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Topamax Sprinkle is used to treat seizures in adults and children who are at least 2 years old. Extended-release Topamax Sprinkle requires the patient to be at least 10 years old when it’s a child’s only seizure medication. Other brands of topiramate may be used to prevent migraines.

Before starting Topamax Sprinkle, inform your doctor of your medical history, especially if you’ve had glaucoma, diabetes, kidney issues, lung issues, mood problems, liver disease, brittle bones, growth disorder, or if you have diarrhea. Do not start Topamax Sprinkle while pregnant or breast-feeding without your doctor’s approval. Contact your doctor immediately if you become pregnant. When taking topiramate, carefully follow the swallowing instructions from your doctor and the guides that come with the medicine. Drink plenty of fluids. If you undergo any medical test or procedure, tell the medical personnel beforehand. Do not stop using, even if you feel good. Contact your doctor if seizures get worse or more frequent.


Topamax Sprinkle may reduce sweating and cause life-threatening dehydration, so avoid being overheated or dehydrated and contact your doctor if you notice decreased sweating, high fever, and hot dry skin. Sometimes, patients report suicidal ideation while taking an anticonvulsant, so be aware of any unusual mood/behavior changes. Do not stop your usage abruptly. Do not use the extended-release form of this medication if you have metabolic acidosis and take metformin for diabetes. Birth control pills may be less effective while you’re on Topamax Sprinkle. Do not drink alcohol and avoid being overheated or dehydrated. Avoid ketogenic diets. Use caution when driving or doing anything that requires alertness. Avoid activities that may be dangerous if you have an unexpected seizure.

Side Effects

Topamax Sprinkle may cause vision problems. Get help right away if this happens because these problems can become permanent. Overdose symptoms may include convulsions, drowsiness, agitation, coordination problems, and more. Get emergency medical help if you encounter an overdose or allergic reaction. Contact your doctor if you experience serious effects like: vision problems, confusion, dehydration symptoms, signs of a kidney stone, signs of excessive acid levels in the blood, signs of excessive ammonia in the blood, and any mood or behavior changes, including suicidal ideation. Other effects include weight loss, fever, numbness and tingling, flushing, dizziness, mood problems, digestive problems, cold symptoms, and changes in your sense of taste. Topamax Sprinkle may interact with other drugs, so be sure to let your doctor know about other drugs you may be taking.

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