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Topamax (Topiramate)

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Topamax (Topiramate) is an anticonvulsant used with other medicines to control certain types of seizures.

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About Topamax (Topiramate):

Product Type: Anti Convulsants

Brand name: Topamax Generic name: Topiramate What is the most important information I should know about Topamax? • Seek immediate medical attention if you experience blurred vision changes in vision or pain in or around the eyes during treatment with Topamax. These may be early signs of a serious side effect. • Do not stop taking Topamax without first talking to your doctor even if your symptoms have improved. It is important to continue taking Topamax to prevent seizures from recurring. • Carry or wear a medical identification tag to let others know that you are taking Topamax in the case of an emergency. • Use caution when driving operating machinery or performing other hazardous activities. Topamax may cause dizziness or drowsiness. If you experience dizziness or drowsiness avoid these activities. • Alcohol should be avoided while taking Topamax. Alcohol may cause increased sedation or drowsiness. It may also increase the risk of having a seizure. • Unless otherwise directed by your doctor drink several extra glasses of fluid each day during treatment with Topamax to minimize the risk of side effects such as kidney stone formation and metabolic acidosis (a decrease in a certain electrolyte in the body). Additional fluid may be necessary during hot weather vigorous exercise and illness (e.g. fever vomiting diarrhea). • Decreased sweating and high body temperature have been associated with the use of Topamax. These side effects may be dangerous. Avoid becoming overheated in hot weather and during vigorous exercise monitor sweating and drink plenty of fluid to maintain hydration. If sweating is decreased or body temperature is elevated contact your doctor. What is Topamax? • The exact way that Topamax works is unknown. However it is believed that Topamax alters the chemical impulses in the brain that cause seizures. • Topamax is used with other medications to control seizures. Topamax is also used to prevent migraine headaches. • Topamax may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Topamax? • Before taking Topamax tell your doctor if you have kidney disease or a history of kidney stones; have liver disease; have lung or respiratory disease such as asthma emphysema or bronchitis; or need to have surgery. • You may not be able to take Topamax or you may require a dosage adjustment or special monitoring during treatment • Topamax is in the FDA pregnancy category C. This means that it is not known whether Topamax will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or if you could become pregnant during treatment. • It is not known whether Topamax passes into breast milk. Do not take Topamax without first talking to your doctor if you are breast-feeding a baby. How should I take Topamax? • Take Topamax exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you. • Take each dose of Topamax with a full glass of water. • The tablets should be swallowed whole. Due to their bitter taste the tablets should not be broken. • The capsules may be swallowed whole or opened to facilitate swallowing. If the capsules are opened the entire contents of the capsule should be sprinkled onto a small amount (teaspoon) of soft food (e.g. applesauce custard ice cream oatmeal pudding yogurt). This drug/ food mixture should be swallowed immediately without chewing. The mixture should not be stored for future use. If the mixture is combined in a small container add some water to the container after the dose has been taken and drink the water to ensure the whole dose has been taken. • Topamax can be taken with or without food. • It is important to take Topamax regularly to get the most benefit. • Carry or wear a medical identification tag to let others know that you are taking this medicine in the case of an emergency. • Do not stop taking Topamax without first talking to your doctor even if your symptoms have improved. It is important to continue taking Topamax to prevent seizures from recurring. • Unless otherwise directed by your doctor drink several extra glasses of fluid each day during treatment with Topamax to minimize the risk of side effects such as kidney stone formation and metabolic acidosis (a decrease in a certain electrolyte in the body). Additional fluid may be necessary during hot weather