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Topiramate (toe PYRE a mate)

Pediatric Medication

Brand Names: U.S.

Qudexy XR; Topamax; Topamax Sprinkle; Topiragen; Trokendi XR

Brand Names: Canada

Apo-Topiramate; AURO-Topiramate; AVA-Topiramate; CO Topiramate; Dom-Topiramate; GD-Topiramate; Mint-Topiramate; Mylan-Topiramate; PHL-Topiramate; PMS-Topiramate; PRO-Topiramate; Q-Topiramate; RAN-Topiramate; Sandoz-Topiramate; TEVA-Topiramate; Topamax; ZYM-Topiramate

Warning

  • This drug comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time this drug is refilled.

What is this drug used for?

  • It is used to treat seizures.
  • It may be given to your child for other reasons. Talk with the doctor.

Is it safe for my child to take this drug?

  • Not if your child has an allergy to topiramate or any other part of this drug.
  • Be sure to let the doctor know if your child has any allergies or side effects to drugs, foods, or dyes. Make sure to tell about the allergy and what signs your child had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • Not if your child has high blood acid levels (metabolic acidosis) and is also taking a drug that has metformin in it. Check with the doctor or pharmacist if you are not sure of a drug your child takes has metformin in it.

What are some things I need to know or do while my child takes this drug?

All products:

  • Tell dentists, surgeons, and other doctors that your child is using this drug.
  • Do not stop giving this drug to your child all of a sudden without calling the doctor. Your child may have a greater risk of side effects. If your child needs to stop this drug, you will want to slowly stop it as told by the doctor.
  • If your child is on a ketogenic diet, talk with the doctor.
  • If your child has kidney disease, talk with the doctor.
  • If your child has kidney stones, talk with the doctor.
  • If your child has liver disease, talk with the doctor.
  • If your child has lung disease, talk with the doctor.
  • If your child has mental illness, talk with the doctor.
  • Have your child’s blood work checked often. Talk with your child’s doctor.
  • Check all drugs your child is taking with your child’s doctor. This drug may not mix well with some other drugs.
  • Talk with the doctor before giving your child other drugs and natural products that may slow your child’s actions.
  • Have your child avoid tasks or actions that call for alertness until you see how this drug affects your child. These are things like riding a bike, playing sports, or using items such as scissors, lawnmowers, electric scooters, toy cars, or motorized vehicles.
  • Alcohol may interact with this drug. Be sure your child does not drink beer, wine, or mixed drinks.
  • Have your child be careful in hot weather or while your child is being active. Have your child drink lots of fluids to stop fluid loss.
  • This drug may cause an acid blood problem (metabolic acidosis). The chance may be higher in children and in people with kidney problems, breathing problems, or loose stools (diarrhea). The chance may also be higher if your child takes certain other drugs, has surgery, or is on a diet high in fat called a ketogenic diet. Over time, metabolic acidosis can cause kidney stones, bone problems, or growth problems in children. Talk with your child’s doctor.
  • Use with care in children. Talk with the doctor.
  • This drug may affect growth in children and teens in some cases. They may need regular growth checks. Talk with the doctor.

Long-acting capsules:

  • Do not give this drug to a child younger than 6 years of age.

If your child is or may be sexually active:

  • Have your child use birth control to prevent pregnancy while taking this drug.
  • Birth control pills and other hormone-based birth control may not work as well to prevent pregnancy. Be sure your child uses some other kind of birth control also like a condom when taking this drug.

If your child is pregnant or breast-feeding a baby:

  • This drug may cause harm to the unborn baby if your child takes it during pregnancy.
  • Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks of using this drug.

What are some side effects that I need to call my child’s doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child’s doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:
  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • If any of this news causes you to be worried, any of the unwanted side effects happen, or if your child is not better after taking this drug.
  • If your child shows any signs of infection. These include a fever of 100.5°F (38°C) or higher, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color or sputum, pain with passing urine, mouth sores, wound that will not heal, or anal itching or pain.
  • If your child shows signs of low mood (depression), thoughts of killing him/herself, nervousness, emotional ups and downs, thinking that is not normal, anxiety, or lack of interest in life.
  • Signs of too much acid in the blood (metabolic acidosis) like fast breathing, fast heartbeat, a heartbeat the does not feel normal, very bad upset stomach or throwing up, feeling very sleepy, shortness of breath, or feeling very tired or weak.
  • If your child has a change in thinking clearly and with logic.
  • Not able to focus.
  • If your child has a change in balance.
  • If your child is not able to eat.
  • If your child has back pain, belly pain, or blood in the urine. May be signs of a kidney stone.
  • If your child has trouble passing urine.
  • If your child’s seizures are worse or not the same after starting this drug.
  • If your child shows signs of very bad dizziness or passes out.
  • Bone pain.
  • If your child has chest pain or pressure.
  • If your child has memory problems or loss.
  • If your child has muscle cramps or weakness.
  • If your child has ringing in ears.
  • If your child has trouble speaking.
  • If your child develops shakiness.
  • If your child has trouble walking.
  • If your child has any bruising or bleeding.
  • Not able to control eye movements.
  • If your child has a big weight loss.
  • If your child has numbness or tingling in his/her hands or feet.
  • If your child is not sweating during activities or in warm temperatures.
  • If your child gets a rash.
  • This drug may cause very bad eye problems. If left untreated, this can lead to lasting eyesight loss. Call the doctor right away if your child has eye problems like blurred eyesight or other changes in eyesight, eye pain, or eye redness.
  • Very bad and sometimes deadly liver problems have happened with this drug. Call your child’s doctor right away if your child has signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if your child has any side effects that bother your child or do not go away.
  • Upset stomach.
  • Change in taste.
  • Weight loss.
  • Not hungry.
  • Loose stools (diarrhea).
  • Feeling nervous and excitable.
  • Dizziness.
  • Feeling sleepy.
  • Feeling tired or weak.
  • Headache.
  • Dry mouth.
  • Hair loss.
These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to your national health agency.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read and follow the dosing on the label closely.

All products:

  • Give as you have been told, even if your child feels well.
  • To gain the most benefit, do not miss giving your child doses.
  • Give this drug with or without food.
  • Have your child drink lots of noncaffeine liquids every day unless told to drink less liquid by your child’s doctor.

Tablet:

  • Have your child swallow whole. Do not let your child chew, break, or crush.

Sprinkle capsule and long-acting sprinkle capsule:

  • This drug may be swallowed whole or sprinkled on a spoonful of soft food like applesauce. Do not let your child crush or chew before swallowing.
  • If mixed, have your child swallow the mixed drug right away. Do not store for use at a later time.
  • Have your child drink fluids right after eating the food and drug mixture to make sure the drug is swallowed.

Long-acting capsules:

  • Have your child swallow whole. Do not let your child chew, break, or crush.
  • Do not sprinkle this drug on food.

What do I do if my child misses a dose?

Long-acting capsules:

  • Give a missed dose as soon as you think about it.
  • If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.

All other products:

  • Give a missed dose as soon as you think about it.
  • If it is less than 6 hours until the next dose, skip the missed dose and go back to the normal time.

All products:

  • Do not give 2 doses or extra doses.
  • If you miss giving your child 2 doses, call the doctor.
  • Do not change the dose or stop your child’s drug. Talk with your child’s doctor.

How do I store and/or throw out this drug?

  • Store at room temperature.
  • Protect from light.
  • Store in a dry place. Do not store in a bathroom.
  • Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.

General drug facts

  • If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
  • Do not share your child’s drug with others and do not give anyone else’s drug to your child.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Copyright

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