![]() Your doctor may need to change the doses of your medications or monitor you carefully for side effects. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take.Ask your pharmacist for a list of the ingredients. tell your doctor and pharmacist if you are allergic to topiramate, any other medications, or any of the ingredients in topiramate tablets, sprinkle capsules, extended-release capsules, and solution.You can also visit the Food and Drug Administration (FDA) website ( ) or the manufacturer's website to obtain the Medication Guide. Read the information carefully and ask your doctor or pharmacist if you have any questions. Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with topiramate and each time you refill your prescription. Your doctor will probably decrease your dose gradually. If you suddenly stop taking topiramate, you may have severe seizures, even if you have not had seizures in the past. Do not stop taking topiramate without talking to your doctor, even if you experience side effects such as unusual changes in behavior or mood. Continue to take topiramate even if you feel well. Topiramate may control your seizures or migraines but will not cure your condition. Your doctor will probably start you on a low dose of topiramate and gradually increase your dose, not more than once every week. Ask your pharmacist for an measuring device if one is not included with your medication. Do not use a household teaspoon or tablespoon. Use a marked (calibrated) measuring device to measure the topiramate solution dose to make sure the correct dose is being given. Swallow the mixture right after you mix it without chewing, and then drink fluids to make sure that you swallow all of the medication. To take the sprinkle capsules or extended-release capsules (Qudexy XR brand only) mixed with food, you can carefully open the capsule and sprinkle the entire contents onto a spoonful of soft foods, such as applesauce. The sprinkle and extended-release capsules (Qudexy XR brand only) may be swallowed whole or opened and poured over soft food. Swallow extended-release capsules (Trokendi XR brand only) whole do not split, chew, or sprinkle on food. It is especially important that you not take topiramate tablets that have been broken for any length of time because tablets that are broken may lose their effectiveness over time. Topiramate tablets have a bitter taste so you should swallow them whole. Do not take any medication unless you are certain it is the medication that your doctor prescribed. If you think you were given the wrong medication, talk to your pharmacist. Talk to your pharmacist to be sure that you are given topiramate. Do not take more or less of it or take it more often than prescribed by your doctor.īe sure that the prescription your doctor gives you is clear and easy to read. ![]() Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take topiramate at around the same time(s) every day. ![]() The extended-release capsules are usually taken with or without food once a day. The tablets, sprinkle capsules, and solution are usually taken with or without food once or twice a day. Topiramate comes as a tablet, a sprinkle capsule (capsule that contains small beads of medication that can be sprinkled on food), an extended-release (long-acting) capsule and solution (liquid) to take by mouth.
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