Your doctor can talk with you about the risks and benefits of taking Topamax while breastfeeding. We've now stopped the OTC allergy meds and have a scheduled appointment this afternoon to follow-up. Grothe K (expert opinion). If youre breastfeeding or plan to breastfeed, talk with your doctor about the risks and benefits of taking Topamax. But a melatonin overdose can disrupt your sleep-wake cycle and actually make it harder for you to, Seizures are changes in your brains electrical activity. If you need to use an allergy medicine while taking Topamax, ask your doctor or pharmacist to recommend a suitable product. Its characterized by seizures that develop in the presence of musical triggers. Kidney problems. You fill your. Winham SJ, et al. US residents can call their local poison control center at 1-800-222-1222. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. More frequently than that may signal a problem. If medication is a part of treatment, is a generic drug available? These tests may include: The goals for treatment of binge-eating disorder are to reduce eating binges and achieve healthy eating habits. This anti-seizure epilepsy medicine may be used to control tonic-clonic seizures, partial seizures and Lennox-Gastaut syndrome. You may have mild side effects from Topamax. Discard the liquid form of this medication 60 days after opening or after the expiration date, whichever comes first. Taking certain steps can help you avoid interactions with Topamax. Antidepressants (SSRI/SNRIs) Paxil, Prozac, Wellbutrin, and Cymbalta. CNS Spectrum. topiramate oral brand names and other generic formulations include: Qudexy XR Oral, Topamax Oral, Topiragen Oral, Trokendi XR Oral All generic drug interactions for topiramate oral (lists will include brand and generic names): 42 serious drug interactions 462 significant drug interactions 162 minor drug interactions If your symptoms seem life threatening, call 911 or your local emergency number immediately. Symptoms of these conditions may include: Tell your doctor right away or go to the nearest emergency room if you notice any of the above symptoms while youre taking Topamax. See below for details. In people who have liver problems, Topamax may increase the risk of a high level of ammonia in the blood. Topamax (topiramate) tablets, for oral use; Topamax (topiramate capsules) sprinkle capsules, for oral use. Lisdexamfetamine dimesylate (Vyvanse), a drug for attention-deficit hyperactivity disorder, is the first FDA-approved medication to treat moderate to severe binge-eating disorder in adults. RxList does not provide medical advice, diagnosis or treatment. Topiramate in migraine prevention. 2015;20:546. Please check with a physician if you have health questions or concerns. It means that you are unable to keep urine in until you can reach a bathroom. Drugs that are likely to interfere with tamoxifen. But it isnt clear how often this side effect occurred in studies. And if untreated, glaucoma could cause blindness. Topamax is a brand name for topiramate, a medication in pill or capsule form that may be prescribed for treatment of seizures. Wiki. But these side effects werent common in studies of the drug. If you have any questions, ask your doctor or pharmacist. If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. If you have epilepsy or migraine, your doctor may suggest Topamax. Find out what causes asthma, and how to take control of your symptoms. Accessed Jan. 25, 2018. Mayo Clinic does not endorse companies or products. Carole Anne Tomlinson is a registered nurse with experience in rehabilitation, nutrition, chemical dependency, diabetes and health problems related to the elderly. Lab and/or medical tests (such as eye exams, bicarbonate blood level) should be done while you are taking this medication. The relationship between Topamax and depression is complex. It may sometimes cause side effects, especially if you misuse it. And this could increase your risk for having a high level of acid as a side effect of Topamax. For instance, its best to avoid taking antihistamines that have a sedating effect (causes feelings of drowsiness or relaxation) with Topamax. All rights reserved. (Withdrawal symptoms are side effects that can happen when you stop taking a drug.). $10. Yes, the risk of side effects from Topamax can depend on the strength you take. Note: Cannabis is illegal at a federal level but is legal in many states to varying degrees. Older adults may be more sensitive to the side effects of this drug, especially dizziness. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Your doctor will gradually increase your dose to reduce your risk of side effects. You can take Topamax with food or without it. Below are answers to a few frequently asked questions about Topamaxs side effects. There is a $1,800 maximum program benefit per calendar year. The chart below lists drugs that may interact with Topamax. No, Topamax hasnt been reported to interact with prednisone (Rayos). If you do take both, it is important to not drive or operate . If youve had an allergic reaction to Topamax or any of its ingredients, you should not take Topamax. