Topamax 25mg. 50mg. 100mg. 200mg Tablets
Clinical Summary
Quick overview from the medicine insert
Indication
Indicated for epilepsy as monotherapy or adjunctive therapy.
Dosage (summary)
Adults: Start at 25 mg nightly, titrate to 100-500 mg/day. Children: Start at 0.5-1 mg/kg nightly, titrate to 100-400 mg/day.
Special Populations
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Teratogenic in animals; potential fetal harm in humans. Use only if benefits outweigh risks.
Key Drug Interactions
- Phenytoin
- Carbamazepine
- Valproic acid
- Oral contraceptives
- Digoxin
Contraindications
- Hypersensitivity
- Children under 2 years
Common side effects
- Anorexia
- Dizziness
- Somnolence
- Depression
- Weight decreased
Counselling Points
- Monitor for mood changes
- Stay hydrated
- Avoid CNS depressants
- Report visual disturbances
Serious warnings
- Acute myopia
- Metabolic acidosis
- Hyperammonemia
- Suicidal ideation
- Serious skin reactions
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