Patient/caregiver was educated on contraindications for using Topamax as follows: Do not take Topamax, if you ever manifested any allergic responses to intake of Topamax or any other medications used to control seizures and nerve pain, such as, Lyrica and Cymbalta. In the event of an allergic response with any of these medications, check with your physician regarding your safety with intake of Topamax. Topamax use, especially in individuals with history of anxiety and bipolar [...]

Patient/caregiver was educated on the side-effects of using Topamax as follows: Genitourinary side-effects Topamax use, over a prolonged period of time, secondary to increased bone dissolution, demineralization, and loss of calcium and phosphate minerals from the bone, can lead to formation of renal calcium stones, resulting in episodes of severe back and groin pain. The kidney stones thus formed can also obstruct the urine flow, resulting in difficulty passing urine, painful urination, and retention of [...]

Patient/caregiver was educated on the side-effects of using Topamax as follows: General allergic reactions                                  Topamax use can result in general allergic reactions, such as, skin rashes, hives, and itching. Some patients can present with symptoms of severe allergic and anaphylactic response, such as, swelling of face, lips, throat, and tongue, with consequent difficulty breathing. Seek emergency medical help for such findings, especially with difficulty breathing, for any appropriate measures to be considered. Musculoskeletal side-effects Topamax [...]

Patient/caregiver was educated on the side-effects of using Topamax as follows: Central nervous system side-effects Topamax use can result in depression of the central nervous system and lead to episodes of confusion, hallucinations, dizziness, and light-headedness. Also, increased blood ammonia levels secondary to Topamax intake can add to the confusion and dizziness caused by Topamax. Individuals taking Topamax can also present compromised memory and trouble concentrating. Topamax use can result in some tingling and numbness [...]

Patient/caregiver was educated on the side-effects of using Topamax as follows: Vision changes Topamax use can result in obstruction to the drainage of fluid (aqueous humor) in the eye, increase in the intraocular pressure, and leading to glaucoma. Individuals can present with eye pain, headache, and blurred vision with haloes around light. Visual defect with Topamax use can progress rapidly to vision loss and permanent blindness. Metabolic side-effects Topamax use can result in increased loss [...]