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.
All the answers published in this website are written by verified medical doctors, therapists and health experts. The Content has been moderated by iCliniq medical review team before publication. Post your medical clarifications on iCliniq by choosing the right specialty and get them answered. Your medical queries will be answered 24/7 by top doctors from iCliniq.
What medication can be taken for my long-term migraine?
Query: Hello doctor,I am 54 years old, and I have had migraines for the last 32 years. They are increasing day by day and always shifting from the right to the left side. I have had an MRI, CT scan, EEG, and echo, and all are normal. I have tried Ciplar, Sibelium, Betacap, and Zoly Plus, etc., for migraine... Read Full »
Answer: Hello, Welcome to icliniq.com. The chronic migraines respond well to Topiramate 50 mg once a day for seven days and then 50 mg twice a day for a month. See if this works for you. Consult your specialist doctor, discuss with him or her and take the migraine prescription medicines with their consent... Read Full »
My migraine has been getting worse of late. What should I do?
Query: Hello doctor, I am a 22 year old female. I have always suffered from migraines. Recently, it seems like it has been getting worse. Last year, I gave birth to my son vaginally. Now, when I lay on my abdomen or even turn my head, I notice a heartbeat sound in my ear. My nurse practitioner thought it ... Read Full »
Answer: Hello, Welcome to icliniq.com. Do you feel like the throbbing or pulsating sensation in your ear becomes worse with the headaches or it is present even with no migraine? I would also like you to explain your headache in a bit of detail. What are the triggers? Are they one-sided or on both sides? Is ... Read Full »
I am a 50-year-old female with sudden change in voice. Should I be concerned?
Query: Hello doctor, I am an elderly woman., I am on Pantoprazole and Topiramate both twice a day. My symptoms have persisted for at least a year. I am unable to sing and my voice is different. Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. There are many potential causes of voice changes, including vocal cord nodules or polyps, acid reflux, laryngitis, upper respiratory tract infections, thyroid issues, or neurological conditions. Pantoprazole (antacid) is a proton pump inhib... 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 »
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 »
Does opiate withdrawal cause nausea, low BP, muscle pain and urea smell?
Query: Hello doctor, I am a 40-year-old female recovering from eating disorder. My BMI is 16. I am suffering from clinical depression and GAD. I was diagnosed by a neurologist with migraines approximately two years ago, and have been on Lyrica 75 mg twice daily. Recently, I started having trouble swallowi... Read Full »
Answer: Hi,Welcome to icliniq.com.It is fine to stop Lyrica (Pregabalin). In my opinion, your symptoms could be related to a panic attack, probably caused by Topiramate adverse effects. Besides, as Topiramate can also cause kidney dysfunction. So, I strongly agree with your doctor on stopping it. On the oth... 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 »
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 »
What are the side effects of antiepileptic drugs?
Query: Hi doctor, I am a 20-year-old girl and it has been almost four years that I have been suffering from epilepsy. The medicines I take are Levipil 500 mg, Rivotril 0.5 mg and Cetadom for headache. Recently, I am feeling that my memory power and concentration are falling down. I have also been facing ho... Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, all antiepileptic drugs cause weight gain. In fact, Levipil (Levetiracetam) is also known to cause weight gain and hair loss. You do not have an option till your primary doctor agrees to give you Topiramate as an antiepileptic instead of Levipil, as Topiramate is k... Read Full »
What are the risks of taking tablet Topiramate?
Query: Hello doctor, I am a 57-year-old male in good health. I have suffered from severe headaches for several years, and recently they have got worse. Sumatriptan taken with Asprin, Acetominophen, and Cafein will help in reducing the pain, but they do not prevent them. I am attaching a headache log. I ... Read Full »
Answer: Hello, Welcome to icliniq.com. I would like to know some further details about your headache. 1) Since when you are having headaches? 2) In which part of the head do you feel pain? 3) What kind of headaches have you felt? 4) What is the duration of one episode of headache? 5) Do you have any ... Read Full »
I have tingling in head and occasional dizziness. What is to be done?
Query: Hello doctor,For three months, I have had a tingling head which is irritating, and sometimes dizziness. Also, I have left arm numbness sometimes. I am not sure what to do. I am currently taking Maxgalin M 50 and Neurogin. Read Full »
Answer: Hello, Welcome to icliniq.com. Your symptoms could be related to epilepsy seizures. I recommend performing a brain MRI (magnetic resonance imaging) and an EEG (electroencephalogram). An anti-epilepsy agent (Lamotrigine, Topiramate, etc.) may be necessary. Kind regards. 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. Hardik Nareshbhai Rajyaguru
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 »