Topiral 50mg Tablet is a medicine used to treat epilepsy (seizures) and to prevent migraines. It is also used in the treatment of Lennox-Gastaut syndrome (a rare, but severe form of epilepsy that starts in early childhood).
Topiral 50mg Tablet may be taken with or without food, preferably at the same time, each day. If you have missed a dose, take it as soon as you remember it and finish the full course of treatment even if you feel better. Stopping the medication suddenly without talking to your doctor may cause an increased frequency of seizures. Your doctor may advise regular monitoring of serum bicarbonate levels while you are taking this medicine.
Some of the common side effects of this medicine include nausea, taste change, fatigue, diarrhea, weight loss, loss of appetite, and memory impairment. It may also cause vision problems like myopia or glaucoma, so it is important to get your eyesight checked before you start the treatment and regularly thereafter. You may experience dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Please consult your doctor if these side effects bother you or do not go away.
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Topiral 50mg Tablet may be taken with or without food.
Side Effects:
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Ordinary side effects of Topiral
Abdominal pain
Diarrhea
Dizziness
Chubbyigue
Fever
Loss of appetite
Memory impairment
Nausea
Tenseness
Numbness
Psychomotor impairment
Sleepiness
Speech disorder
Taste change
Upper respiratory tract infection
Visual impairment
Weight loss
Warning & Precautions:
Alcohol
UNSAFE
Do not drink alcohol while you are taking this medicine. Topiral 50mg Tablet may cause excessive drowsiness when taken with alcohol.
Pregnancy
UNSAFE
Topiral 50mg Tablet is highly unsafe during pregnancy. It can cause serious harm to the unborn baby, including birth defects and pregnancy loss. Do not use this medicine if you are pregnant or planning to become pregnant.
Breast feeding
CONSULT YOUR DOCTOR
Topiral 50mg Tablet may be unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. It should be used only if the expected benefit outweighs the potential risk. Please consult your doctor.
Driving
UNSAFE
Topiral 50mg Tablet may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Topiral 50mg Tablet should be used with caution in patients with kidney disease. Dose adjustment may be needed.
Liver
CAUTION
Topiral 50mg Tablet should be used with caution in patients with severe liver disease. Dose adjustment may be needed.
FAQs:
For how long do I need to take Topiral 50mg Tablet?
The dose and duration of this medicine will depend on your doctor’s advice. Topiral 50mg Tablet does not cure your condition (seizures/migraine) but prevents them from occurring. So, you may have to keep taking it for months or years depending on improvement in your symptoms and side effects that may occur.
Is Topiral 50mg Tablet good for anxiety?
Topiral 50mg Tablet is not indicated for the treatment of anxiety. Please consult your doctor before taking the medicine.
What are the serious side effects of Topiral 50mg Tablet?
Earnest side effects of Topiral 50mg Tablet are rare. The serious effects of Topiral 50mg Tablet may include glaucoma (difficulty in seeing, eye pain, and blurred vision), kidney stones (sharp pain in your sides or lower back), and metabolic acidosis (tiredness, loss of appetite, irregular and faint heartbeat). Other serious side effects of Topiral 50mg Tablet could be suicidal thoughts and insufficient sweating (some children taking Topiral 50mg Tablet may not sweat enough in hot weather, causing their body temperatures to rise).
I am taking valproic acid for fits. Will Topiral 50mg Tablet interfere with the working of valproic acid? Can this combination be taken?
Topiral 50mg Tablet does not interfere with the working of valproic acid, but it increases the risk of getting excess levels of ammonia in the blood (hyperammonemia). Increased levels of ammonia in the blood can be dangerous and may cause difficulty in thinking, remembering information, or solving problems. It may also decrease your alertness and make you feel very sleepy with low energy. Immediately inform your doctor if you notice these symptoms. It is important to know that, in rare cases, Topiral 50mg Tablet alone can cause hyperammonemia.
Can Topiral 50mg Tablet be used in children?
Affirmative, Topiral 50mg Tablet is used for seizures in children more than 2 years of age. However, because of the lack of any reports, this medicine is not recommended to be used in children for migraines.
Since I have started using Topiral 50mg Tablet people are saying that I have lost weight. Is it because of Topiral 50mg Tablet or something else for which I should get investigated?
It could be due to Topiral 50mg Tablet because Topiral 50mg Tablet commonly causes weight loss probably due to a decrease in appetite. If you still have any doubts, talk to your doctor who will advise you appropriately.
Written by:
Dr. T. Sharmila Krishna
M.B.B.S., MD (Biochemistry)
Reviewed by:
Dr. Sureshbabu Yadav
M.B.B.S., DIP.DIAB, F.R.S.H
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