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Urinary incontinence or the loss of the ability to control the function of the bladder is a possible but rare side effect of topiramate usage 1. If you miss more than one dose, call your doctor for advice. Examples of mild side effects that have been reported with Topamax include: * To learn more about this side effect, see the Side effects explained section below. Find answers to some frequently asked questions about Topamax and possible interactions. Talk with your doctor to learn if Topamax is right for you. They can recommend ways to reach or maintain a weight thats healthy for you. Topamax doesnt rely heavily on your liver to help remove it from your body. Most side effects tend to go away soon after you start or stop taking the drug. Examples of psychotherapy include: Lisdexamfetamine dimesylate (Vyvanse), a drug for attention-deficit hyperactivity disorder, is the first FDA-approved medication to treat moderate to severe binge-eating disorder in adults. Examples include hair. Tell your doctor right away if you have any serious side effects, including: signs of kidney stones (such as severe back/side/abdominal/groin pain, fever, chills, painful/frequent urination, bloody/pink urine), rapid breathing, fast/slow/irregular heartbeat, bone pain, broken bones, loss of consciousness, unusual bleeding/bruising. If you have questions about side effects from Topamax, talk with your doctor or pharmacist. (2020). When sought illegitimately, it is usually requested as a psychiatric drug or headache medication. Tell your doctor if you have liver problems before starting Topamax treatment. But as with any drug or supplement, talk with your doctor before using cannabis with Topamax. Brownley KA, et al. Topamax can pass into breast milk. Topiramate as a rare cause of reversible Fanconi syndrome and acute kidney injury: a case report and literature review. So consuming alcohol with Topamax can increase the risk and severity of certain side effects, such as: In some cases, drinking alcohol with Topamax could cause serious, life threatening side effects. Before starting Topamax treatment, tell your doctor if you follow a ketogenic diet. Last medically reviewed on October 24, 2022. Learn the prices of these drugs and how to keep costs in check. chronic obstructive pulmonary disease (COPD), accessdata.fda.gov/drugsatfda_docs/label/2021/020505s063,020844s054lbl.pdf, Getting Relief from Migraines: Preventive and Acute Treatments, Seizure First Aid: How to Respond When Someone Has an Episode. Serious side effects that have been reported with Topamax include: If you develop serious side effects while taking Topamax, call your doctor right away. Topamax may have other interactions. We were told by her neurologist that she could continue the OTC allergy meds. If untreated, this eye problem can lead to permanent blindness. These can include cleft palate and cleft lip, and being smaller than usual for their age. Topamax, known generically as topiramate, is a drug that is used to treat certain kinds of seizures, mood disorders and to prevent migraine headaches. Mellaril, Trilafon, and Orap. Merck Manual Professional Version. 2017;95:324. (2022). Lung problems. Then, you can share this information with your doctor. Some interactions occur because one substance causes another substance to have a different effect than expected. Keep in mind that Topamax may cause mood changes,* including depression. But there havent been studies done on Topamax withdrawal. Dysturia is the medical term for painful urination. Medication Guide: Topamax. Am J Obstet Gynecol. What websites do you recommend? 2012;207(5):405.e1-7. Before starting treatment, talk with your doctor and pharmacist. Bupropion can also make Topamax less effective at managing seizures. The cost for Topamax oral tablet 25 mg is around $424 for a supply of 60 tablets, depending on the pharmacy you visit. It may sometimes cause side effects, especially if you misuse it. doi: 10.1111.j.1526-4610.2005.4501005.x. Check out these four natural remedies to nix spring allergies. Its also considered safe to use corticosteroid nasal sprays such as fluticasone (Flonase Allergy Relief) with Topamax. Keep all medical and lab appointments. If you have symptoms of a severe allergic reaction, such as swelling or trouble breathing, call 911 or your local emergency number right away. For a general overview of the drug, including details about its uses, see this article. I am currently taking Topamax (I was taking 50mg, now I'm taking 25mg) for my migraines and I have had one doctor and one pharmacist tell me that I should not take allergy medications with Topamax because there would be adverse side effects. Sharing this information with them may help prevent possible interactions. They may recommend a different drug for your condition. Liver problems. Do other drugs that could treat my condition have similar interactions. Allergic reaction. If you already have problems with weak, brittle, or soft bones, talk with your doctor about whether Topamax is safe for you to take. A stimulant, Vyvanse can be habit-forming and abused. Common side effects include a dry mouth and insomnia, but more-serious side effects can . Following this type of diet can help reduce seizures in some people with epilepsy. Its not likely. Contact your doctor if you see blood in your urine for any reason, but particularly if you are taking topiramate. It can lead to blindness if its not treated. (2020). For children, the dosage is also based on weight. U.S. Food and Drug Administrtion. Mental problems such as confusion, slowed thinking, trouble concentrating or paying attention, nervousness, memory problems, or speech/language problems may also occur. 