Topiramate

How should you use this medication?
Take this medication by mouth with a glass of water. Follow the directions on the prescription label. Take this medication shortly after a meal or a light snack. Take your medication at regular intervals. Do not take your medication more often than directed. Do not stop taking this medication suddenly except upon the advice of your care team. Stopping this medication too quickly may cause serious side effects or your condition may worsen. A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time. Talk to your care team regarding the use of this medication in children. Special care may be needed.

What are the possible side effects of this medicine?
Side effects that you should report to your care team as soon as possible:

Allergic reactions-skin rash, itching, hives, swelling of the face, lips, tongue, or throat
Bleeding-bloody or black, tar-like stools, red or dark brown urine, vomiting blood or brown material that looks like coffee grounds, small, red or purple spots on skin, unusual bleeding or bruising
Heart rhythm changes-fast or irregular heartbeat, dizziness, feeling faint or lightheaded, chest pain, trouble breathing
Low blood pressure-dizziness, feeling faint or lightheaded, blurry vision
Low sodium level-muscle weakness, fatigue, dizziness, headache, confusion
Prolonged or painful erection
Serotonin syndrome-irritability, confusion, fast or irregular heartbeat, muscle stiffness, twitching muscles, sweating, high fever, seizures, chills, vomiting, diarrhea
Sudden eye pain or change in vision such as blurry vision, seeing halos around lights, vision loss
Thoughts of suicide or self-harm, worsening mood, feelings of depression Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):
Change in sex drive or performance
Constipation
Dizziness
Drowsiness
Dry mouth

What may interact with this medicine?
Our pharmacists will check to see if this medication will cause any interactions with the information in your profile.
Do not take this medication with any of the following:

Certain medications for fungal infections like fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole
Cisapride
Dronedarone
Linezolid
MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
Mesoridazine
Methylene blue (injected into a vein)
Pimozide
Saquinavir
Thioridazine This medication may also interact with the following:
Alcohol
Antiviral medications for HIV or AIDS
Aspirin and aspirin-like medications
Barbiturates like phenobarbital
Certain medications for blood pressure, heart disease, irregular heart beat
Certain medications for depression, anxiety, or psychotic disturbances
Certain medications for migraine headache like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
Certain medications for seizures like carbamazepine and phenytoin
Certain medications for sleep
Certain medications that treat or prevent blood clots like dalteparin, enoxaparin, warfarin
Digoxin
Fentanyl
Lithium
NSAIDS, medications for pain and inflammation, like ibuprofen or naproxen
Other medications that prolong the QT interval (cause an abnormal heart rhythm) like dofetilide
Rasagiline
Supplements like St. John’s wort, kava kava, valerian
Tramadol
Tryptophan