If metabolic acidosis develops and persists, consideration should be given to reducing the dose or discontinuing TOPAMAX (using dose tapering). The mean migraine headache frequency rate at baseline was approximately 5.5 migraine headaches/28 days and was similar across treatment groups. Call your doctor right away if you have a sudden decrease in vision. Selective alfa1-adrenergic antagonists are now first-line drugs in the medical management of BPH. TOPAMAX overdose has resulted in severe metabolic acidosis [see WARNINGS AND PRECAUTIONS]. Consideration should be given to stopping TOPAMAX or valproate in patients who develop hypothermia, which may be manifested by a variety of clinical abnormalities including lethargy, confusion, coma, and significant alterations in other major organ systems such as the cardiovascular and respiratory systems. Table 6: Most Common Adverse Reactions in Pooled Placebo-Controlled, Adjunctive Epilepsy Trials in Adultsa. The most common adverse reactions in the controlled clinical trial (Study 1) that occurred in adults in the 400 mg/day TOPAMAX group and at an incidence higher ( 10 %) than in the 50 mg/day group were: paresthesia, weight loss and anorexia (see Table 5). To provide you with the most relevant and helpful information, and understand which The longterm effects of this are not known. Yes, topiramate (Topamax) has been shown to cause weight loss when used for both seizure control and migraine prevention. The sprinkle formulation is bioequivalent to the immediate-release tablet formulation and, therefore, may be substituted as a therapeutic equivalent. Controlled Substances Act (CSA). Plasma clearance of topiramate decreased a mean of 26% in patients with moderate to severe hepatic impairment. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Table 13: Percent Reduction from Baseline to the Last 12 Weeks of Double-Blind Phase in Average Monthly Attack Rate: Study 13 (Intent-to-Treat Analysis Set), TOPAMAX (TOE-PA-MAX) Talk to your healthcare provider if you have questions about this risk during pregnancy. Tamsulosin Brand names: Contiflo XL, Faramsil MR, Flomaxtra XL, Pamsvax XL, Tabphyn MR Find out how tamsulosin treats symptoms of an enlarged prostate and kidney stones, and how to take it. You and your doctor will decide how long you stay on treatment. Hydration is recommended to reduce new stone formation. Following randomization, patients began the double-blind phase of treatment. This medicine will only prevent migraine headaches or reduce the number of attacks. To enroll, patients can call the toll-free number 1-888-233-2334. Limited data from 5 women with epilepsy treated with topiramate during lactation showed drug levels in milk similar to those in maternal plasma. In clinical trials for epilepsy, daily dosages were decreased in weekly intervals by 50 to 100 mg/day in adults and over a 2- to 8-week period in pediatric patients; transition was permitted to a new antiepileptic regimen when clinically indicated. Topiramate is most soluble in alkaline solutions containing sodium hydroxide or sodium phosphate and having a pH of 9 to 10. Topiramate produced a dose-related increased incidence of hyperammonemia [see WARNINGS AND PRECAUTIONS]. The primary efficacy assessment was a between-group comparison of time to first seizure during the double-blind phase. The increased risk of suicidal thoughts or behavior with AEDs was observed as early as one week after starting drug treatment with AEDs and persisted for the duration of treatment assessed. Insomnia. These eye problems can lead to permanent loss of vision if not treated. Continue reading, Trokendi XR, Topiragen, Eprontia, Qudexy XR. A drug interaction study conducted in healthy volunteers evaluated the steady-state pharmacokinetics of metformin (500 mg every 12 hours) and topiramate in plasma when metformin was given alone and when metformin and topiramate (100 mg every 12 hours) were given simultaneously. Forty-nine percent of patients had no prior AED treatment and 17% had a diagnosis of epilepsy for greater than 24 months. In the double-blind placebo-controlled studies, adverse reactions led to discontinuation of treatment in 8% of placebo patients compared with 6% of TOPAMAX-treated patients. If you take too much TOPAMAX, call your healthcare provider right away or go to the nearest emergency room. When topiramate (0, 30, 90, and 300 mg/kg/day) was administered orally to rats during the juvenile period of development (postnatal days 12 to 50), bone growth plate thickness was reduced in males at the highest dose. Avoid driving or hazardous activity until you know how this medicine will affect you. Avoid becoming overheated or dehydrated in hot weather. TOPAMAX (topiramate) Tablets are available as 25 mg, 50 mg, 100 mg, and 200 mg round tablets for oral administration. In the sixth study (Study 7), the 25 or 50 mg/day initial doses of topiramate were followed by respective weekly increments of 25 or 50 mg/day until the target dose of 200 mg/day was reached. dutasteride 0.5 mg-tamsulosin ER 0.4 mg capsule ext.release 24hr mphas Color: white,blue Shape: oblong Imprint: C280 0.5/0.4 This medicine is a orange brown, oblong, capsule imprinted with "GS 7CZ". Drug class: Carbonic anhydrase inhibitor anticonvulsants. Metabolic acidosis can happen with or without symptoms. SGA has been observed at all doses and appears to be dose-dependent. a blockage of fluid in the eye causing increased pressure in the eye (secondary angle closure. Like other antiepileptic drugs, TOPAMAX may cause suicidal thoughts or actions in a very small number of people, about 1 in 500. The steady-state pharmacokinetics of HCTZ were not significantly influenced by the concomitant administration of topiramate. The significance of these findings