Topiramate Tablets
designed to mitigate frequency of seizures and migraines to support overall neurological stability.
Strengths: 25 · 50 · 100 · 200mg
Where to Check Availability
Medicine details
- Conditions
- Alternative names
Topamax
- Therapeutic class
Antiepileptic
- Pharmacological class
Sulfamate-substituted monosaccharide
- Contraindications
hypersensitivity to topiramate; pregnancy (for migraine prophylaxis)
- Minor side effects
paresthesia; anorexia; weight loss; taste perversion
- Moderate side effects
cognitive impairment; dizziness; fatigue; nausea
- Dosage forms
Film-coated tablet
- Administration route
Oral use
- Prescription status
POM
- Manufacturer
Janssen-Cilag
- Onset Time
2–4 weeks
- Duration
long-term
- Storage instructions
Keep dry below 25°C.
- Drug interactions
oral contraceptives; CNS depressants; other antiepileptics
- Age restrictions
Use with caution in children.
Precautions and warnings
maintain adequate hydration to prevent kidney stones; may impair cognitive function; monitor for vision changes
Serious side effects
glaucoma — requires immediate medical attention; metabolic acidosis — requires immediate medical attention; nephrolithiasis — requires immediate medical attention
Patient summary
designed to mitigate frequency of seizures and migraines to support overall neurological stability.
Mechanism of action
Topiramate works by blocking voltage-dependent sodium channels, augmenting GABA-induced inhibition, and antagonizing glutamate activity. This multi-faceted mechanism reduces neuronal excitability, preventing the abnormal electrical activity that causes seizures and migraine auras.
Pregnancy and breastfeeding
Pregnancy: High risk of birth defects; do not use for migraine prevention. Breastfeeding: Not recommended.
Topiramate Tablets
designed to mitigate frequency of seizures and migraines to support overall neurological stability.
Editorial Notes
- Active ingredient(s): Topiramate
- Listed indication(s): Epilepsy, Migraine Prophylaxis
Usually available as
- 180 tablets - 25 mg1208-25-mg-14343
- 90 tablets - 50 mg1208-50-mg-14347
- 90 tablets - 100 mg1208-100-mg-14329