Patient/caregiver was educated on precautions to be exercised while taking topiramate as follows: Topiramate can take some time to fairly adjust to your body and reach a therapeutic level in your blood, before preventing seizure episodes. Topiramate also can be used to prevent migraine headaches and takes some time to reach the therapeutic levels. Do not discontinue taking the medication without your physician’s consult, as you failed to see the desired result immediately after taking [...]

Patient/caregiver was educated on precautions to be exercised while taking topiramate as follows: Topiramate 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 diminished vision with haloes around light, which can progress to vision loss and permanent blindness, if not acted upon immediately. Observe compliance with any periodical vision exams recommended. Report [...]

Patient/caregiver was educated on precautions to be exercised while taking topiramate as follows: Topiramate use can result in poor motor coordination and unsteadiness, with increased fall risk and accidents. Confusion and dizziness with topiramate use, can add to the motor incoordination, thus enhancing the fall risk significantly. Observing compliance with general fall prevention measures and DME recommended, such as, cane or walker, can help prevent falls and injuries. Topiramate use can result in reduced sweating [...]

Patient/caregiver was educated on precautions to be exercised while taking topiramate as follows: Metabolic acidosis induced by topiramate 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 topiramate use. Report unusual skeletal and bone [...]

Patient/caregiver was educated on precautions to be exercised while taking topiramate 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 [...]