Topaz 200 mg (Topiramate)

Topaz 200 mg

Topaz 200 MG Tablet is a medicine used in the treatment of seizures (sudden, uncontrolled electrical disturbances in the brain causing abnormal behaviour and loss of consciousness). It is also used to prevent migraine headaches. Topaz 200 MG Tablet works by reducing the abnormal electrical activity in the brain.

Topaz 200 MG Tablet may cause side effects like nausea, vomiting, fatigue, weight loss, blurred vision, etc. Consult your doctor if these symptoms persist or become severe. Avoid driving vehicles and operating machines as this medicine may cause dizziness or drowsiness.

Topaz 200 MG Tablet may be taken with or without food as directed by your doctor. The dose and duration of treatment will be decided by your doctor based on the severity of your condition. Take this medicine for the recommended duration for better results. Avoid abrupt discontinuation of this medicine without consulting your doctor, as it may cause an increased frequency of seizures. Your doctor may withdraw the medicine gradually over a period to avoid such undesired effects.

Topaz 200 MG Tablet is not recommended for use if you are allergic to it. Inform your doctor if you have blood disorders, depression, liver or kidney problems, or any other medical conditions before taking this medicine. Inform your doctor about all your current medications to avoid any undesired effects. Consult your doctor if you are pregnant, planning a pregnancy, or are breastfeeding before taking this medication.

Side effects

Major & minor side effects for Topaz 200 MG Tablet
Blurred vision
Dizziness
Unusual tiredness and weakness
Stomach pain
Loss of appetite
Back pain
Constipation
Drowsiness
Memory problems
Changes in menstrual cycle
Confusion
Weight loss
Chills and fever
Nausea
Decrease in sexual drive
Difficulty or painful urination
Skin rash or itching

Dosage

Topaz 25 Tablet
Topaz 50 Tablet
Topaz 100 Tablet
Topaz 200 Tablet

Uses of Topaz 200 MG Tablet

What is it prescribed for?
Seizures
Seizures are abnormal electrical activity in the brain, causing uncontrolled jerking of the body and loss of consciousness. Topaz 200 MG Tablet is used in the treatment of certain types of seizures like primary generalized tonic-clonic seizures (seizures that may cause abnormal electrical activity throughout the brain) and partial-onset seizures (seizures that affect only one part of the brain) in adults and children above six years of age. When used in combination with other medicines, it may be used to treat seizures in children above two years of age.
Lennox-Gastaut Syndrome
Topaz 200 MG Tablet is used in combination with other medications in the treatment of Lennox-Gastaut syndrome, a severe condition characterised by reoccurring seizures episodes.
Migraine Headache
A migraine attack is a headache that causes severe throbbing pain usually on one side of the head. Topaz 200 MG Tablet may be used to prevent migraine headaches in adults. However, it is not effective in relieving migraine headaches that have already begun.

Related Products

List of related products
Topaz 100 MG Tablet
Topaz 25 MG Tablet
Topaz 50 MG Tablet

When not to use?

Allergy
Avoid taking Topaz 200 MG Tablet if you are allergic to this medicine. Seek medical attention if you experience symptoms such as a skin rash, hives (itchy, painful eruptions that sting), swelling (especially of your face, lips, tongue, etc.), breathing difficulty, etc.

Warnings

Warnings for special population
Pregnancy
Topaz 200 MG Tablet is unsafe for use during pregnancy as it may harm your developing foetus. Hence, consult your doctor if you are pregnant.
Breast-feeding
Topaz 200 MG Tablet may pass into the breastmilk. Hence it is not recommended for use while breastfeeding unless necessary. Consult your doctor if you are breastfeeding.
General warnings
Withdrawal symptoms
Avoid abrupt discontinuation of Topaz 200 MG Tablet may cause increased seizure frequency. Therefore, the treatment should be withdrawn gradually over a period under the close supervision of your doctor. Do not stop the use of this medicine without consulting your doctor.
Suicidal tendency
Topaz 200 MG Tablet should be used with caution as it may increase the risk of depression and suicidal thoughts or behaviour. Consult your doctor immediately if you experience changes in mood and behaviour or develop thoughts of self-harm while taking this medicine.
Driving or operating machines
Topaz 200 MG Tablet may cause dizziness, drowsiness, or blurred vision. Avoid performing activities that require mental alertness, such as driving vehicles or operating machines, if you experience such symptoms.
Metabolic acidosis
Topaz 200 MG Tablet should be used with caution if you have metabolic acidosis (a condition that occurs when the body produces too much acid or when the kidneys are unable to remove enough acid from the body) due to the increased risk of worsening of your condition.

Dosage

Missed Dose
Take the missed dose of Topaz 200 MG Tablet as soon as you remember. If it is time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.
Overdose
Never take more than the prescribed dose. Seek emergency medical treatment in case of an overdose of Topaz 200 MG Tablet.

Interactions

All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
Topiramate, when coadministered with other CNS depressants including alcoholic beverages, may lead to excessive somnolence and other forms of nervous system depression.
Instructions
Consumption of alcohol is not recommended during treatment with Topaz 200 MG Tablet due to the increased risk of side effects such as dizziness, difficulty in concentration, impaired judgment, etc.
Interaction with Medicine
Amitriptyline
Clozapine
Escitalopram
Metformin
Atropine
Buprenorphine
Clonidine
Amoxapine
Codeine
Cetirizine
Clobazam
Baclofen
Asenapine
Aripiprazole
Perampanel
Oxazepam
Disease interactions
Blood disorders
Bone marrow suppression is a condition in which there is decreased production of blood cells in your bone marrow (a spongy substance present at the centre of your bones). Topaz 200 MG Tablet may cause a decrease in blood cell counts. Hence, it should be used with caution in bone marrow suppression. Your doctor may suggest blood tests to monitor your blood cell counts during treatment with this medicine.
Severe liver impairment
Topaz 200 MG Tablet should be used with extreme caution if you have liver problems as it may further worsen your condition. Your doctor may suggest tests to periodically monitor your liver function and recommend dose adjustments or replacements with a suitable alternative based on your clinical condition.
Kidney dysfunction
Topaz 200 MG Tablet is filtered by the kidneys and removed from the body via urine. Hence, it should be used with caution if you have kidney problems. An impaired kidney function may cause an accumulation of this medicine in the body and increase the risk of undesired effects. Your doctor may adjust the dose of this medicine based on your condition.
Angle Closure Glaucoma
Angle Closure Glaucoma is a condition that develops when the drainage angle (a structure inside the eye that allows the draining of the fluid from the eye) gets blocked. This may cause an increase in fluid pressure inside the eyes and lead to vision loss. Topaz 200 MG Tablet may cause angle-closure glaucoma with symptoms such as decreased clearness of vision, eye pain, increased pressure within the eyes, etc. Hence, Topaz 200 MG Tablet should be used with extreme caution if you have conditions that may cause increased fluid pressure within the eyes, as this medicine may further worsen your condition.
Food interactions
Information not available.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.

General Instructions

Take Topaz 200 MG Tablet with or without food. Do not break, chew, or crush the tablet in your mouth. Swallow as a whole with plenty of water. Follow all the instructions given on the prescription label/packing insert.

Do not take more or less than the recommended dose of Topaz 200 MG Tablet. Take this medicine for the recommended duration. Do not discontinue this medication abruptly without consulting your doctor.

Take Topaz 200 MG Tablet at the same time every day for the ease of remembering. Consult your doctor immediately if you experience any changes in mood and behaviour or thoughts of self-harm.

Keep this medicine away from the reach of children and pets. Ensure that the unused or expired medicine is disposed of properly.