Patient/caregiver was educated on precautions to be exercised while taking Topamax as follows:

  1. Take the medication dose at the same time, every day, to avoid forgetting the intake of medication. Taking the medication at regularly spaced intervals help maintain appropriate blood levels of Topamax needed for control of seizures.
  2. Topamax use can result in common general constitutional symptoms such as, nausea and vomiting. Taking dose of Topamax with a glass of water, after having some food or a snack can help avoid having unpleasant gastrointestinal symptoms with the medication. Liberal intake of fluid, atleast 8-10 glasses a day, during Topamax intake, can contribute significantly to prevent development of toxic side-effects and complications due to the medication.
  3. Topamax use can result in common general constitutional symptoms such as, nausea and vomiting. Elevated blood ammonia levels secondary to Topamax use can also result in severely altered sense of taste and consequently, lead to reduced appetite. Taking Topamax after having a meal or a snack can help avoid having unpleasant gastrointestinal symptoms with the medication.