Topicon 200 mg Tablet

Topicon 200 mg Tablet is a prescription anti-convulsant that contains 200 mg of topiramate in each tablet. It is used to help control certain seizure disorders, and topiramate is also prescribed for migraine prevention in appropriate patients. Because this is a 200 mg strength, Topicon 200 mg Tablet is a higher-dose tablet meant for people whose doctor has already determined they need this amount.

How it works: Topiramate helps calm overactive nerve signals in the brain, which can lower the chance of seizures. As a tablet, Topicon 200 mg Tablet delivers this medicine in a fixed 200 mg dose that is absorbed after swallowing.

Topicon 200 mg Tablet is stronger than Topicon 25 mg Tablet, Topicon 50 mg Tablet, and Topicon 100 mg Tablet, so it is not usually the starting strength. Doctors may choose Topicon 200 mg Tablet for patients who have already tolerated lower doses and need a higher maintenance dose for seizure control. It is a standard swallowable tablet, which makes it practical when the prescribed daily dose reaches this strength.

• Adjunct treatment of certain seizure disorders
• Monotherapy for some seizure conditions
• Migraine prevention in selected patients
• Long-term seizure control as prescribed by a doctor

• Swallow Topicon 200 mg Tablet whole with water unless your prescriber gives different instructions.
• Take it at the same time each day to keep a steady level in your body.
• You may take it with or without food; food usually does not change how it works.
• Do not crush or split the tablet unless your pharmacist or doctor specifically says it is okay.
• If your doctor lowers or raises the dose, do not change the schedule on your own.
• Do not stop Topicon 200 mg Tablet suddenly, because that can raise the risk of seizures.

Each Topicon 200 mg Tablet provides 200 mg of topiramate, which is a relatively high tablet strength compared with the 25 mg, 50 mg, and 100 mg versions. Depending on the condition being treated, it may be taken once daily or in divided doses, but the exact schedule is individualized. The maximum daily dose is set by the prescriber based on your response, other medicines, and tolerability, so follow your doctor’s directions exactly.

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
• Drowsiness or fatigue, which may be more noticeable at higher doses like 200 mg
• Dizziness
• Slow thinking or trouble finding words
• Loss of appetite
• Weight loss
• Nausea

• Topicon 200 mg Tablet is a higher-strength tablet, so side effects such as sleepiness, dizziness, and thinking problems may be more likely if the dose is too high for you.
• Avoid alcohol unless your doctor says it is safe, because alcohol can worsen drowsiness and confusion.
• Do not drive or use machinery until you know how this 200 mg dose affects you.
• Drink enough fluids unless your doctor has told you to limit fluids, because topiramate can increase kidney stone risk.
• Tell your doctor if you have kidney disease, liver problems, glaucoma, or a history of kidney stones.
• Use caution if you are taking other seizure medicines, because dose changes may be needed.
• If you are pregnant or planning pregnancy, discuss risks and benefits with your doctor before taking Topicon 200 mg Tablet.

• Valproic acid or divalproex
• Other anticonvulsants such as phenytoin or carbamazepine
• Alcohol and other medicines that cause drowsiness
• Hydrochlorothiazide or other diuretics
• Hormonal birth control, which may be less effective at some doses of topiramate

Store Topicon 200 mg Tablet in its original strip or box at room temperature, away from moisture and excessive heat.