vigorous exercise and illness (e.g. fever vomiting diarrhea). • Your doctor may want you to have blood tests or other medical evaluations during treatment with Topamax to monitor progress and side effects. • Store Topamax at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. However if it is almost time for the next dose skip the dose you missed and take only the next regularly scheduled dose. Do not take a double dose of this medication. What happens if I overdose? • Seek emergency medical treatment if an overdose is suspected. • Symptoms of a Topamax overdose are not known but may include severe drowsiness poor coordination tremor confusion difficulty speaking and nausea. What should I avoid while taking Topamax? • Use caution when driving operating machinery or performing other hazardous activities. Topamax may cause dizziness or drowsiness. If you experience dizziness or drowsiness avoid these activities. • Alcohol should be avoided while taking Topamax. Alcohol may cause increased sedation or drowsiness. It may also increase the risk of having a seizure. • Unless otherwise directed by your doctor drink several extra glasses of fluid each day during treatment with Topamax to minimize the risk of side effects such as kidney stone formation and metabolic acidosis (a decrease in a certain electrolyte in the body). Additional fluid may be necessary during hot weather vigorous exercise and illness (e.g. fever vomiting diarrhea). • Ketogenic diets (high protein very low carbohydrate diets that may induce ketosis) may increase the risk of kidney stone formation and should be avoided during treatment with Topamax. • Decreased sweating and high body temperature have been associated with the use of Topamax. These side effects may be dangerous. Avoid becoming overheated in hot weather and during vigorous exercise monitor sweating and drink plenty of fluid to maintain hydration. If sweating is decreased or body temperature is elevated contact your doctor. • Tell your doctor and dentist that you are taking Topamax before having any type of surgery. What are the possible side effects of Topamax? • Seek immediate medical attention if you experience blurred vision changes in vision or pain in or around the eyes during treatment with Topamax. These may be early signs of a serious side effect. • If you experience any of the following serious side effects stop taking Topamax and seek emergency medical attention or contact your doctor immediately: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips tongue or face; or hives); worsening of seizures; metabolic acidosis (a high acidity of the blood that may be detected by blood tests). Symptoms of metabolic acidosis include increased rate of breathing decreased appetite and irregular heartbeats; decreased sweating; fever or increased body temperature; or side or low back pain or painful or difficult urination (may indicate kidney stones). • Other less serious side effects may be more likely to occur. Continue to take Topamax and talk to your doctor if you experience dizziness poor coordination sluggishness or drowsiness; irregular back-and-forth movements of the eyes; nausea decreased appetite or weight loss; tremor numbness or tingling; confusion difficulty concentrating or decreased memory; speech or language difficulties; or changes in behavior depression nervousness or agitation. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Topamax? • Before taking Topamax tell your doctor if you are taking any of the following medicines: another seizure medication such as valproic acid (Depakote Depakene) carbamazepine (Tegretol Carbatrol Epitol) phenytoin (Dilantin) and others; a carbonic anhydrase inhibitor such as acetazolamide (Diamox) methazolamide (Neptazane) or dichlorphenamide (Daranide); metformin (Glucophage Fortamet); or digoxin (Lanoxin Lanoxicaps). • You may not be able to take Topamax or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the drugs listed above. • Topamax may decrease the effectiveness of certain birth control pills. Talk to your doctor about other birth control options to prevent unintended pregnancy. • Topamax may increase the effects of other drugs that cause drowsiness including antidepressants alcohol antihistamines pain relievers sedative (sleep aids) anxiety medicines and muscle relaxants. Dangerous sedation dizziness or drowsiness may occur if Topamax is taken with any of these medications. • Drugs other than those listed here may also interact with Topamax. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including vitamins minerals and herbal products.

