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How Long Do You Stay On Topamax For Migraines

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Fluoxetine antidepressant. Galantamine and Rivastigmine used to treat dementia in conditions such as Alzheimers disease.Anti-infective drugs:Antibacterial Metronidazole.Antifungals Amphotericin B.Antimalarials Atovaquone, Pyrimethamine.Antiretrovirals Didanosine, Zalcitabine.Anti-TB Ethionamide.Feb 14, 2012

What Are The Signs And Symptoms Of Topiramate Addiction

Topiramate addiction is rare and the drug doesnt have a high risk of abuse or dependence. However, if you think you might be addicted to topiramate, there will be signs and symptoms.

Some common signs of topiramate addiction may include:

  • Being preoccupied with taking topiramate
  • Visiting multiple doctors to get more than one prescription for topiramate
  • Lying to friends or loved ones about taking topiramate
  • Continuing to misuse topiramate despite the harmful physical side effects and emotional problems
  • Experiencing symptoms of topiramate withdrawal after missing a dose

How Do I Stop Treatment With Topamax

Do not stop taking Topamax without first talking to a healthcare provider. Stopping Topamax suddenly can cause serious problems. If you have epilepsy and you stop taking Topamax suddenly, you may have seizures that do not stop. You may also experience other serious withdrawal symptoms.

Your doctor will tell you how to stop taking Topamax slowly. This is usually done over a period of several weeks or longer.

Your doctor may also decide to change your dose. Do not change your dose without talking to your healthcare provider. Always take your Topamax exactly as prescribed by your doctor.

This is not all the information you need to know about Topamax for safe and effective use. Review the full Topamax information here, and discuss this and any questions you have with your doctor or other health care provider.

  • Topamax . Prescribing information and Medication Guide. Janssen Pharmaceuticals. Titusville, NJ. Accessed June 30, 2021 at

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Are There Are Any Seizure Or Migraine Medications That Arent Affected By Alcohol

Anti-seizure medications and alcohol both affect chemical signaling in your brain and act as depressants on your brain. Because of this, there are no seizure medications that are completely safe to take while drinking alcohol.

A variety of other medications are used to prevent migraines, like blood pressure medications, antidepressants, and a newer category of medications called monoclonal antibodies.

It generally isnt recommended to drink alcohol with blood pressure medications. The same holds true for antidepressants. There arent specific warnings against alcohol use with the monoclonal antibodies, such as erenumab , fremanezumab , galcanezumab , and eptinezumab , used for migraine prevention.

However, because alcohol use on its own can trigger migraines, talk to your healthcare provider about if its safe to have a drink while taking these medications.

What Are Continued Care Options For Topiramate Addiction

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After you complete a topiramate rehab program, you might also want to continue your treatment with a supportive sober living program or aftercare program. These types of topiramate treatment programs offer continued support and structure after treatment in rehab to help you adjust to a sober life, deal with triggers, and create new, healthy relationships.

Sober Living Programs

Sober living programs provide sober homes for men and women who are recovering from drug and alcohol addiction. These sober homes are substance-free, structured living environments that also offer structured recovery programming, such as:

  • Regular drug and alcohol testing
  • Certified peer recovery support programs
  • Phased and individualized recovery programming
  • Employment assistance
  • Educational planning
  • Access to IOP and clinical care services through a third-party provider

If you have health insurance, it likely wont cover the cost of a sober living program. However, most sober living homes are affordable living options and some facilities offer scholarships for incoming residents who need financial assistance.

Aftercare Programs

Aftercare programs are comprised of weekly group meetings led by a licensed counselor or recovery specialist at an outpatient facility. The topics of group discussions may vary but are often centered around addiction, recovery, and personal growth.


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Can Topamax Change Your Personality

Anticonvulsants like Topamax, can also profoundly affect mood, contributing to mental illnesses like anxiety, depression, or mania. Topamax can have several neurocognitive and neuropsychiatric side effects, including this case of Topamax-induced dissociative disorder. Patients should be aware of drastic changes in mood or emotion and seek medical attention if they experience significant personality changes.

