While migraines can’t be completely eliminated, TOPAMAX helps stop them before they start, so you can get fewer of them to worry about. Unlike treatments you use at the start of a migraine, TOPAMAX works differently. It is a daily prescription medication you take for as long as you and your healthcare professional decide you need it. TOPAMAX is approved for migraine prevention in adults only. TOPAMAX is not for the acute treatment of migraines. What is TOPAMAX? TOPAMAX is a prescription medicine used alone to treat seizures in patients 10 years and older; is used with other medicines to treat seizures in adults as well as children age two and older; and to prevent migraine headaches in adults. Who should not take TOPAMAX? Do not take TOPAMAX if you are allergic to the active ingredient topiramate. What should I tell my doctor before and while taking TOPAMAX? You should talk to your doctor about all of your medical conditions, including if you: ? Have kidney or liver disease, especially if you have kidney stones or are on dialysis. ? Are pregnant, or are planning on becoming pregnant, or are breastfeeding. ? Have osteoporosis or decreased bone density. ? Have lung or breathing problems. ? Have eye problems, especially glaucoma. ? Have diarrhea. ? Have a growth problem. ? Are on a diet high in fat called a ketogenic diet. ? Are having surgery. How should I take TOPAMAX? TOPAMAX tablets should be taken whole. Avoid chewing the tablets as they may leave a bitter taste. TOPAMAX can be taken before, during, or after a meal. Drink plenty of water while taking TOPAMAX to avoid getting kidney stones. What are the possible side effects of TOPAMAX? ? Metabolic acidosis. ? Eye problems. ? Decreased sweating and increased body temperature (fever). ? Effects on thinking and alertness. ? Dizziness or loss of muscle coordination. ? High blood ammonia levels and effects on mental activities. ? Kidney stones. ? Tingling of the arms and legs . ? Are having surgery.
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