any of these other conditions: kidney disease or a history of kidney stones; liver disease; glaucoma; a history of depression or suicide attempt; a growth disorder; a history of metabolic acidosis; osteoporosis or low bone density; asthma, emphysema, or other breathing disorder; or if you are pregnant or plan to become pregnant while using topiramate. If you are not planning a pregnancy while taking topiramate, use effective birth control, and tell your doctor if you become pregnant during treatment. Topiramate can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
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