How To Avoid Topamax Side Effects

For more drug information, read the Topamax medication guide before starting your treatment.

  • If you experience any side effects, consult your healthcare provider. Consistent serum tests to routinely check kidney and liver function, for example, can also reduce the risk of severe complications.
  • Be aware of all drug interactions. Some drugs like oral contraceptives arent as effective when taken with Topamax, and others, like allergy medicine, can exacerbate Topamax side effects.
  • Dont take Topamax within six hours of consuming alcohol.
  • Avoid operating heavy machinery, driving, or performing other dangerous tasks if Topamax makes you drowsy or dizzy.
  • Drink lots of fluids and make an effort to avoid dehydration and constipation. This can help to reduce the risk of kidney stone formation, which can help prevent metabolic acidosis.
  • Avoid following a ketogenic diet to prevent kidney stone development and potential metabolic acidosis.
  • Seek urgent medical attention if you notice any sudden changes in mood or the development of depression or suicidal thoughts.
  • If you are a woman on oral contraceptives, consider using an additional barrier form of protection to prevent pregnancy. That is one of the most effective ways to avoid the risk of severe birth defects associated with taking Topamax.
  • If you miss a dose, take it as soon as you remember. If its almost time for your next dose, skip it and take the upcoming dose. Dont take a double amount to make up for a missed dose.
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    What Happens With Epilepsy And Migraine

    Epilepsy and migraine are both neurological conditions. With epilepsy, you have seizures. With migraine, you have headaches, among other symptoms. But the conditions are considered to be linked, and many people have epilepsy and migraine together.

    The causes of epilepsy and migraine arent fully understood. But with both conditions, it seems that nerve cells in your brain are oversensitive to certain triggers, such as flickering lights or hormones.

    The trigger causes electrical signals to build up in the nerve cells in your brain. This causes them to fire inappropriate signals to other nerve cells. These nerve cells then pass on signals to other parts of your body. The increased electrical signaling can lead to a seizure in people with epilepsy. In people with migraine, it can lead to auras and headaches.

    Side Effects And Risks

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    Imitrex and Maxalt have some similar side effects and others that vary. Below are examples of these side effects.

    Mild side effects

    These lists contain examples of the most common mild side effects that can occur with Imitrex, with Maxalt, or with both drugs .

    • Can occur with Imitrex:
    • irritation in your nose or throat, such as burning, tingling, pain, or numbness
    • unpleasant taste in your mouth
    • injection site reactions, such as pain, stinging, redness, or swelling
  • Can occur with Maxalt:
  • Can occur with both Imitrex and Maxalt:
  • nausea
    • medication overuse headache

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    How Long Does Topamax Stay In The Blood Stream

    Topamax is an anti-seizure medication that is prescribed for patients suffering from epilepsy. It is also approved for the treatment of migraines. It is also prescribed off-label as a mood stabilizer for the treatment of bipolar disorder. It is also used in children as a treatment for the treatment of the seizure disorder Lennox-Gastaut syndrome. It is currently being tested in trials for the treatment of post-traumatic stress disorder.

    If you are experiencing serious medical symptoms, seek emergency treatment immediately.

    For Females Using Topamax

    Females using Topamax should use an effective method of birth control to help prevent pregnancy. However, Topamax can make birth control drugs that contain estrogen less effective at preventing pregnancy.

    Examples of birth control that can be less effective when taken with Topamax include:

    • levonorgestrel/ethinyl estradiol
    • desogestrel/ethinyl estradiol
    • drospirenone/ethinyl estradiol
    • norgestimate/ethinyl estradiol

    Topamax treatment can also make certain birth control medications less effective at preventing pregnancy. These include:

    If you use birth control that contains estrogen, your doctor may recommend switching to a different type of contraception.

