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Be careful if the doctor writes a new prescription using a different kind of pill.

After short term use, tolerance begins and can be followed by rebound weight gain.

Optionally, the topiramate can be taken as a low dose on an as-needed basis.

ER can cause fetal harm.

Exercise is widely used to treat LBP, but again, research studies without methodological flaws that support this therapeutic approach are limited.

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Efficacy will ultimately vary from person to person due to unique body chemistry, and the treatment regimen may require some adjustments.

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This hyperammonemia and encephalopathy can develop with topiramate treatment alone or with topiramate treatment with concomitant valproic acid (VPA).

Oral contraceptives must be used with caution in women with cardiovascular disease risk factors.

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Zonisamide: benefits in chronic pain patients.

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The slow titration may have been responsible for the lack of significant side effects.

It may also be greater in patients who are taking valproic acid.

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In addition to the adverse experiences reported during clinical testing of Topiramate, the following adverse experiences have been reported worldwide in patients receiving Topiramate post-approval.

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It is better to discuss whatever questions you have with your doctor and follow his recommendations.

The FDA approved Qsymia with a Risk Evaluation and Mitigation Strategy (REMS), which consists of a Medication Guide advising patients about important safety information and elements to assure safe use that include prescriber training and pharmacy certification.

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Rating scales used in this study were the Hamilton depression rating scale, 21 items (HAM-D-21), the Young mania rating scale (YMRS), and daily assessments of mood, sleep pattern, and weight loss.

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Advise patients to increase fluid intake to increase urinary output which can decrease the concentration of substances involved in kidney stone formation.

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When topiramate capsules (sprinkle) are added to pioglitazone therapy or pioglitazone is added to topiramate capsules (sprinkle) therapy, careful attention should be given to the routine monitoring of patients for adequate control of their diabetic disease state.

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It is used by certain people, such as those who are obese or have weight-related medical problems.

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Several central nervous system adverse reactions, including some that represented cognitive dysfunction, were dose-related.

Patients who were experiencing at least 60 seizures per month before study entry were stabilized on optimum dosages of their concomitant AEDs during a 4 week baseline phase.

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The actual adjustment should take into account the duration of dialysis period, clearance rate of the dialysis system being used, and the effective renal clearance of topiramate in the patient being dialyzed.

Topiramate and alcohol can affect each other causing side effects such as sleepiness and dizziness.

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An increase in blood pressure has been reported in women taking oral contraceptives, and this increase is more likely in older oral contraceptive users and with continued use.

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In late 2012, topiramate was approved by the (FDA) in combination with for weight loss.

Make sure why they are trying to figure this out, they try Lyrica, Neurontin, or your pain to see if works (helps nerve pain).

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Psychiatric interviews of 200 patients with cLBP entering a functional restoration (FR) program revealed that 77% met lifetime diagnostic criteria for psychiatric syndromes, even when the category of somatoform pain disorder was excluded.

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Although evidence-informed data show stronger support for short- than long-term use, there is still sufficient support for prolonged use as an adjunct treatment for chronic spinal pain.

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In contrast to primary narrow angle glaucoma, which is rare under 40 years of age, secondary angle closure glaucoma associated with topiramate has been reported in pediatric patients as well as adults.

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Possible side effects include: Drowsiness; Nervousness; Confusion; Problems in cognitive ability.

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Many alcoholics are prescribed anti-hypertensive medication for their hypertension, which can complicate alcohol-dependence treatment.

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GP because he wouldn't switch it without me trying it for at least a month, and it was torture.

If you take too many topiramate capsules (sprinkle), call your healthcare provider or poison control center right away or go to the nearest emergency room.

Valsalva maneuver and my clumsy attempts gave me minutes of relief at a time!

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In the latest TGA safety alert, healthcare professionals and patients are reminded that the TGA has has not approved the use of topiramate to assist with weight loss and is advising health professionals and consumers that its use for this indication is associated with serious adverse events.

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He also completed a primary care sports medicine fellowship at the University of Michigan Medical School, Ann Arbor.

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