Topiramate for Epilepsy

It may take time and careful, controlled adjustments by you and your doctor to find the combination, schedule, and dosing of medicine to best manage your epilepsy. The goal is to prevent seizures while causing as few side effects as possible. After you and your doctor figure out the medicine program that works best for you, make sure to follow your program exactly as prescribed.

• Side effects. Topiramate is tolerated well by most people and has few serious side effects. But a small number of people who take the drug may develop kidney stones, decreased sweating with increased body temperature, or a type of Reference glaucoma Opens New Window. Another warning links topiramate use to metabolic acidosis in some people.
• Drug interactions. Many medicines for epilepsy can interact with other medicines you may be taking. This means that your epilepsy medicine may not work as well, or it may affect the way another medicine you are taking works. Some of these interactions can be dangerous. Make sure to tell your doctor about all the medicines, herbal pills, and dietary supplements you are taking. Topiramate may make birth control pills less effective. A woman taking topiramate may need to use another method of birth control to reduce her chances of becoming pregnant.
• Risk of birth defects. All medicines for epilepsy have some risk of birth defects. But the risk of birth defects needs to be carefully compared to other risks to the baby if the mother stops taking her epilepsy medicine. If you are thinking about becoming pregnant, be sure to plan ahead and talk with your doctor about the benefits and risks of taking epilepsy medicine during your pregnancy. It you are already pregnant, it is not too late. The best thing to do is talk to your doctor about your pregnancy before you make any changes to the medicines you are taking.
• Other concerns. For some people, topiramate may cause side effects or carry risks that are not yet fully known. Report any unexpected side effects or problems to your doctor.

Complete the new medication information form (PDF) (What is a Reference PDF Opens New Window document?) to help you understand this medication.

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