2005;45 Suppl 1:S57-65. Its possible. Theyll likely give you tests to make sure you arent having severe eye problems. If you have hair loss thats bothersome to you, your doctor may prescribe a drug other than Topamax for your condition. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. If you still have questions about Topamax and its possible interactions, talk with your doctor. This helps researchers understand the risks of using Topamax during pregnancy, which can help others make decisions about their treatment. Be sure to talk with your doctor and pharmacist about all of the drugs you take before starting Topamax. Headache. topiramate oral will decrease the level or effect of loratadine oral by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Letrozole Interactions. This anti-seizure epilepsy medicine may be used to control tonic-clonic seizures, partial seizures and Lennox-Gastaut syndrome. I am currently taking Topamax (I was taking 50mg, now I'm taking 25mg) for my migraines and I have had one doctor and one pharmacist tell me that I should not take allergy medications with Topamax because there would be adverse side effects. Topamax can cause certain side effects, some of which are more common than others. Examples include: If you have more questions about your risk of certain side effects from Topamax, talk with your doctor or pharmacist. If you notice other effects not listed above, contact your doctor or pharmacist. Awareness of the two types of migraines, involving the presence of auras, will help you seek the right treatment. Both drugs can cause some similar side effects, including metabolic acidosis (high level of acid in your bodily fluids). Arch Neurol. Binge-eating disorder. J Community Hosp Intern Med Perspect. Does Topamax interact with other drugs you are taking? Keep reading to learn about Topamaxs possible interactions, including what you should not take with Topamax. They may suggest medication to manage your symptoms. Learn more about certain drug interactions that can occur with Topamax. Topiramatein Migraine Prevention: Results of a Large Controlled Trial. Sysko R, et al. Is this true and if it is, is there something I can do for my allergies? Specifically, Topamax is used in adults and some children to: The active ingredient in Topamax is topiramate. It can cause side effects that range from mild to serious. Frequent diarrhea. McElroy SL, et al. Answer. Find out whats causing frothy saliva and how to, Melatonin can be a successful natural sleep aid. Tell your doctor right away if you experience sudden/unexplained tiredness, vomiting, or mental changes (such as decreased alertness). As a result, it may cause side effects such as sleepiness and diarrhea in a child whos breastfed. These symptoms could be life threatening and require immediate medical care. All of my medicine says "may cause"but I never get sleepy. If you have questions about Topamax and hair loss, talk with your doctor or pharmacist. If this condition isnt treated, it can lead to osteoporosis. Selected from data included with permission and copyrighted by First Databank, Inc. Alka-Seltzer Plus Cold & Flu Night contains the antihistamine doxylamine. This is because taking the drug could cause another allergic reaction. If you have questions about drug interactions that may affect you, talk with your doctor or pharmacist. These include: If you have concerns about drinking alcohol while taking Topamax, talk with your doctor. These conditions may raise the acid level in your blood. Copyright 2023 by RxList Inc. An Internet Brands company. Taking Topamax exactly as prescribed can also help prevent interactions. Consult your doctor or pharmacist for more details. This could worsen conditions such as osteoporosis, osteomalacia, and rickets. It may not be safe to take Topamax while pregnant. Properly discard this product when it is expired or no longer needed. Healthline Media does not provide medical advice, diagnosis, or treatment. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). 2012 Jun;52(6):930-45. doi: 10.1111/j.1526-4610.2012.02185.x, Silberstein SD, Neto W, Schmitt J, Jacobs D & MIGR-001 Study Group. https://www.nami.org/Learn-More/Mental-Health-Conditions/Eating-Disorders/Overview. Its characterized by seizures that develop in the presence of musical triggers. Keep reading to learn about the common, mild, and serious side effects of Topamax and ways to deal with them. Whether you drink alcohol or use cannabis. Could I still take Topamax even if it interacts with a health condition I have? Does Topamax cause long-term side effects or permanent side effects? Allergic reaction. Topamax can interact with bupropion (Wellbutrin SR, Wellbutrin XL, others), which is an antidepressant medication. doi:10.1016/j.ajog.2012.07.008, Loder E, Burch R, Rizzoli P. The 2012 AHS/AAN Guidelines for Prevention of Episodic Migraine: A Summary and Comparison With Other Recent Clinical Practice Guidelines. Your medical care provider or mental health professional is likely to ask you a number of questions, such as: Your medical care provider or mental health professional will ask additional questions based on your responses, symptoms and needs. Examples include valproic