Patient/caregiver was educated on precautions to be exercised while taking Topamax as follows: If you miss a dose, try taking it at the earliest notice of noncompliance. If it is time for the next dose, skip the missed dose and take the dose scheduled. Do not take an extra dose to try making up for the missed dose. Notify your doctor and other health care personnel regarding your dose noncompliance. Topamax use in expectant mothers [...]

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

Patient/caregiver was educated on contraindications for using 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. So, Topamax is better avoided or used with [...]

Patient/caregiver was educated on contraindications for using Topamax as follows: 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 metabolic demand. Consequently, the cells produce ketone bodies, [...]

Patient/caregiver was educated on contraindications for using 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 with dehydration and diarrhea also suffer significant loss of bicarbonate ions and are naturally prone for developing metabolic acidosis. Use of Topamax in such individuals can tip the acid-base balance easily, to [...]