How Long Does Topamax Stay in the Blood Stream?
Topamax (Topiramate) is an anti-seizure medication that is prescribed for patients suffering from epilepsy. It is also approved for the treatment of migraines. It is also prescribed off-label as a mood stabilizer for the treatment of bipolar disorder. It is also used in children as a treatment for the treatment of the seizure disorder Lennox-Gastaut syndrome. It is currently being tested in trials for the treatment of post-traumatic stress disorder.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
History
In 1999, Topamax was the first second-generation anti-seizure medication to be approved by the FDA for the treatment of partial onset seizures in children as young as two years old. In 2001, it was linked to 23 cases of secondary angle closure glaucoma and severe myopia. In 2004, the FDA approved Topamax for the treatment of migraine. In 2007 Topamax showed promise in the treatment of alcoholism 1.
- In 1999, Topamax was the first second-generation anti-seizure medication to be approved by the FDA for the treatment of partial onset seizures in children as young as two years old.
- In 2007 Topamax showed promise in the treatment of alcoholism 1.
Effects of Topamax
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Topamax is absorbed quickly by the body soon after you swallow it. The drug works by interacting with the neurotransmitter GABA which controls communication between brain cells. Topamax helps GABA to reduce certain types of excitory neural impulses to prevent seizures and stabilize mood. Around 70 percent of the drug is excreted in the urine.
- Topamax is absorbed quickly by the body soon after you swallow it.
- Topamax helps GABA to reduce certain types of excitory neural impulses to prevent seizures and stabilize mood.
Topamax Half-life
The half-life of a medication denotes how long it takes for the concentration of the drug in your plasma to reach half of its original concentration, in other words, how long it takes for half of the original dose to be eliminated from your blood stream. The half-life of Topamax is 19-23 hours.
Side Effects
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You should seek medical advice immediately if you are using Topamax and experience any of the following side effects: depression, suicidal thoughts, hyperactivity, irritability, hostility or anxiety. Other possible side-effects include impaired vision. You should also avoid drinking alcohol as this can in crease the risk of seizures.
Contraindications
People who have a known allergic reaction to Topiramate should not take Topamax. Patients who suffer from kidney stones or are on a ketosis diet (a diet that is low in carbohydrates and high in proteins) should not take Topamax because it may increase the risk of kidney stones. Topamax should also not be taken by anyone taking high doses of vitamin C or calcium supplements.
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References
- Epilepsy Drug Holds Promise as Treatment for Alcoholism
- Naegel S, Obermann M. Topiramate in the prevention and treatment of migraine: efficacy, safety and patient preference. Neuropsychiatr Dis Treat. 2010;6:17-28. doi:10.2147/ndt.s6459
- Silberstein SD. Topiramate in migraine prevention. Headache. 2005;45 Suppl 1:S57-65. doi:10.1111/j.1526-4610.2005.4501005.x
- Salek T, Andel I, Kurfurstova I. Topiramate induced metabolic acidosis and kidney stones - a case study. Biochem Med (Zagreb). 2017;27(2):404-410. doi:10.11613/BM.2017.042
- Hesami O, Hosseini SS, Kazemi N, et al. Evaluation of ocular side effects in the patients on topiramate therapy for control of migrainous headache. J Clin Diagn Res. 2016;10(3):NC01-4. doi:10.7860/JCDR/2016/16263.7339
- Meseeha MG, Attia MN, Kolade VO. Topiramate as a rare cause of reversible Fanconi syndrome and acute kidney injury: a case report and literature review. J Community Hosp Intern Med Perspect. 2016;6(1):30510. doi:10.3402/jchimp.v6.30510
- Margulis AV, Mitchell AA, Gilboa SM, et al. Use of topiramate in pregnancy and risk of oral clefts. Am J Obstet Gynecol. 2012;207(5):405.e1-7. doi:10.1016/j.ajog.2012.07.008
- Loder E, Burch R, Rizzoli P. The 2012 AHS/AAN Guidelines for Prevention of Episodic Migraine: A Summary and Comparison With Other Recent Clinical Practice Guidelines. Headache. 2012 Jun;52(6):930-45. doi: 10.1111/j.1526-4610.2012.02185.x
- Silberstein SD, Neto W, Schmitt J, Jacobs D & MIGR-001 Study Group. Topiramate in Migraine Prevention: Results of a Large Controlled Trial. Arch Neurol. 2004 Apr;61(4):490-495. doi: 10.1001/archneur.61.4.490
- Silberstein SD. Topiramate in Migraine Prevention. Headache. 2005 Apr;45 Suppl 1:S57-65. doi: 10.1111.j.1526-4610.2005.4501005.x
- U.S. Food and Drug Administrtion. Medication Guide: Topamax. https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/020505s038s039,020844s032s034lbl.pdf
Writer Bio
Corinna Underwood is a freelance writer based in Atlanta. She specializes in health and lifestyle features. Her writing has been published in a number of magazines including "Alternative Medicine," "Alive" and "Chronogram". She is also the author of Haunted History of Atlanta and North Georgia and Murder and Mystery in Atlanta. She holds a Master of Arts in women’s studies from Staffordshire University.