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Topiramate is a custom pharmacy drug classified as an anticonvulsant. Topiramate might be used in combination with other drugs or as a standalone drug for the treatment of migraine headaches and seizures. Topiramate is sometimes selected for use in seizure patients who have not responded well to other drug therapies.


Topiramate is generally taken orally and comes in various forms such as extended-release capsules, tablets, and sprinkle capsules (capsules filled with medication beads for sprinkling over food). On average, prescriptions usually call for once a day dosage but check with your doctor for your exact dosage specific to you and your condition. See your compounding pharmacist for further information on forms of delivery. Follow your doctor's directions on dosage and usage.


The use of some medications and drugs may produce unwanted side effects. Side effects may differ from individual to individual with some users experiencing no side effects while others experience one or many. Ask your doctor for a detailed overview of all potential side effects. Knowing how to respond when and if you experience a side effect is the best way you can be prepared. Common side effects seen with topiramate are as follows:

  • Uncontrollable Shaking
  • Uncontrollable Eye Movements
  • Tingling, Numbness, or Burning (hands and/or feet)
  • Slowed Reactions
  • Headache
  • Drowsiness
  • Nervousness
  • Weakness
  • Constipation
  • Weight Loss
  • Change or Difficulty in Ability to Taste Food
  • Heartburn
  • Dry Mouth
  • Teary Eyes
  • Dry Eyes
  • Nosebleed
  • Skipped Menstrual Periods
  • Excessive Menstrual Bleeding
  • Muscle, Leg, or Bone Pain
  • Back Pain

Other side effects are possible. Always seek medical assistance if you feel it is warranted. See your doctor if any side effects are increasing in intensity and/or lingering.

Severe Side Effects Overview:

Some patients or users may experience severe side effects. Watch for signs of severe side effects and seek medical treatment at once if you experience anything severe. A partial list of some of the possible severe side effects is provided below.

  • Eye Pain or Redness
  • Blurred Vision
  • Loss of Vision
  • Double Vision
  • Feeling Cold or Chills
  • General Signs of Infection
  • Low Body Temperature
  • Difficulty Concentrating
  • Speech Problems or Difficulty Thinking of Specific Words
  • Loss of Coordination
  • Confusion
  • Worsening of Seizures
  • Memory Problems
  • Chest Pain
  • Shortness of Breath
  • Trouble Breathing
  • Fast Breathing
  • Shallow Breathing
  • Pounding Heartbeat
  • Irregular Heartbeat
  • Excessive Tiredness
  • Diarrhea
  • Nausea and/or Vomiting
  • Stomach Pain
  • Loss of Appetite
  • Extreme Back or Side Pain
  • Difficulty Urinating
  • Pain when Urinating
  • Cloudy, Bloody, or Bad-Smelling Urine
  • Frequent Urination or Constant Need to Urinate
  • Trouble or Inability Responding to Things Around You
  • Fever


All patients considering the use of topiramate should first consult with their doctor before starting a course of this drug. Inform your doctor about your medical history and any medications that you are currently using or have used in the past.

Topiramate is possibly contraindicated for many conditions. Consult with your doctor for more information on all the possible contraindications that could be relevant to you and/or your condition.

  • "It is rare to find health professionals who are so willing to educate the patient on what they need to know."

    Clair C. | West Hollywood, CA