{"id":25262,"date":"2022-09-13T07:01:43","date_gmt":"2022-09-13T07:01:43","guid":{"rendered":"https:\/\/zeepedia.com\/?p=25262"},"modified":"2022-09-14T07:24:06","modified_gmt":"2022-09-14T07:24:06","slug":"topiramate-accord","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/topiramate-accord\/","title":{"rendered":"Topiramate Accord &#8211; Topiramate uses, dose and side effects"},"content":{"rendered":"\n<p>25 mg, 50 mg, 100 mg and 200 mg\u00a0film-coated tablets<br>topiramate<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Topiramate Accord is and what it is used for<\/h2>\n\n\n\n<p>Topiramate Accord belongs to a group of medicines called anti-epileptic medicines.&nbsp;It is used:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>alone for the treatment of epileptic seizures in adults and children over 6 years of age<\/li><li>together with other medicines for the treatment of epileptic seizures in adults and children 2 years of age or older<\/li><li>to prevent migraine headaches in adults<\/li><\/ul>\n\n\n\n<p>Topiramate contained in Topiramate Accord may also be approved to treat other conditions not mentioned in this product information.\u00a0Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you take Topiramate Accord<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Topiramate Accord:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to topiramate or any of the other ingredients of this medicine (listed in section 6).<\/li><li>to prevent migraines: if you are pregnant or if you are a woman of&nbsp;childbearing potential&nbsp;unless you are using an effective method of contraception (see section \u201cPregnancy and breast-feeding\u201d for further information).&nbsp;Talk to your doctor about the best method of contraception to use while you are taking Topiramate Accord.<\/li><\/ul>\n\n\n\n<p>If you are not sure if the above applies to you, talk to your doctor or pharmacist before using Topiramate Accord.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Topiramate Accord if you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>have kidney problems, especially\u00a0kidney stones, or receive kidney dialysis<\/li><li>have had abnormalities in blood or body fluids (metabolic\u00a0acidosis\u00a0)<\/li><li>have liver problems<\/li><li>have eye\u00a0problems,\u00a0especially\u00a0glaucoma<\/li><li>have growth problems<\/li><li>is on a high-fat diet (ketogenic diet)<\/li><li>taking Topiramate Accord to treat\u00a0epilepsy\u00a0and you are pregnant or a woman of\u00a0childbearing potential\u00a0(see section &#8216;Pregnancy and breast-feeding for further information)<\/li><\/ul>\n\n\n\n<p>If you are not sure if the above applies to you, talk to your doctor or pharmacist before taking Topiramate Accord.<\/p>\n\n\n\n<p>You mustn&#8217;t stop taking the medicine without first consulting a doctor.<\/p>\n\n\n\n<p>You should also talk to your doctor before taking any medicine containing topiramate, which is given to you as an alternative to this medicine.<\/p>\n\n\n\n<p>You may lose weight if you use topiramate, so your weight should be checked regularly while using this medicine.&nbsp;If you lose too much weight or if a child using this medicine does not gain enough weight, consult a doctor.<\/p>\n\n\n\n<p>A small number of people who have been treated with anti-epileptic drugs, such as topiramate, have also had thoughts of harming themselves or committing suicide.\u00a0If you ever have these thoughts, contact your doctor immediately.<\/p>\n\n\n\n<p>Topiramate Accord can cause serious skin reactions.\u00a0Tell your doctor immediately if you get a rash and\/or blisters (see also section 4 \u201cPossible side effects\u201d).<\/p>\n\n\n\n<p>Topiramate Accord can rarely cause high levels of ammonia in the blood (seen in blood tests).&nbsp;This can lead to altered brain function, especially if you are also taking a medicine called&nbsp;valproic acid&nbsp;or sodium valproate.&nbsp;As this can be a serious condition, tell your doctor immediately if you experience the following symptoms (see also section 4 \u201cPossible side effects\u201d):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>have difficulty thinking, remembering information, or solving problems<\/li><li>is less alert or attentive<\/li><li>feeling very sleepy with low energy<\/li><\/ul>\n\n\n\n<p>At higher&nbsp;doses&nbsp;of Topiramate Accord, the risk of developing these symptoms may increase.