Birth control pills containing estrogen may not work properly if you take them with topiramate. To keep from getting pregnant, use an additional form of birth control (eg, condoms, spermicide) together with your birth control pill. If you have any questions about this, check with your doctor or pharmacist.
Does 50 mg of Topamax affect birth control?
Low-Dose Topiramate Does Not Interact with Oral Contraceptives .
What is the best birth control to take with Topamax?
- Combined oral contraceptive pill.
- Contraceptive implant.
- Contraceptive patch.
- Progestogen-only pill.
- Vaginal ring.
- Natural birth control.
Does topiramate affect progesterone only pill?
However, there was no effect of topiramate on the progestogen norethindrone at all doses tested. Compared with carbamazepine, topiramate demonstrated a much lower impact on metabolism of combined OC (Ortho-Novum ® ) containing norethindrone and ethinyl estradiol.
Does Topamax mess with your period?
“ Menstrual disorder” is a noted potential side effect of Topamax . The prescribing information also says to report it to your doctor if you notice menstrual changes while taking Topamax and birth control pills. You should report this to your doctor.
Does topiramate cancel out birth control?
Birth control pills containing estrogen may not work properly if you take them with topiramate. To keep from getting pregnant, use an additional form of birth control (eg, condoms, spermicide) together with your birth control pill.
Does Topamax decrease birth control?
The effects of your birth control pills may decrease and cause breakthrough bleeding, spotting, or pregnancy . If you are taking a product containing phentermine and topiramate for weight loss, you may experience breakthrough bleeding, but it is not expected to decrease the effectiveness of your birth control.
Can you get pregnant on topiramate?
Some antiepileptic medications may cause abnormal sperm, resulting in infertility in men. However, there is no specific information on topiramate and male fertility . In general, exposures that fathers have are unlikely to increase risks to a pregnancy.
Does Topamax cause birth defects?
March 4, 2011 — Taking the epilepsy drug topiramate (Topamax) during pregnancy raises the risk of oral cleft birth defects such as cleft lip and cleft palate , according to a new warning issued by the FDA.
When should I stop taking Topamax before pregnancy?
Payne also suggests waiting a few weeks after discontinuing Topamax before trying to get pregnant to make sure the drug has fully cleared from your system.
Does topiramate make Plan B ineffective?
No interactions were found between Plan B and Topamax.
How much less effective is topiramate birth control?
The effects of your birth control pills may decrease and cause breakthrough bleeding, spotting, or pregnancy. If you are taking a product containing phentermine and topiramate for weight loss, you may experience breakthrough bleeding, but it is not expected to decrease the effectiveness of your birth control.
Does topiramate affect contraception?
Topiramate is predicted to decrease the efficacy of combined hormonal contraceptives . For FSRH guidance, see Contraceptives, interactions.
Can Topamax give you a false positive pregnancy test?
Conclusion: Topiramate treatment may well be a cause of false positives in DSTs , and its presence should be taken into consideration when screening for hypercortisolism.
Is it better to take Topamax in the morning or at night?
Timing: You can take topiramate with or after food. Take topiramate at the same times each day. If you are taking it two times a day, take your doses in the morning and night. If you are taking it once a day, then it's best taken at bedtime .
Can topiramate cause permanent damage?
In most cases, side effects from Topamax are temporary. Most side effects tend to go away soon after you start or stop taking the drug. But severe side effects that could lead to long-term problems and permanent damage from Topamax are possible. For example, Topamax may cause eye side effects,* such as glaucoma .
How much weight will you lose on Topamax?
Studies have shown that people who take Topamax for weight loss lose about 11 pounds in comparison to placebo groups if they take the drug for at least four months, and that the weight loss effects of Topamax increase with both duration of treatment and dosage.
What can you not take with topiramate?
- Valproic acid (brand name examples: Depakote). ...
- Zonisamide (brand name example: Zonegran). ...
- Glaucoma medications, including eye drops.
- Birth control pills. ...
- Any medicines that impair or decrease your thinking, concentration, or muscle coordination.
Does Topamax affect estrogen?
Changes in estradiol levels for individual patients taking topiramate 200 mg twice daily range from -48% to +29%. This suggests that most women will not have OC failures due to topiramate interactions, particularly a patient taking only topiramate 100 mg/day.
