TOPAMAX- topiramate tablet, coated 
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MEDICATION GUIDE

TOPAMAX® (TOE-PA-MAX)
(topiramate)
Tablets and Sprinkle Capsules

Read this Medication Guide before you start taking TOPAMAX® and each time you get a refill. There may be new information. This information does not take the place of talking to your healthcare provider about your medical condition or treatment. If you have any questions about TOPAMAX®, talk to your healthcare provider or pharmacist.

What is the most important information I should know about TOPAMAX®?

TOPAMAX® may cause eye problems. Serious eye problems include:

TOPAMAX® may cause decreased sweating and increased body temperature (fever). People, especially children, should be watched for signs of decreased sweating and fever, especially in hot temperatures. Some people may need to be hospitalized for this condition. Call your healthcare provider right away if you have a high fever, a fever that does not go away, or decreased sweating.

TOPAMAX® can increase the level of acid in your blood (metabolic acidosis). If left untreated, metabolic acidosis can cause brittle or soft bones (osteoporosis, osteomalacia, osteopenia), kidney stones, can slow the rate of growth in children, and may possibly harm your baby if you are pregnant. Metabolic acidosis can happen with or without symptoms.

Sometimes people with metabolic acidosis will:

Your healthcare provider should do a blood test to measure the level of acid in your blood before and during your treatment with TOPAMAX®. If you are pregnant, you should talk to your healthcare provider about whether you have metabolic acidosis.

Like other antiepileptic drugs, TOPAMAX® may cause suicidal thoughts or actions in a very small number of people, about 1 in 500.

Call a healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you:

Do not stop TOPAMAX® without first talking to a healthcare provider.

How can I watch for early symptoms of suicidal thoughts and actions?

TOPAMAX® can harm your unborn baby.

What is TOPAMAX®?

TOPAMAX® is a prescription medicine used:

What should I tell my healthcare provider before taking TOPAMAX®?

Before taking TOPAMAX®, tell your healthcare provider about all your medical conditions, including if you:

Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. TOPAMAX® and other medicines may affect each other causing side effects.

Especially tell your healthcare provider if you take:

Ask your healthcare provider if you are not sure if your medicine is listed above.

Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist each time you get a new medicine. Do not start a new medicine without talking with your healthcare provider.

How should I take TOPAMAX®?

What should I avoid while taking TOPAMAX®?

What are the possible side effects of TOPAMAX®?

TOPAMAX® may cause serious side effects including:

See "What is the most important information I should know about TOPAMAX®?"

Call your healthcare provider right away if you have any of the symptoms above.

The most common side effects of TOPAMAX® include:

Tell your healthcare provider about any side effect that bothers you or that does not go away.

These are not all the possible side effects of TOPAMAX®. For more information, ask your healthcare provider or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

You may also report side effects to Janssen Pharmaceuticals, Inc. at 1-800-JANSSEN (1-800-526-7736).

How should I store TOPAMAX®?

General information about TOPAMAX®.

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use TOPAMAX® for a condition for which it was not prescribed. Do not give TOPAMAX® to other people, even if they have the same symptoms that you have. It may harm them.

This Medication Guide summarizes the most important information about TOPAMAX®. If you would like more information, talk with your healthcare provider. You can ask your pharmacist or healthcare provider for information about TOPAMAX® that is written for health professionals.

For more information, go to www.topamax.com or call 1-800-JANSSEN (1-800-526-7736).

What are the ingredients in TOPAMAX®?

Active ingredient: topiramate

Inactive ingredients:

Revised October 2012

This Medication Guide has been approved by the U.S. Food and Drug Administration.

Manufactured by: Janssen Ortho, LLC, Gurabo, Puerto Rico 00778

Manufactured for: Janssen Pharmaceuticals, Inc., Titusville, NJ 08560

© Janssen Pharmaceuticals, Inc. 2009

Revised: 01/2013
 
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