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Topiramate Accord<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.\u00a0Topiramate Accord and some other medicines can affect each other.\u00a0Sometimes the\u00a0dose\u00a0of one of your medicines or Topiramate Accord needs to be adjusted.<\/p>\n\n\n\n<p>You must especially inform the doctor or pharmacist if you are taking:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Other drugs that impair or impair thinking, concentration, or muscle coordination (e.g. drugs with a depressant effect on the\u00a0central nervous system\u00a0such as muscle relaxants and tranquilizers).<\/li><li>Birth control pills: this medicine can make your\u00a0birth control pills\u00a0less effective.\u00a0Talk to your doctor about the best method of contraception to use while you are taking Topiramate Accord.<\/li><\/ul>\n\n\n\n<p>Tell your doctor if your menstrual bleeding changes while you are taking the&nbsp;pill&nbsp;and topiramate.<\/p>\n\n\n\n<p>For a list of all medicines that you take.\u00a0Show this list to your doctor and pharmacist before starting a new medicine.<\/p>\n\n\n\n<p>Other medicines that you should discuss with your doctor or pharmacist include other medicines for\u00a0epilepsy,\u00a0risperidone, lithium,\u00a0hydrochlorothiazide,\u00a0metformin, pioglitazone, glibenclamide, amitriptyline, propranolol,\u00a0diltiazem,\u00a0venlafaxine, flunarizine, St. John&#8217;s\u00a0wort\u00a0(\u00a0Hypericum perforatum\u00a0) (a (traditional) herbal medicine used to treat depression), blood thinner\u00a0warfarin.<\/p>\n\n\n\n<p>If you are not sure if the above applies to you, talk to your doctor or pharmacist before using Topiramate Accord.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Topiramate Accord with food and drink<\/h2>\n\n\n\n<p>You can take Topiramate with or without food.&nbsp;Drink plenty of fluids during the day to prevent&nbsp;kidney stones&nbsp;while taking Topiramate Accord.&nbsp;You should not drink alcohol while you are taking Topiramate Accord.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>Migraine Prevention:<\/p>\n\n\n\n<p>Topiramate Accord can harm an unborn baby.&nbsp;You must not use Topiramate Accord if you are pregnant.&nbsp;You must not use Topiramate Accord to prevent&nbsp;migraines&nbsp;if you are a woman of&nbsp;childbearing potential&nbsp;unless you are using an effective method of contraception.&nbsp;Talk to your doctor about which method of contraception is best and if Topiramate Accord is suitable for you.&nbsp;A pregnancy test must be done before starting treatment with Topiramate Accord.<\/p>\n\n\n\n<p>Treatment of epilepsy:<\/p>\n\n\n\n<p>If you are a&nbsp;fertile&nbsp;woman, you should talk to your doctor about other treatment options instead of Topiramate Accord.&nbsp;If the decision is to use Topiramate Accord, you must use an effective method of contraception.&nbsp;Talk to your doctor about the best method of contraception while taking Topiramate Accord.&nbsp;A pregnancy test must be done before starting treatment with Topiramate Accord.<\/p>\n\n\n\n<p>Talk to your doctor if you are planning to have children.<\/p>\n\n\n\n<p>As with other antiepileptic\u00a0drugs, there is a risk of harm to the unborn child if topiramate is used during pregnancy.\u00a0Make sure you fully understand the risks and benefits of using topiramate for\u00a0epilepsy\u00a0during pregnancy.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you take Topiramate Accord during pregnancy, the baby is at a higher risk of congenital malformations, especially cleft lip and\u00a0palate.\u00a0Newborn boys can also have a misshapen penis (hypospadias).\u00a0These malformations can develop early in pregnancy, even before you know you are pregnant.<\/li><li>If you take Topiramate Accord during pregnancy, your baby may be smaller than expected at birth.\u00a0Talk to your doctor if you have any questions about this risk during pregnancy.<\/li><li>There may be other drugs with a lower risk of malformations to treat your condition.<\/li><li>Tell your doctor immediately if you become pregnant while taking Topiramate Accord.\u00a0You and the doctor decide whether you should continue to take Topiramate Accord during pregnancy.