Topiramate

Topiramate is a medicine used to treat some types of seizures and to prevent migraines. It belongs to a group of drugs called sulfamate-substituted monosaccharide or antiepileptic drugs. Topiramate is used in partial-onset seizures and primary generalized tonic-clonic seizures.

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I gained a lot of weight after taking Mirtazapine for depression. How to reduce it?

Query: Hi doctor, I am a 30-year-old male and I have been on Cipralex 20 mg for my depression for more than a year now. When I started Cipralex 10 mg I was fine. However, when my depression worsened I was given Mirtazapine 30 mg and my weight increased like hell. I gained 15 kg in three months, mostly aro...  Read Full »


Dr. Seikhoo Bishnoi

Psychiatrist, Sexologist, Psychotherapist

Answer: Hello, Welcome to icliniq.com. Stopping Topiramate is not the reason for weight gain in your case. Topiramate resulted in weight loss and the drug is also a good mood stabilizer drug. This helps in stabilizing the mood and supplements the antidepressants. So stopping Topiramate probably result in ...  Read Full »

Is there any medicine to control bad mood swings and short-temper?

Query: Hello doctor, I am suffering from heavy mood swings. If something is happening against my will, I lose my patience and I am not able to tolerate this. That phase is very short like for a few minutes, but in that short phase, I threw something or grumble my teeth or utter bad words to anyone who is...  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. First of all, I must assure you that there are multiple medications which can be used to control anger. Most of these medications stabilize your brain and help in controlling mood swings after a trivial incident. The ...  Read Full »

What is the outlook for long term antiepileptic medications?

Query: Hello doctor, I have already put my query to a neurologist. Still, I would like to get opinion from you as well. My son is 3.5 years old. He has been diagnosed with benign childhood epilepsy. His MRI and CT were normal. There are epileptic form of discharge 8 Hz spikes from right occipital lobe. Us...  Read Full »


Dr. Parin Niranjanbhai Parmar

Paediatrician, Pediatric Allergy Asthma Specialist

Answer: Hi, Welcome to icliniq.com. I went through your query. I can understand your concern about long-term effects of antiepileptic medications. So, in reply to your query, I would like to make suggestions for your son as follows: Treatment of many types of childhood epilepsy requires long-term antiepilep...  Read Full »

Can Topamax and Marijuana be taken together?

Query: Hi doctor, I was prescribed Topamax recently for treatment of migraines. I am starting on 25 mg once a day and going up to 100 mg after one month. Are there any known interactions between Topamax and medical Marijuana? I use the former for treatment of anxiety and it is quite helpful, however, I ha...  Read Full »


Dr. Lohit Chauhan

Family Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. Marijuana and Topiramate (Topamax) both increase sedation (increased sleepiness). If both are being used simultaneously, I would advice to avoid works that require constant attention and which risk the life of others (like driving, etc.). Ask your physician to modify...  Read Full »

Is it safe to increase Topamax dosage to 400 gm?

Query: Hello doctor, I have been taking Topiramate 300 mg, along with Zyprexa 10 mg and Wellbutrin 400 mg as well as Clonazepam 0.5 mg three times a day. I have schizoaffective disorder and need to up my Zyprexa to 15 as I have been extremely irritable lately. However my Topiramate also serves me as an ap...  Read Full »


Dr. Ruhi Satija

Psychiatrist

Answer: Hello, Welcome to icliniq.com. Increasing Olanzapine and Topiramate simultaneously is not a good idea. you can start with one medication at a time, or better idea would be to use Clonazepam more for the time being as I do not have details of your case, if your doctor is returning soon, you can man...  Read Full »

Why do I have a sharp pain on right side of the head?

Query: Hi doctor, I am a 24 year old male. I started having intense, sharp, constant pain behind my right eye, right temple area and backside of the right side of my head. It started before three months for once a week for the first three weeks. Then, I started having the sharp pain the every other day. An...  Read Full »


Dr. Rajyaguru

Neuro Surgeon, Neurologist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com. I understand your symptoms well. Actually, what you have is cluster headache only. Your symptom profile fits into the classic description of cluster headache. The relief with antibiotics was a mere coincidence. The pain of sinusitis has totally different pattern than ...  Read Full »

For the diagnosis of epilepsy, is a PET scan mandatory?

Query: Hi doctor, My four year old son, weighing 16 kg is taking medicine for benign childhood epilepsy. Medicines he is taking are namely Topamac 100 mg a day in two divided doses and Lobazam 15 mg a day (5-0-10).  His MRI for epilepsy protocol is normal without abnormalities. I would like to know whethe...  Read Full »


Dr. Lalit Bansal

Paediatrician, Neurologist

Answer: Hello, Welcome to icliniq.com. For benign childhood epilepsy (BCE) your child is on 6.25 mg/kg/day of tablet Topiramate (anticonvulsant) which is a medium dose and is fine. Side effect to look from Topamac is dehydration. For dehydration, he needs to drink at least 700-1000 mL water daily. He can...  Read Full »

Is the behavioral changes in my child due to antiepileptic drugs?

Query: Hi doctor, My son is 3 years 9 months now. He has been diagnosed with benign childhood epilepsy. He is taking Clobazam 15 mg at night and Topiramate 100 mg per day for last four months. His seizures are under control and he attends LKG. The issue is that he is not able to concentrate in his studies...  Read Full »


Dr. Deepak Patel

Child Health Specialist, Paediatrician

Answer: Hi Welcome to icliniq.com. I have read your question in detail. The initial dose of Topiramate is 1 mg/kg/day which is gradually increased to 5-10 mg/kg/day. Your child is getting 100 mg Topiramate which is around 6 mg/kg/day. So, the dosage of Topiramate is correct. There are some side effects ...  Read Full »

My wife has been suffering from migraine and gastric irritation. What to do?

Query: Hi doctor, My wife is suffering from a migraine. I have consulted a neurosurgeon. He has given tablets Sibelium 10 mg, Topirol 25 mg, and Serenance. But, she is unable to take food. While drinking water also she is feeling gastric irritation. She is taking Omez D and Zofran syrup before meals for ...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi,Welcome to icliniq.com.We are here to help you.Her stomach irritation seems to be because of the migraine only. Let me brief you about the migraine and its treatment.If you are suffering from migraine headaches, then you should be started on medicines for the prophylaxis of the migraine.You h...  Read Full »

I am suffering from throbbing pain on the back of the head. What to do?

Query: Hi doctor, About a week ago I got a severe headache. The left side of my head was tender and painful. After a couple of days, my left arm and left leg feel a little numb and weak. I started taking a drug, Dolo-Neurobion Forte every 12 hours. My headaches are less often, but when I do get them, they...  Read Full »


Dr. Rajyaguru

Neuro Surgeon, Neurologist, Spine Surgeon

Answer: Hi,Welcome to icliniq.com.I understand your symptoms well.There is a pattern in your symptoms. Usually, this sort of symptom is seen in two conditions.The patients with pathology in the smaller compartment of the skull, posterior fossa.A basilar migraine, abnormalities of autonomic regulation of bl...  Read Full »

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