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Topiramate - Overview
Topiramate is a medication used for preventative treatment of migraines and some forms of epilepsy. People who might need a topiramate prescription, including topiramate 25 mg tablets and topiramate 50 mg tablets, can use Push Health to connect with a medical provider who, when appropriate, can prescribe topiramate tablets / pills.
Topiramate - Uses and Mechanism of Action
Topiramate, marketed under the brand name Topamax, is a medication used in the management migraines and certain types of epilepsy. Topiramate belongs to a class of medications known as antiepileptic drugs. The exact mechanism of action of topiramate is unknown but may center around the blocking of sodium channels and effects on GABA-A receptors. Topiramate may also impact the glutamate receptor and block carbonic anhydrase to achieve its effects. Like Aimovig, Ajovy and Emgality and unlike rizatriptan, topiramate is used for preventative rather than acute treatment of migraines. There are anecdotal reports of using topiramate for weight loss but, at this time, there is no official approval for that indication.
Topiramate - Dosage and Cost
In adults, a frequently used topiramate dosage is topiramate 25 mg daily which is then titrated over the course of the weeks to the patient's symptoms. Ultimately, the prescribed topiramate dose is dependent on the health needs of the patient and the judgement of the medical provider. Following oral administration, topiramate typically reaches peak plasma levels in roughly two hours in healthy people. The elimination half-life of topiramate is under 24 hours and most of the elimination occurs primarily through the urine. While branded topiramate is expensive, generic topiramate is affordable, costing under 20 cents per topiramate 50 mg tablet at many pharmacies in the United States. Topiramate coupons are available online as well and some insurance plans may cover the cost of a topiramate tablet prescription.
Can I Buy Topiramate Online?
Topiramate is a prescription medication in the United States. Because of this designation, one cannot just buy topiramate online as the first step is consulting a medical provider and getting a prescription. For this reason, topiramate OTC is not available at pharmacies. People who need a topiramate prescription, however, can use Push Health to connect with a medical provider who can prescribe topiramate, including topiramate 25 mg, topiramate 50 mg and topiramate 100 mg tablets, when appropriate to do so.
Topiramate - Side Effects
Topiramate can cause side effects when used and concerns should be discussed with one's medical provider and pharmacist before using the medication. Side effects that may result from topiramate use include weight loss, loss of appetite, mood swings, dizziness, memory issues, flushing and nervous feelings. Topiramate should generally not be used by people with glaucoma or mood disorders such as suicidal ideation. Topiramate can increase the risk of getting kidney stones. Topiramate and alcohol should not be used together. People with a known hypersensitivity or allergy to topiramate or ingredients in the formulation should not use the medication.
More Topiramate Information
Last updated April 7, 2020. Given the evolving nature of medicine and science, this information might not be accurate and should not be construed as medical advice or diagnosis / treatment recommendations. Please consult a licensed medical provider if you have additional questions.