Does Topamax interfere with Mirena?
No interactions were found between Mirena and Topamax. This does not necessarily mean no interactions exist. Always consult your healthcare provider.
Can you exercise on Topamax?
If you exercise while taking Topamax, it's important that you drink lots of fluids and avoid overheating. You should not exercise outdoors on a hot day . Call your doctor right away if you get overheated and have any of these symptoms of heat stroke: an upset stomach, fever, headache or muscle cramps.
What if I get pregnant while taking Topamax?
If you take topiramate during pregnancy, there is a higher risk that your baby will develop a cleft lip and/or cleft palate . Oral clefts happen early in pregnancy, before many women even know they are pregnant.
Does Topamax affect sperm?
Results: Long-term ingestion of Topiramate for 60 days caused a significant decrease in spermatogenesis in seminiferous tubules of the testes. Sperm motility and density were also significantly reduced in cauda epididymides and testes of the treated group.
How long does Topamax stay in your system?
Topamax (topiramate) stays in your system between four and six days after your last dose , depending on your personal factors such as dosage and metabolism. Dosage for topiramate is based on weight but usually starts with one pill per day and gradually increasing to two.
Is Topamax a high risk medication?
Are There Any Risks For Taking Topiramate For Long Periods Of Time? To date, there are no known problems associated with long term use of topiramate. It is a safe and effective medication when used as directed.
Can Topamax cause miscarriage?
Can taking topiramate in pregnancy cause miscarriage or stillbirth? There are currently no concerns that topiramate use in pregnancy causes miscarriage or stillbirth.
Does topiramate interfere with Depo?
No interactions were found between Depo-Provera and Topamax.
Can I stop 25 mg Topamax cold turkey?
Never stop taking Topamax suddenly, or “cold turkey”, because this may cause you to have an increased risk of seizures, more frequent seizures, or other serious withdrawal symptoms.
What happens if you suddenly stop taking topiramate?
If you suddenly stop taking topiramate, you may have severe seizures , even if you have not had seizures in the past. Your doctor will probably decrease your dose gradually.
Is it safe to take rizatriptan while pregnant?
Pregnancy registry for rizatriptan (Maxalt), which is the second triptan to come to the market 15 years ago, also suggests that it is a safe drug . Of course, it cannot be said that these drugs are proven to be safe for pregnant women because some yet undetected risk may still be present.
Can you drink alcohol on topiramate?
Because topiramate can cause mental and psychological side effects, it's not recommended that you drink alcohol while taking topiramate .
Does topiramate affect the morning after pill?
Some anti-epilepsy medication can affect the morning-after pill such as taking carbamazepine, phenytoin, oxcarbazepine, phenobarbital, primidone, rufinamide, topiramate. The dose of the morning-after pill will need to be doubled .
Does Topamax cause vivid dreams?
Check with your doctor right away if you or your child are having unusual drowsiness, dullness, tiredness, weakness, feelings of sluggishness, mental depression or anxiety, nightmares or unusually vivid dreams, or vomiting. These may be symptoms of a serious condition called hyperammonemic encephalopathy .
Can Topamax cause brain damage?
An open study examined the behavioral and cognitive effects of topiramate as add-on treatment in children and adolescents with mild to severe mental retardation [Coppola et al. 2008]. The authors reported a significant cognitive deterioration in about 70% of patients at 3 months, persisting in about 20% at 12 months.
Does Topamax make nexplanon less effective?
No interactions were found between Nexplanon and Topamax.
What are signs of early pregnancy?
- Missed period. If you're in your childbearing years and a week or more has passed without the start of an expected menstrual cycle, you might be pregnant. ...
- Tender, swollen breasts. ...
- Nausea with or without vomiting. ...
- Increased urination. ...
- Fatigue.
Does Topamax help anxiety?
The study found that the participants taking Topamax in addition to their prescribed depression medication significantly improved depressed mood, suicidality, insomnia, agitation, and anxiety symptoms compared to those taking a placebo.
Is a faint line on a pregnancy test positive?
Any positive line, no matter how faint, means your result is pregnant . Levels of hCG in your body will increase over the course of your pregnancy. If you test early, your hCG levels may be still be low and you'll see a faint positive line.
