TOPAHEAL 100 (100mg Topiramate)

Product Information

TOPAHEAL 100mg Tablet is used to treat epilepsy (seizures), prevent migraines, and manage Lennox–Gastaut syndrome (a severe childhood epilepsy).

• May be taken with or without food, ideally at the same time every day.
• Do not stop suddenly without medical advice, as this may increase seizure frequency.
• If you miss a dose, take it as soon as you remember.
• Regular monitoring of serum bicarbonate may be required during treatment.

Why is this Medication Prescribed?

Doctors prescribe TOPAHEAL (Topiramate) to:

• Control seizures in epilepsy.
• Prevent migraine headaches.
• Treat seizures in Lennox–Gastaut syndrome.

Uses

• Epilepsy / Seizures
• Migraine prevention
• Lennox–Gastaut syndrome

Benefits

In Epilepsy / Seizures

• Reduces abnormal nerve activity causing seizures.
• Helps prevent confusion, jerking movements, loss of awareness, and anxiety.
• Not addictive, but must be taken regularly.

In Migraine Prevention

• May normalize overactive brain signals linked to migraines.
• Reduces frequency and severity of headaches.
• Improves daily functioning and quality of life.

In Lennox–Gastaut Syndrome

• Controls multiple seizure types in this severe childhood epilepsy.
• Provides better seizure control by calming overactive brain signals.

How Should this Medicine be Used?

• Take orally with or without food.
• Take at the same time each day.
• Do not skip doses; missing doses may trigger seizures.
• Do not stop suddenly — dose reduction must be supervised by a doctor.

Other Uses

No additional approved uses listed.

⚠️ Pregnancy & Birth Defect Risk Warning

This medicine may cause serious harm to an unborn baby, including birth defects or pregnancy loss.

• Do not take this medicine if you are pregnant or planning a pregnancy.
• Use effective contraception during treatment and for as long as advised after stopping.
• If you become pregnant while taking this medicine, stop it immediately and contact your doctor.

⚠️ Suicide & Mental Health Risk Warning

This medicine may increase the risk of suicidal thoughts or worsening mood, especially when starting or adjusting the dose.

• Monitor for mood changes, agitation, or unusual behavior.
• Inform your doctor immediately if concerning symptoms appear.
• Seek emergency care if you develop suicidal thoughts.

Special Precautions

• Eye Health: May cause vision changes (myopia, glaucoma). Regular eye exams recommended.
• Drowsiness / Dizziness: Do not drive or operate machinery until you know how the medicine affects you.
• Weight Loss: May reduce appetite; monitor weight and nutrition.
• Pregnancy: Avoid use unless no safer alternative exists. Must be supervised by a doctor.
• Kidney Stones: Drink plenty of fluids to reduce risk.
• Children: Safe for use in Lennox–Gastaut syndrome with medical supervision.

Possible Side Effects

Common side effects include:

• Abdominal pain
• Diarrhea
• Dizziness, sleepiness, fatigue
• Nausea, taste changes, loss of appetite, weight loss
• Memory problems, nervousness, speech or psychomotor impairment
• Numbness or tingling
• Visual impairment
• Fever, upper respiratory tract infection

Most are mild and improve over time. Consult your doctor if symptoms persist.

Storage & Disposal

• Store in a cool, dry place away from light and moisture.
• Keep out of reach of children.
• Do not use after expiry date.
• Dispose of unused medicine safely — follow pharmacist guidance.

Emergency Guidance

• Seek urgent help if you experience severe vision changes, suicidal thoughts, or uncontrolled seizures.
• For overdose, call emergency services immediately.
• Always carry a medical ID stating you are taking Topiramate.