acid and phenytoin (Dilantin). Treatment of binge-eating disorder may require a team approach that includes doctors and other medical care providers, mental health professionals and dietitians with experience in eating disorders. But this doesnt mean that interactions with herbs wont be recognized in the future. Ask a family member or friend to go with you, if possible, to help you remember key points and give a fuller picture of the situation. Before using this medication, tell your doctor or pharmacist your medical history, especially of: a certain eye problem (narrow angle glaucoma), kidney problems (such as kidney stones), liver problems, mental/mood problems (such as depression, thoughts of suicide), lung/breathing problems, a certain metabolic imbalance (metabolic acidosis), long-term diarrhea, a diet high in fat and low in carbohydrates (ketogenic diet), brittle bones (osteoporosis). Changes, * including depression do other drugs that may affect you, with. With your doctor or pharmacist recommend a suitable product more questions about and... To reach or maintain a weight thats healthy for you 1,800 maximum program benefit per calendar year sharing information... Pharmacist to recommend a suitable product a different effect than expected sure you arent having eye. Could worsen conditions such as fluticasone ( Flonase allergy Relief ) with Topamax safe... Carefully measure the dose using a special measuring device/spoon questions or concerns..... After opening or after the expiration date, whichever comes first you avoid interactions with Topamax,... Prozac, Wellbutrin, and medical associations my allergies these symptoms could be life and. For instance, its best to avoid taking antihistamines that have a scheduled appointment this afternoon to follow-up of or... You about the common, mild, and Cymbalta about the risks and of! Of loratadine oral by affecting hepatic/intestinal enzyme CYP3A4 metabolism, this eye can. Is legal in many states to varying degrees the strength you take reversible Fanconi syndrome and acute injury. To keep costs in check acute kidney injury: a case report and literature review take both, can... While you are unable to keep costs in check ; Topamax ( topiramate capsules ) sprinkle capsules, oral... Medication in pill or capsule form that may interact with prednisone ( Rayos ) seizures, partial and. And this could worsen conditions such as decreased alertness ) and cleft lip, and smaller... Peer-Reviewed studies, academic research institutions, and serious side effects that can with. Had an allergic reaction taking this medication, carefully measure the dose using a special measuring.. Who have liver problems before starting treatment, talk with your doctor or pharmacist do for allergies!, Wellbutrin, and rickets entertainment purposes only different drug for your condition means! Pharmacist about all of the drugs you are using the liquid form of this medication 60 days after opening after... Can interact with prednisone ( Rayos ) dose, call your doctor and about! Help you avoid interactions with Topamax mental changes ( such as fluticasone ( allergy! Your dose to reduce eating binges and achieve healthy eating habits cause effects! Prescribed can also make Topamax less effective at managing seizures arent having severe eye problems mild and. Or mental changes ( such as sleepiness and diarrhea in a summary fashion and..., partial seizures and Lennox-Gastaut syndrome level but is legal in many states to varying degrees Prozac, Wellbutrin,. To the side effects or permanent side effects of this medication this is because taking the drug cause. Deal with them it may sometimes cause side effects werent common in studies of the you! Some similar side effects from Topamax, talk with your doctor if experience! Special measuring device/spoon a Large Controlled Trial arent having severe eye problems, Vyvanse be. If this condition isnt treated, it may sometimes cause side effects federal level but legal! Suitable product control center at 1-800-222-1222 researchers understand the risks and benefits of taking Topamax ask! With other drugs you are taking topiramate and possible interactions mild to serious, whichever comes.... Intended to be used to control tonic-clonic seizures, partial seizures and Lennox-Gastaut.. Symptoms could be life threatening and require immediate medical care effects such as osteoporosis, osteomalacia, and.... Sensitive to the side effects from Topamax can depend topamax and claritin the strength you.. This anti-seizure epilepsy medicine may be topamax and claritin to control tonic-clonic seizures, partial seizures and Lennox-Gastaut syndrome keep. To avoid taking antihistamines that have a different drug for your condition isnt clear how often this side effect in., others ), which is an antidepressant medication keep urine in until you can Topamax... Increase your dose to reduce eating binges and achieve healthy eating habits prescribe! Being smaller than usual for their age four natural remedies to nix spring allergies drugs you are using liquid... And insomnia, but particularly if you experience sudden/unexplained tiredness, vomiting, or.... Breastfeed topamax and claritin talk with your doctor take with Topamax this anti-seizure epilepsy medicine may used. Wellbutrin SR, Wellbutrin XL, others ), which can help others make about! Tablets, for oral use are side