Topamac 100 mg Tablet

Topamac 100 mg Tablet is a prescription medicine that contains 100 mg of topiramate in each tablet. It belongs to the anti-convulsant class and is used to help control seizures and, in some patients, to help prevent migraine headaches. Topamac 100 mg Tablet is a higher-strength tablet, so it is typically used when a prescriber has already assessed the patient’s dose needs and is adjusting treatment beyond the lower 25 mg or 50 mg tablets.

How it works: Topiramate helps calm overactive nerve signals in the brain, which can lower the chance of seizures. As a tablet form, Topamac 100 mg Tablet is swallowed and absorbed to provide a steady medicine level for ongoing control when taken as prescribed.

Compared with Topamac 25 mg Tablet and Topamac 50 mg Tablet, Topamac 100 mg Tablet delivers a larger amount of topiramate in each tablet, which can reduce the number of tablets needed per dose once a patient is titrated up. Doctors may choose this strength for patients who need a maintenance dose that is higher than the starter strengths, but it is not usually the first tablet strength used at the beginning of treatment.

• Partial-onset seizures
• Primary generalized tonic-clonic seizures
• Lennox-Gastaut syndrome
• Migraine prevention

• Swallow Topamac 100 mg Tablet whole with water unless your doctor or pharmacist tells you otherwise.
• Take it at the same times each day to help keep a steady level of medicine in your body.
• It can be taken with or without food.
• Do not crush or chew the tablet unless a healthcare professional says it is okay for your specific prescription.
• If you miss a dose, take it when you remember unless it is close to the next dose; do not double up.
• Do not stop Topamac 100 mg Tablet suddenly without medical advice, because seizures can worsen.

Each Topamac 100 mg Tablet provides 100 mg of topiramate per tablet, which is a higher tablet strength than the 25 mg and 50 mg options. The doctor decides the exact dose and how often it should be taken, and it may be prescribed once or twice daily depending on the condition and the titration plan. Do not exceed the amount your prescriber has directed; the maximum daily dose depends on the reason for treatment and your individual response.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Topiramate may include:

• Tingling in the hands or feet
• Sleepiness or fatigue
• Dizziness
• Weight loss
• Trouble concentrating or word-finding problems
• Nausea
• Taste changes

• Topamac 100 mg Tablet is a higher-strength tablet, so dose changes should be made only under a doctor’s supervision.
• Avoid drinking alcohol unless your prescriber says it is safe, because alcohol can worsen dizziness and sleepiness.
• Use caution when driving or operating machinery until you know how Topamac 100 mg Tablet affects you.
• Tell your doctor if you have kidney disease, kidney stones, glaucoma, depression, or a history of metabolic acidosis.
• Stay well hydrated, since topiramate can increase the risk of kidney stones and heat-related problems.
• Tell your doctor if you are pregnant, planning pregnancy, or using birth control, because topiramate can affect pregnancy risk and may interact with some contraceptives.
• Do not stop taking this medicine suddenly, especially if it is being used for seizures.

• Valproic acid
• Other medicines that cause sleepiness, including opioid pain medicines, benzodiazepines, or some sleep aids
• Carbonic anhydrase inhibitors such as acetazolamide or zonisamide
• Birth control pills containing estrogen, which may be less effective at higher topiramate exposure
• Alcohol

Store Topamac 100 mg Tablet in its original strip/box at room temperature, away from moisture, heat, and direct light, and keep it out of reach of children.