Topamax (generic name Topiramate) is an anticonvulsant that is chemically unrelated to any other anticonvulsant or mood regulating medication. Topamax differs from other mood stabilizing drugs in two major ways: topiramate's frequent effectiveness for patients who have failed to respond to antidepressants or mood stabilizers and topiramate's unique side-effect profile.
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The recommended starting dosage of Topamax for use as an anticonvulsant in adults is 25 or 50 mg a day for the first week, which can then be gradually increased to not exceed 400 mg a day. For children between the ages of 2 to 16 years, the starting dose is recommended at 25 mg once a day at night for the first week which may then be titrated every week or bi-weekly to be taken in two divided doses. For preventing migraine headaches, adults can be started at 25 mg for the first week and then titrated gradually every week as needed and tolerated without exceeded 100 mg a day.
Before taking topiramate, tell your doctor if you are allergic to any drugs, or if you have: kidney disease or a history of kidney stones liver disease glaucoma asthma, emphysema, or bronchitis; or if you have recently had surgery. Topiramate can make birth control pills less effective. Talk with your doctor about other forms of birth control if you are trying to prevent pregnancy while taking topiramate.
If side effects do bother people, most commonly, Topamax will slow you down, or make you feel like you're in a fog. This includes slower reflexes, trouble thinking or concentrating, trouble thinking of the right word, tiredness, poor coordination, and dizziness. Topiramate may also cause tingling in your hands or feet, shakiness, depression, nausea, memory problems, and visual problems (such as double vision). It has also been known to bring on respiratory infections.