Topamac 25mg Tablet: Uses, Dosage, Side Effects, Price, Composition & 20 FAQs

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Topamac 25mg Tablet: Uses, Dosage, Side Effects, Price, Composition & 20 FAQs

1What is Topamac ?

Topamac tablet is a medication which is generally used to treat central nervous system disorders like seizures and migraine. Topamac tablet maybe also used in the treatment of lennox gastaut syndrome.

Topamac Composition –topiramate.
Manufactured By –Janssen India
Prescription –  it is a schedule H drug. Prescription by doctor is required.
Form – tablet  (most commonly consumed form)
Price ₹144.50 /strip
Expiry/Shelf Life – 2 months
Type of Drug –
Aticonvulsant


2Uses of Topamac

the drug topamac can be used for the following reasons:

  • Management of seizures: during seizure in a patient, the following symptoms are generally noticed – jerky movements, uncontrollable movements and multiple seizures may occur.
  • Management of migraine headaches: this disorder can cause painful headache in patients. Topamac can be used to treat migraine headaches in such patients.
  • Lennox-gastaut syndrome: occurrence of seizures occurs repeatedly in lennox-gastaut syndrome. topamac can be used in the treatment of this syndrome.

3 How does Topamac work?

  • The medicine topamac can cause anticonvulsant activity in the body by a specific set of actions. Blocking of Ion channels is done by which it causes the body to release the inhibitory chemicals.
  • This, in turn, may decrease the excitability of brain cells which causes the body to relax. Topamac is generally recommended along with the combination of another medicine. Topamac increases GABA release.
  • GABA is an inhibitory neurotransmitter. Therefore, it reduces activity in the brain and decreases the excitability.

4 How to Take Topamac?

  • Since it is a schedule H drug, it is not available without the consultation of a doctor and his or her prescribed prescription.
  • It is available in a tablet form.
  • Topamac is advice to be administered in the patient at the same time everyday followed by the instructions from your Healthcare professional.

5 Common Dosage for Topamac

  • Initially, the doctor prescribes a small amount of topamac and increases the amount gradually.
  • Take the 50 MG Tablet at a fixed time every day.
  • Starting dose for adults:50-100mg/day in 2 doses.

Q. What happens if I overdose on Topamac?

Ans. Overdosage should be taken seriously and reported immediately to the clinic. An overdose of this medication can cause symptoms like slurred speech, drowsiness and bloody vision. It should be avoided at all costs. However, consult your doctor ASAP in an event of an Overdose.

Q. What happens if I miss a dose of Topamac?

Ans. If you miss a dose of topamac do not take double doses. Skip it and go to the next one.

Q. What happens if I eat expired Topamac?

Ans. One dose of expired medication may not be harmful. However, it is always advised to check the expiry date before administration. Avoid the intake of expired medication. Results of such cases may not always be predicted.

Q. What is the onset time of Topamac?

 Ans. The effect of topamac medicine can be noticed after 1 to 2 hours of Administration. The onset of action starts from then.

Q. Till When Does the Effect of Topamac Stay?

Ans. The effects of topamac medicine can last up to an average duration of 2 to 3 days minimum.


6When to Avoid Topamac?

  • Avoid taking topamac when allergy occurs.
  • Consumption of alcohol before or after taking the medication is not recommended.
  • If patients have blood disorders like low blood count this may lead to fatal condition. please take caution.
  • Do not take this medication before an active physical performance. It may cause drowsiness and Temporary sleepiness in some patients.

7Precautions While Taking Topamac

  • take precaution while taking this medication if you have any hepatic or renal disorders.
  • It is advised not to take part in heavy physically active work. If you suffer from dehydration stay hydrated all the time and exercise caution .

Do not take topamac in the following cases

  • hypersensitivity or allergy.
  • Pregnancy and lactation.

Warnings When Taking Topamac

  • avoid taking topamac while pregnant.
  • Do not use while feeding a baby, because it is known to leach through the milk.
  • Do not stop abruptly as it can cause serious ill effects like suicidal tendencies and depression.
  • Do not use if you have renal or hepatic disorders.

8 Side-Effects of Topamac

Side Effects may be present in a minor or severe manner. However, they can be rare  or common in either case.

  • Blurred vision, slurred speech and impaired eyesight (severe)
  • drowsiness (severe)
  • and feeling of sleepiness
  • fatigue and lack of energy (severe)
  • cramps in the abdomen (severe)
  • loss of appetite( severe)
  • disorder of skin and discoloration of the skin (severe)
  • tremors and shakiness
  • constipation and shakiness
  • body pain and back pain

Are There Any Reported Allergic Reactions to Topamac?

Severe allergic reaction reported against this drug is rare. However, exercise caution and call the doctor in case of an emergency. Symptoms include the formation of hives and rashes on the skin, swelling of face, tongue and throat, drowsiness and respiratory problems.

What are the effects of Topamac on organs?

It can cause a serious effect in case of overdose or prolonged dose. High Ammonia levels can be noted. Kidney stone formation can be present. Muscle contraction occurs. Drowsiness and sleepiness can be seen. Sight impairments can occur. sweat glands have decreased secretion. Metabolic acidosis may offer. Increased in levels of acid take place in the body.

9Drug Interactions to be Careful About

One needs to be careful of certain drug interactions when consuming topamac. These may span from certain food items to other medicines to some tests which should not be taken right after consuming topamac. We explore these in detail below.

1. Food Interactions with Topamac 

There are currently no information available at this point for this particular field.

2. Medicines Interactions with Topamac

  • Topamac can cause severe reactions with clozapine
  • Topamac can cause moderate interactions with metformin, ethinyl estradiol

3. Effects of Topamac on Lab Tests

There is currently no information available at this point for this particular field.