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Discount Prescription Drugs & Pain Medicine: Anaprox (Naproxen) Anaprox (Naproxen) is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and swelling (inflammation). It is also used to treat headaches muscle aches backaches etc. Buy Anaprox (Naproxen) and other Pain Medicine products online at Medstore. About Anaprox (Naproxen): Product Type: Pain Medicine Brand name: Anaprox Generic name: Naproxen What is anaprox? Naproxen is in a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Naproxen works by reducing hormones that cause inflammation and pain in the body. Naproxen is used to treat pain or inflammation caused by conditions such as arthritis ankylosing spondylitis tendinitis bursitis gout or menstrual cramps. Naproxen may also be used for purposes other than those listed in this medication guide. What is the most important information I should know about anaprox? This medicine can increase your risk of life-threatening heart or circulation problems including heart attack or stroke. This risk will increase the longer you use anaprox. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). Seek emergency medical help if you have symptoms of heart or circulation problems such as chest pain weakness shortness of breath slurred speech or problems with vision or balance. This medicine can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking anaprox. Older adults may have an even greater risk of these serious gastrointestinal side effects. Call your doctor at once if you have symptoms of bleeding in your stomach or intestines. This includes black bloody or tarry stools or coughing up blood or vomit that looks like coffee grounds. Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Naproxen can make your skin more sensitive to sunlight and sunburn may result. What should I discuss with my healthcare provider before taking anaprox? Taking an NSAID can increase your risk of life-threatening heart or circulation problems including heart attack or stroke. This risk will increase the longer you use an NSAID. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). NSAIDs can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking an NSAID. Older adults may have an even greater risk of these serious gastrointestinal side effects. Do not use this medication if you are allergic to anaprox or if you have a history of allergic reaction to aspirin or other NSAIDs. Before taking anaprox tell your doctor if you are allergic to any drugs or if you have: • a history of heart attack stroke or blood clot; • heart disease congestive heart failure high blood pressure; • a history of stomach ulcers or bleeding; • liver or kidney disease; • asthma; • polyps in your nose; • a bleeding or blood clotting disorder; or • if you smoke. If you have any of these conditions you may not be able to use anaprox or you may need a dosage adjustment or special tests during treatment. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Taking anaprox during the last 3 months of pregnancy may result in birth defects. Do not take anaprox during pregnancy unless your doctor has told you to. Naproxen can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medicine to a child younger than 2 years old without the advice of a doctor. How should I take anaprox? Take this medication exactly as directed on the label or as it has been prescribed by your doctor. Do not use the medication in larger amounts or use it for longer than recommended. EC-Naprosyn is a slower-acting form of anaprox and this brand should be used only for treating arthritis or ankylosing spondylitis. Follow your doctor's instructions. Do not crush chew or break an extended-release or enteric-coated tablet. Swallow the pill whole. The extended-release pill is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time. The enteric-coated pill has a special coating to protect your stomach. Breaking the pill could damage this coating. Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose measure the liquid with a marked measuring spoon or medicine cup not with a regular table spoon. If you do not have a dose-measuring device ask your pharmacist for one. If you take anaprox for a long period of time your doctor may want to check you on a regular basis to make sure this medication is not causing harmful effects. Do not miss any scheduled visits to your doctor. Store anaprox at room temperature away from moisture and heat. What happens if I miss a dose? Since anaprox is sometimes taken as needed you may not be on a dosing schedule. If you are taking the medication regularly take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a anaprox overdose may include nausea vomiting stomach pain confusion drowsiness black or bloody stools coughing up blood shallow breathing fainting or coma. What should I avoid while taking anaprox? Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid prolonged exposure to sunlight. Naproxen may increase the sensitivity of the skin to sunlight. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable. Naproxen side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. Stop taking anaprox and seek medical attention or call your doctor at once if you have any of these serious side effects: • chest pain weakness shortness of breath slurred speech problems with vision or balance; • black bloody or tarry stools; • coughing up blood or vomit that looks like coffee grounds; • swelling or rapid weight gain; • urinating less than usual or not at all; • nausea stomach pain low fever loss of appetite dark urine clay-colored stools jaundice (yellowing of the skin or eyes); • fever sore throat and headache with a severe blistering peeling and red skin rash; • bruising severe tingling numbness pain muscle weakness; or • fever headache neck stiffness chills increased sensitivity to light purple spots on the skin and/or seizure (convulsions). Keep taking anaprox and talk to your doctor if you have any of these less serious side effects: • upset stomach mild heartburn or stomach pain diarrhea constipation; • bloating gas; • dizziness headache nervousness; • skin itching or rash; • blurred vision; or • ringing in your ears. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect anaprox? 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