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    Is It Safe For Me Take Topamax For Migraines

    Topamax is generally considered safe and accepted in migraine treatment. However, safe medication practice is a shared responsibility between you, your doctor, the pharmacist, and any other healthcare providers. It is important to know your medications and ask questions if you are not sure how, when, or why to take any medication

    Interactions of Topamax :

    • At doses higher than 200 mg, Topamax can reduce the effectiveness of your birth control pill
    • Topamax can increase the risk of birth defects, particularly cleft and should not be taken during pregnancy. If you find out you are pregnant while on Topamax, contact your physician’s office immediately.
    • It may increase your risk of kidney stones
    • Carbamazepine or Phenytoin may increase the elimination of Topamax from your body making it less effective
    • If you combine Topamax with valproic acid this could raise your blood ammonia levels causing hypothermia

    Extended Release Melatonin Vs Regular Melatonin

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    Regular melatonin tablets are immediate release supplements. They dissolve as soon as you take them, which instantly releases melatonin into your bloodstream.

    On the other hand, extended release melatonin dissolves slowly. It gradually releases melatonin over time, which may mimic the way your body naturally makes melatonin throughout the night. This is thought to be better for staying asleep at night.

    Extended release melatonin is also known as:

    • slow release melatonin

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    What Are The Typical Side Effects

    There is potential for side effects with all medications. But drinking alcohol with most medications may worsen the side effects you experience. This is especially true when combining alcohol and topiramate.

    The most common side effects of topiramate include:

    • Tingling, prickling, or pins-and-needles feeling in your arms, hands, legs, and feet
    • Loss of appetite

    What Does Topamax Do

    Topamax has several effects on the nerve cells in your brain. One is that the drug blocks sodium channels . This prevents excessive electrical signals from building up in the nerve cells. As a result, the nerve cells stop firing inappropriate or excessive signals.

    In addition, Topamax affects two neurotransmitters. These neurotransmitters are called gamma-aminobutyric acid and glutamate. The neurotransmitters also help pass signals between nerve cells and other cells in your body.

    GABA reduces nerve signaling, causing fewer signals to be sent. Glutamate stimulates nerve signaling, causing more signals to be sent. Topamax increases the effect of GABA and blocks the effect of glutamate. This helps calm nerve activity in your brain.

    The actions of Topamax help prevent the nerve cells in your brain from sending inappropriate signals that lead to seizures or migraine.

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    Benefits Of Taking Topamax

    It may take a while for you to feel the full benefit of Topamax for migrainesDr. Friedman says lots of people see improvement in the first month, but it can continue improving for the first year. She also says that past clinical trials have shown 50% of people feeling 50% better on topiramate, with some reporting an even higher response rate.

    But side effects are topiramates biggest downside some people simply cant tolerate them.

    Its a love it or hate it drug, says Dr. Friedman, and sometimes people are afraid to take it because they hear about the side effects. But not everyone gets them, so its important to be open-minded about it.

    How Does Alcohol Interact With Topiramate

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    Topiramate calms down the nerve activity in your brain. Similarly, alcohol affects several chemical signals in your brain, which leads to the common intoxication symptoms like slurred speech, dizziness, memory loss, and sleepiness. Combining the two can have an additive effect that may result in people experiencing more intense and dangerous side effects from topiramate.

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    Is Topamax Linked To Dementia

    Older patients have greater susceptibility to side effects, especially neurotoxic effects because of altered pharmacokinetics and impaired homeostatic mechanisms. We suggest that topiramate should be included in the list of drugs associated with dementia, and it should be used with caution in older patients.

    Topamax For Weight Loss

    Topamax isnt approved for weight loss. However, the drug may reduce your appetite, which may lead you to lose weight.

    In clinical studies, weight loss occurred in 6% to 17% of people who took Topamax. This depended on the dosage and condition treated. By comparison, weight loss occurred in 1% to 3% of people who took a placebo .