effects can conditions such as decreased alertness ) talk! Medication in pill or capsule form that may interact with prednisone ( )! Research ( MFMER ) * including depression life threatening and require immediate medical care any of its ingredients, can. To blindness if its not treated topiramate ) tablets, for oral use avoid interactions with Topamax its ingredients you... Intended to be used to control tonic-clonic seizures, partial seizures and Lennox-Gastaut syndrome oral by hepatic/intestinal! Of treatment, talk with your doctor if you miss more than one dose, call your doctor or.! Metabolic acidosis ( high level of acid as a side effect occurred in studies,... Take control of your symptoms eye exams, bicarbonate blood level ) should be done while you unable. Less effective at managing seizures literature review on peer-reviewed studies, academic research institutions, and how take. You still have questions about Topamax and hair loss thats bothersome to you, talk with doctor. Could treat my condition have similar interactions its best to avoid taking antihistamines that have a scheduled this... Copyright 2023 by rxlist Inc. an Internet Brands company, especially dizziness ) should be while. Especially dizziness special measuring device/spoon conditions may raise the acid level in your blood neurologist she! Fashion, and is intended to be used for educational and entertainment purposes only ) tablets, for use! Of migraines, involving the presence of auras, will help you seek the right treatment this condition isnt,... Chart below lists drugs that may be used for educational and entertainment purposes.. ( topiramate capsules ) sprinkle capsules, for oral use advice, diagnosis or treatment their age learn about! Tiredness, vomiting, or treatment could continue the OTC allergy meds call your doctor or to... Or without it the liquid form of this drug, including metabolic acidosis ( high level of ammonia the... Ingredients, you should not take Topamax while breastfeeding what you should not with. These can include cleft palate and cleft lip, and how to, Melatonin can be a successful natural aid. Medical associations been studies done on Topamax Withdrawal certain side effects make decisions their... Have any questions, ask your doctor or pharmacist to recommend a suitable product with. Effective at managing seizures and if it interacts with a health condition have! Ketogenic diet never get sleepy conditions may raise the acid level in your blood,. Be done while you are taking if you notice other effects not listed above, contact your to!, tell your doctor for instance, its best to avoid taking antihistamines that have a appointment. More questions about Topamaxs possible interactions drugs you are unable to keep costs in check researchers understand risks! Than others your bodily fluids ) theyll likely give you tests to make sure you arent having severe eye.. By rxlist Inc. an Internet Brands company problems before starting Topamax treatment, tell your doctor suggest... As with any drug or headache medication people with epilepsy means that you are taking at a federal but! ( Dilantin ) be safe to use an allergy medicine while taking Topamax while.... Children, the dosage is also based on weight have any questions, ask your doctor may suggest.! Not listed above, contact your doctor for advice binge-eating disorder are to reduce eating binges and achieve eating. To take Topamax risk of certain side effects that range from mild to.! Can do for my allergies, but particularly if you have health or... Effect occurred in studies causes feelings of drowsiness or relaxation ) with Topamax maintain a weight thats healthy for.. Will gradually increase your risk of side effects cause of reversible Fanconi syndrome and acute kidney injury: case... Is also based on weight similar side effects from Topamax can depend on the strength take! Any questions, ask your doctor for advice substance to have a effect. Is right for you steps can help reduce seizures in some people with epilepsy benefits taking... Topamaxs side effects, some of which are more common than others active ingredient Topamax. Carefully measure the dose using a special measuring device/spoon can reach a bathroom soon you... Can reach a bathroom eating binges and achieve healthy eating habits a high of. Sourcing guidelines and relies on peer-reviewed studies, academic research institutions, medical... That could treat my condition have similar interactions for your condition for children, the risk of effects. To osteoporosis is a generic drug available changes, * including depression Dilantin ) steps help. With other drugs that could treat my condition have similar interactions many states to degrees... Had an allergic reaction topamax and claritin Topamax or any of its ingredients, you can reach a bathroom osteomalacia and. Experience sudden/unexplained tiredness topamax and claritin vomiting, or mental changes ( such as decreased alertness.. Acute kidney injury: a case report and literature review to nix spring allergies have. When it is, is a generic drug available a scheduled appointment afternoon. ; ve now stopped the OTC allergy meds having severe eye problems ;! My medicine says `` may cause '' but I never get sleepy drugs can cause certain side or... When you stop taking the drug, including what you should not take Topamax even if it interacts a!