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Initial monotherapy in patients 2 years of age and older with partial onset or primary generalized tonic-clonic seizuresSafety and effectiveness in patients who were converted to monotherapy from a previous regimen of other anticonvulsant drugs have not been established in controlled trials.
Topiramate is used alone or with other medications to prevent and control seizuresepilepsyThis medication is also used to prevent migraine headaches and decrease how often you get themTopiramate will not treat a migraine headache once it occursIf you get a migraine headachetreat it as directed by your doctorsuch as by taking pain medicationlying down in a dark room
People should not drink alcohol or take sedatives or tranquilizerssuch as ValiumXanaxwhile taking TopamaxTopamax suppresses the activity of carbonic anhydrase in the bodyUsing the drug with any other carbonic-anhydrase inhibitorzonisamide or acetazolamidemay increase the severity of metabolic acidosis and may also increase the risk of kidney stone formationTopamax also interacts with lithium.
So farthere are no reports about using Topiramate for older adultsalthough there is no reason to believe that they would have a different response to it.
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also, like other anti-seizure medications, topamax may increase a person s risk for suicidal thoughts and behavior.