Patient/caregiver was educated on precautions to be exercised while taking Topamax as follows: Metabolic acidosis induced by Topamax intake can result in increased bone dissolution and loss of calcium and phosphate minerals from the bone, resulting in demineralization of bone. This can lead to weakened skeletal framework, osteoporosis, and fractures with slightest injury. Individuals with history of osteoporosis are at increased risk for skeletal injury and fractures with Topamax use. Report unusual skeletal and bone [...]

Patient/caregiver was educated on precautions to be exercised while taking Topamax as follows: Individuals following keto diet and diabetic patients, especially individuals with poorly controlled grossly elevated blood sugars, can develop ketosis, secondary to increased fat metabolism. In these individuals, secondary to lack of insulin, glucose could not be transported into the cells and so, is not available for metabolism and cellular needs. The cells depend on fat, as an alternate fuel, to meet the [...]

Patient/caregiver was educated on precautions to be exercised while taking Topamax as follows: Topamax, by increasing loss of bicarbonate ions from the body, can result in excess of acid ions in the body, which consequently can lead to a dangerous acidotic condition called metabolic acidosis. Individuals can present with rapid heart rate and fast breathing patterns, to compensate for the acidosis. Patients can also present with episodes of confusion and extreme tiredness. Upon presentation with [...]

Patient/caregiver was educated on precautions to be exercised while taking Topamax as follows: Topamax can also induce extreme dry mouth and diarrhea. Sucking on a sugar free hard candy can help with symptomatic relief of dry mouth. Proper hydration measures and compliance with daily fluid intake recommendations can help with fluid supplementation in individuals with diarrhea. Observing compliance with fluid intake recommendations can also help with preventing episodes of hypotension, secondary to fluid loss. These [...]

Patient/caregiver was educated on precautions to be exercised while taking Topamax as follows: Topamax is poorly metabolized by the body and is mainly excreted by the kidneys. Individuals with renal disease cannot excrete Topamax normally, which allows the medication to stay in blood circulation for longer time, resulting in toxicity and consequent side-effects. Also, individuals with compromised renal function can present with elevated acid ions in the blood and intake of Topamax by these individuals [...]