is uncertain. Should suicidal thoughts and behavior emerge during treatment, the prescriber needs to consider whether the emergence of these symptoms in any given patient may be related to the illness being treated. Based upon tolerability and clinical response, additional titration to a higher dose (up to the maximum maintenance dose) can be attempted at 25-50 mg/day weekly increments. TOPAMAX Tablets are available as debossed, coated, round tablets in the following strengths and colors: 25 mg cream (debossed OMN on one side; 25 on the other), 50 mg light-yellow (debossed OMN on one side; 50 on the other), 100 mg yellow (debossed OMN on one side; 100 on the other), 200 mg salmon (debossed OMN on one side; 200 on the other). In some patients, hyperammonemia can be asymptomatic. You may report side effects to FDA at 1-800-FDA-1088. Your doctor should check your progress at regular visits. Tamsulosin helps relax the muscles in the prostate and the opening of the bladder. Topamax can be taken with or without food. This dataset contained data from 1217 subjects including 258 pediatric patients age 2 to <16 years (95 pediatric patients <10 years of age). Warnings You should not take alfuzosin if you have moderate to severe liver disease. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Do not save it for later use. Anticonvulsant. Side Effects Some w omen experience dizziness when taking tamsulosin. If you have cataract surgery, tell the surgeon you use this medicine . In the pediatric trials (12 to 17 years of age) in which patients were randomized to placebo or a fixed daily dose of TOPAMAX, the most common adverse reactions with TOPAMAX that were seen at an incidence higher (5%) than in the placebo group were: paresthesia, upper respiratory tract infection, anorexia, and abdominal pain [see ADVERSE REACTIONS]. Some of these drugs, including Topamax, can also prevent migraine headaches.. Breastfed babies may be sleepy or have diarrhea. For people ages 12 and older, the recommended total daily dose for preventing migraines is 100 mg per day, divided into two doses. The finding of increased risk with AEDs of varying mechanisms of action and across a range of indications suggests that the risk applies to all AEDs used for any indication. vision problems, blurred vision, eye pain or redness, sudden vision loss (can be permanent if not treated quickly); confusion, problems with thinking or memory, trouble concentrating, problems with speech; dehydration symptoms--decreased sweating, high fever, hot and dry skin; signs of a kidney stone--severe pain in your side or lower back, painful or difficult urination; signs of too much acid in your blood--irregular heartbeats, feeling tired, loss of appetite, trouble thinking, feeling short of breath; or. Some people may need to be hospitalized for this condition. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Does tamsulosin interact with my other drugs? Do not take two doses at one time. In pooled, controlled clinical trials in pediatric patients (2 to 15 years of age) with partial-onset seizures, primary generalized tonic-clonic seizures, or Lennox-Gastaut syndrome, 98 patients received adjunctive therapy with TOPAMAX at dosages of 5 to 9 mg/kg/day (recommended dose range) and 101 patients received placebo. Important Safety Information BPH can occur with other more serious conditions, including prostate cancer. As described above, a global improvement in seizure severity was also assessed in the Lennox-Gastaut trial. Based on limited information, topiramate has also been associated with pre-term labor and premature delivery. This medicine is available only with your doctor's prescription. Patients who experienced at least three primary generalized tonic-clonic seizures during the baseline phase were randomly assigned to placebo or TOPAMAX in addition to their other AEDs. Notable changes (increases and decreases) from baseline in systolic blood pressure, diastolic blood pressure, and pulse were observed occurred more commonly in pediatric patients treated with topiramate compared to pediatric patients treated with placebo [see CLINICAL PHARMACOLOGY]. Multiple dosing of topiramate (200 mg/day) in 24 healthy volunteers (12 males, 12 females) did not affect the pharmacokinetics of a 1 mg subcutaneous dose of dihydroergotamine. Kidney stones have also been reported in pediatric patients taking TOPAMAX for epilepsy or migraine. Patients who experienced 3 to 12 migraine headaches over the 4 weeks in the baseline phase were randomized to either TOPAMAX 50 mg/day, 100 mg/day, 200 mg/day, or placebo and treated for a total of 26 weeks (8-week titration period and 18-week maintenance period). Topiramate is only weakly effective in blocking clonic seizures induced by the GABAA receptor antagonist, pentylenetetrazole. Avoid standing for long periods of time or becoming overheated during exercise and in hot weather. Mean changes of 0%, -2%, -3%, and -4% were seen for the placebo group, TOPAMAX 50, 100, and 200 mg groups, respectively. Topamax can cause drowsiness and dizziness, so do not drive or perform other hazardous activities until you are aware of its effects. If visual problems occur at any time during topiramate treatment, consideration should be given to discontinuing the drug. To make sure tamsulosin capsules are safe for you, tell your doctor if you have ever had: Tamsulosin can affect your pupils. Postmarketing side effects of tamsulosin reported include: Prolonged erection (rare) Signs and symptoms of low blood pressure, including lightheadedness and fainting. Independent information on more than 24,000 prescription drugs, over-the-counter medicines, vitamins, and herbal products the immediate-release formulation. 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