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Dr. Andrew Rynne

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Exp 50 years

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How To Fix Seizures Which Started After Taking Topamax For Migranes?

hey. im a pharmacist. im on topamax and have tried to stop taking it several times. it makes me lose weight and inhibits my though process. i started it for migraines. now i have seizures. not a pretty thing. the last one was new years eve in a grocery store. will keppra work? don t care about the migraines anymore. just fix the seizures but let me work.
Mon, 27 Jan 2014
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Neurologist 's  Response
Hi,

Thank you for posting your query.

I have noted your complaints and I feel stopping topamax (topiramate) may not be the cause for your seizures. The more likely cause is that you may have both the conditions together.

This is because both migraine and seizure have common underlying mechanisms and frequently co-exist in the same individual.

The best medicine for seizure control in your case would be divalproex or sodium valproate tablets, as they have anti-seizure as well as anti-migraine properties. The only down side is the side effect of weight gain.

In that case, levetiracetam (keppra) would be a good choice, especially as migraine is not a big issue in your case.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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How To Fix Seizures Which Started After Taking Topamax For Migranes?

Hi, Thank you for posting your query. I have noted your complaints and I feel stopping topamax (topiramate) may not be the cause for your seizures. The more likely cause is that you may have both the conditions together. This is because both migraine and seizure have common underlying mechanisms and frequently co-exist in the same individual. The best medicine for seizure control in your case would be divalproex or sodium valproate tablets, as they have anti-seizure as well as anti-migraine properties. The only down side is the side effect of weight gain. In that case, levetiracetam (keppra) would be a good choice, especially as migraine is not a big issue in your case. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in