4. Topamac’s interactions with Pre-existing Conditions/Diseases 

Avoid using topamac when you have a renal or hepatic disorder. Please consult your doctor before the intake of this medicine.

Q. Can I have Topamac with alcohol?

Ans. Alcohol intake with topamac may cause serious Side Effects. It can cause central nervous system depression. The feeling of dizziness or difficulty in concentration has been reported by patients.

Q. Any particular food item to be avoided?

Ans. There are currently no information available at this point for this particular field.

Q. Can I have Topamac when pregnant?

Ans. The use of topamac during pregnancy is not recommended. It is essential to consult with your Healthcare professional before using.

Q. Can I have Topamac when feeding a baby?

Ans. Topamac has been reported to be leached through the milk and reach the baby. Therefore, it is not advised to use topamac if pregnant.

Q. Can I drive after taking Topamac?

Ans. Topamac can induce feelings of drowsiness and difficulty in breathing. But these are temporary effects. However, it is not advised to drive or lift heavy machinery under the influence of this drug.


10Topamac Composition, Variant and Price – Buyer’s Guide

Topamac Variants Topamac Composition Topamac Price
Topamac 50mg Tablet Topiramate (50mg) Rs. 170
Topamac25mg Tablet Topiramate (25mg) Rs. 90
Topamac 100mg Tablet Topiramate (100mg) Rs. 324
Buy & Get Minimum 30% off: 1mg Coupon Code | Myra Medicine Coupon Code

Substitutes of Topamac

the substitute of the topamac medicine can be listed as follows:

  • Tmatecad 25 mg
    • Manufactured by – Cadila Pharmaceuticals Ltd
    • Price – Rs. 28.57
  • Topamate 25 mg
    • Manufactured by – Cipla Ltd
    • Price – Rs. 40.28
  • Topaz 25 mg
    • Manufactured by – Intas Pharmaceuticals Ltd
    • Price – Rs. 74
  • Topema 25 mg
    • Manufactured by – Alkem Laboratories Ltd
    • Price – Rs. 47
  • Topirol 25 mg
    • Manufactured by – Sun Pharmaceutical Industries Ltd
    • Price – Rs. 77

Storage requirements for Topamac

  • keep away from the reach of children and pets.
  • Store in a cool and dry place away from extreme temperature conditions.
  • Avoid storing in humid places.

11FAQs – 13 Important Questions Answered about Topamac

Q. What is Topamac?

Ans. Topamac tablet is a medication which is generally used to treat central nervous system disorders like seizures and migraine. Topamac tablet maybe also used in the treatment of lennox gastaut syndrome.

Q. What are the uses of Topamac?

Ans. the drug topamac can be used for the following reasons:

  • management of seizures :during seizure in a patient, the following symptoms are generally noticed – jerky movements, uncontrollable movements and multiple seizures may occur.
  • Management of migraine headaches: this disorder can cause painful headache in patients. Topamac can be used to treat migraine headaches in such patients.
  • Lennox-gastaut syndrome: occurrence of seizures occurs repeatedly in lennox-gastaut syndrome. topamac can be used in the treatment of this syndrome.

Q. What are the side effects of Topamac?

Ans.  Side Effects may be present in minor or severe manner. However, they can be rare  or common in either cases.

  • Blurred vision, slurred speech and impaired eyesight (severe)
  • drowsiness (severe)
  • and feeling of sleepiness
  • fatigue and lack of energy (severe)
  • cramps in abdomen (severe)
  • loss of appetite( severe)
  • disorder of skin and discoloration of skin (severe)
  • tremors and shakiness
  • constipation and shakiness
  • body pain and back pain

Q. How effective is Topamac?

Ans. Topamac is said to be effective in treating migraine disorder. The effect is usually seen in One to Two hours of administration of the medicine. Average affect may also last upto 2 to 3 days of time.

Q. How long does it take for Topamac to show results?

Ans. It generally takes 1 to 2 hours for the medicine to function properly. The average affect may last upto 2 to 3 days.

Q.Should Topamac be taken on an empty stomach?

Ans. Food interactions are not available with this medication. However, you can take it with or without food.

Q. Does Topamac make you drowsy?

Ans. Topamac produces a little bit of drowsiness in patients. But it is only temporary.

Q. What should be the time gap between the intake of 2 Topamac tablets?

Ans. Double dozing or Taking medications back to back can severely affect your health. There should be a gap between two medications. Consult with your doctor for the timetable of this medication. A gap of minimum 3 to 4 days is required.

Q. Should I complete the whole cycle of the medicine even if cured?

Ans. Leaving a prescribed medication Halfway can cause problems for you. Therefore, it is best to complete the whole course of medication.

Q. Does Topamac effect my menstrual cycle?

Ans. There has been no reports of topamac affecting the menstrual cycle in women. Therefore, it is safe to presume that there is none.

Q. Is Topamac safe for children?

Ans. It is safe for children but only in the prescribed amount of dosage. Give your child topamac orally ( 9 MG /KG to 4 MG/ KG).

Q. Are there any symptoms that I should consider before taking Topamac?

Ans. These are the symptoms to consider while taking topamac:

  • drowsiness and fatigue,
  • lack of energy,
  • cramps in abdomen and loss of appetite
  • disorders of the skin and its discoloration
  • impairment of the eyesight.

Q. Is Topamac legal in India?

Ans. Topamac is legal in India.


 Disclaimer – The information provided above is to the best of our research and knowledge. However, you are recommended to consult a physician before consuming the drug.

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