Topamax and lexapro treatment - Drug and food interactions
The initial dose for Topiramate should be either This dose increases by A typical final dosage is between and mg per day, although some patients benefit from no more than 50 mg. The case of PTSD entails a final dose of approximately mg per day and generally not exceeding mg per day.
Are there any special problems prescribing Topiramate for people taking lithium, carbamazepine Tegretol , or valproate Depakene, Depakote? There are no known interactions between Topiramate and lithium.
However, carbamazepine can lower the blood-plasma level of Topiramate by 50 percent and valproate can lower it by 15 percent. Topiramate itself can lower the blood-plasma level of valproate by 10 percent. Thus far, there are no known interactions for patients taking Topiramate and either lamotrigine or gabapentin.
What final doses of Topiramate are typical and what doses are appropriate for different disorders? The final doses of Topiramate vary widely based on the targeted disorder, the patient, and whether or not the patient is taking any other drugs at the same time. The most common doses fall between 50 and mg a day for most therapies, but this can be lower for PTSD. Higher final doses may be required if Topiramate is being taken alone, up to mg a day.
Some patients experience relief with only 25 mg a day. How long until the patient feels the effects of Topiramate? Talk to your doctor if you are using marijuana. This medication may make you sweat less, making you more likely to get heat stroke. Avoid doing things that may cause you to overheat, such as hard work or exercise in hot weather, or using hot tubs.
When the weather is hot, drink a lot of fluids and dress lightly. If you overheat, quickly look for a place to cool down and rest. Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs , nonprescription drugs, and herbal products.
Children may be more sensitive to the side effects of this drug, especially weakened bones, slowed growth rate, and decreased sweating.
Consult your doctor or pharmacist for more details. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at Overdose symptoms may include drowsiness, agitation , depression, double vision, thinking problems, problems with speech or coordination, fainting, and seizure convulsions. What should I avoid while taking Topamax?
Do not drink alcohol. Dangerous side effects or increased seizures may occur. Topamax and alcohol in more detail Avoid becoming overheated or dehydrated in hot weather. Topiramate can decrease sweating and increase body temperature, leading to life-threatening dehydration especially in children.
Ketogenic or "ketosis" diets that are high in fat and low in carbohydrates can increase the risk of kidney stones. Avoid the use of such diets while you are taking Topamax. Topiramate may cause blurred vision or impair your thinking or reactions.
Avoid driving or operating machinery until you know how this medicine will affect you. Also avoid activities that could be dangerous if you have an unexpected seizure, such as swimming or climbing in high places. Topamax side effects Get emergency medical help if you have signs of an allergic reaction to Topamax: Report any new or worsening mood symptoms to your doctor, such as: Call your doctor at once if you have: Common Topamax side effects may include: This is not a complete list of side effects and others may occur.
Call your doctor for medical advice about side effects. Side effects in more detail What other drugs will affect Topamax? Taking Topamax with other drugs that make you sleepy can worsen this effect.
Ask your doctor before taking a sleeping pill, opioid pain medication, muscle relaxer, or medicine for anxiety or depression. Tell your doctor about all your current medicines and any you start or stop using, especially:
Migraine - Headache
Topamax can be taken with or without food. Do not take this medicine in larger or smaller treatments or for longer than recommended. There may be other seizure medicine that can be more safely and during pregnancy. Follow all directions on your prescription label. What dosage is appropriate for starting a course of Topiramate? Which disorders has Topiramate been most successful in controlling so far? Tell your doctor right away if you become pregnant. This can weaken your bones, topamax and lexapro treatment, cause kidney stones, or cause growth problems in children or harm to an unborn baby. For rapid cycling or mixed bipolar states, there topamax some cases where Topiramate is effective when these other two drugs are not. Follow your doctor's instructions about tapering your dose. Topiramate can pass into breast milk. Tell your doctor about all your current medicines and any you lexapro or stop using, especially:
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