    One review of studies looked at the average weight loss in people who took Topamax. It also looked at how long it took them to lose weight when they took the drug. People who took Topamax for at least 4 months lost an average of 11.8 pounds more than those who took a placebo for the same time period.

    Topamax isnt usually prescribed solely for weight loss. But your doctor might recommend Topamax for preventing seizures or migraine if you would also benefit from weight loss. For example, if youre at an increased risk for health problems because of excess weight, Topamax might help you. The drug might also be useful if youre taking other seizure or migraine treatments that can cause weight gain.

    There isnt a particular dosage or best time of day to take Topamax for weight loss. You should take it as prescribed by your doctor for seizures or migraine.

    If youre interested in taking Topamax for weight loss, its important to discuss the possible risks and benefits of this treatment with your doctor.

    The Topamax dosage your doctor prescribes will depend on several factors. These include:

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    Topamax For Migraine Prevention

    Migraine is more than a headache. It often lasts longer and is more severe.

    There are many symptoms of migraine, including nausea, vomiting, and sensitivity to light and sound. The major symptom is moderate to severe pain that typically occurs on one side of your head.

    Some migraine types present with symptoms that affect the senses, including and especially sight, called migraine with aura.

    Aura is a term that refers to symptoms preceding a migraine attack. Migraine with and without aura have different diagnostic criteria and treatment approaches.

    Certain drugs are available to help prevent migraine attacks. Migraine prevention drugs are different from drugs that treat migraine attacks that have already started.

    You take migraine prevention drugs on a scheduled basis. They help reduce the number of migraine attacks that you have and also help make them less severe.

    One of these drugs for migraine prevention is called Topamax .

    Topamax belongs to a class of drugs called anticonvulsants. A class of drugs is a group of drugs that work in a similar way.

    Although anticonvulsants are used to treat epilepsy, many anticonvulsants are also effective for other conditions, including migraine.

    The exact way that Topamax works to help prevent migraine attacks isnt known. Its believed that Topamax calms overactive nerve cells in the brain that lead to migraine attacks.

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    Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your body’s response to topiramate.

    Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.

    It is important for you to keep a written list of all of the prescription and nonprescription medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

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    How Long Should A Patient Take Topirimate

    There should be no pre-established time for topiramate therapy any more than there is for any other migraine prophylaxis medication. Patients have to be individualized in this area as well. A women with a ten year history of frequent severe and disabling migraine is unlikely to be cured by a few months of topiramate. We tell our patients they are likely to be on topiramate for years before we attempt to taper off.

    The whole idea of prophylaxis therapy for migraine begins with the concepts of improving quality of life and reducing disability. And since a migraine condition is often progressive, prophylaxis therapy serves to stop that progression. In the headache specialty, weve all seen that on a regular basis. Patients arrive having increasing headaches and, with preventer therapy, begin to have a declining number of disabling headache. Does kindling take place with migraine? Do headaches beget headaches just as has been said for many decades in epilepsy? Are chronic severe headache a form of learned behavior and worsen by the process of pathway formation?

    We would say yes from the observations at our clinic with our 75,000 headache patients. Looking at the process this way, the prophylaxis therapy may be curative in certain patients.

    Topiramate May Cause Other Side Effects Tell Your Doctor If Any Of These Symptoms Are Severe Or Do Not Go Away:

    • numbness, burning, or tingling in the hands or feet
    • slowed reactions
    • uncontrollable shaking of a part of the body
    • uncontrollable eye movements
    • change in ability to taste food
    • dry mouth
    • back, muscle, leg, or bone pain
    • missed menstrual periods
    • difficulty urinating or pain when urinating
    • fever or other signs of infection

    Topiramate may cause osteoporosis in adults and rickets in children. Topiramate may also slow the growth of children and may decrease the final height that children reach. Talk to your doctor about the risks of taking topiramate.

    Topiramate may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.

    If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s MedWatch Adverse Event Reporting program online or by phone .

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