<\/li><\/ul>\n\n\n\n<p>Breast-feeding<\/p>\n\n\n\n<p>The active substance in Topiramate Accord (topiramate) is excreted in human breast milk.\u00a0Effects on breastfed infants of treated mothers have been observed and include diarrhea, drowsiness, irritability, and poor weight gain.\u00a0Therefore, the doctor will discuss with you whether you should refrain from breastfeeding or refrain from treatment with Topiramate Accord.\u00a0The doctor will take into account the importance of the medicine for the mother and the risk to the child.<\/p>\n\n\n\n<p>Mothers who are breastfeeding while taking topiramate must inform the doctor as soon as possible if the baby experiences anything unusual.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<p>Dizziness, fatigue, and vision problems may occur during treatment with topiramate.\u00a0Do not drive or use any tools or machinery without first talking to your doctor.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0A description of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0Discuss with your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Topiramate Accord contains lactose<\/h2>\n\n\n\n<p>If you have an intolerance to certain sugars, you should consult your doctor before taking this medicine.<\/p>\n\n\n\n<p>Warning!&nbsp;Each bottle contains a drying capsule.&nbsp;This is a small capsule with the text &#8220;Do not eat&#8221;.&nbsp;Don&#8217;t eat this.<\/p>\n\n\n\n<p><strong>Topiramate Accord contains\u00a0sodium<\/strong><\/p>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)&nbsp;of sodium&nbsp;per tablet, i.e.&nbsp;is next to &#8220;sodium-free&#8221;.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Topiramate Accord<\/h2>\n\n\n\n<p>Always take this medicine as directed by your doctor.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The doctor will usually let you start with a low\u00a0dose\u00a0of topiramate and then slowly increase the\u00a0dose\u00a0until you find the\u00a0dose\u00a0that is best for you.<\/li><li>Topiramate Accord tablets should be swallowed whole.\u00a0Avoid chewing the tablets as they may leave a bitter taste.<\/li><li>Topiramate can be taken before, during, or after a meal.\u00a0Drink plenty of fluids during the day to prevent the formation of\u00a0kidney stones\u00a0when you take topiramate.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you have taken too much Topiramate Accord<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>See a doctor immediately.\u00a0Take the medicine package with you.<\/li><li>You may feel sleepy, tired, or less alert, lack coordination, have difficulty speaking and concentrating, have double or blurred vision, feel dizzy due to low\u00a0blood pressure, feel depressed or agitated, or have stomach pains or seizures.<\/li><\/ul>\n\n\n\n<p>Overdose can occur if you take other medicines together with topiramate.<\/p>\n\n\n\n<p>If you have ingested too much medicine or if, for example,\u00a0a child has ingested the medicine by mistake, contact a doctor or hospital for an assessment of the risk and advice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Topiramate Accord<\/h2>\n\n\n\n<p>If you forget to take a\u00a0dose, take it as soon as you remember.\u00a0If it is almost time for the next\u00a0dose, skip the missed\u00a0dose\u00a0and continue as usual.\u00a0If you miss two or more\u00a0doses, contact your doctor.<\/p>\n\n\n\n<p>Do not take a double\u00a0dose\u00a0(two\u00a0doses\u00a0at the same time) to make up for a missed\u00a0dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Topiramate Accord<\/h2>\n\n\n\n<p>Do not stop taking this medicine unless your doctor tells you to.&nbsp;Your symptoms may return.&nbsp;If your doctor decides to stop treatment with this medicine, the&nbsp;dose&nbsp;can be gradually reduced over a few days.<\/p>\n\n\n\n<p>If you have any further questions about this medicine, ask your doctor or pharmacist.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong><u>Tell your doctor or<\/u><\/strong>&nbsp;see a doctor immediately<strong><u>&nbsp;if you experience the following side effects:<\/u><\/strong><\/p>\n\n\n\n<p><strong><u>Very common (may affect more than 1 in 10 users)<\/u><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Depression (new or worsening)<\/li><\/ul>\n\n\n\n<p><strong><u>Common (may affect up to 1 in 10 users)<\/u><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Convulsions (seizures)<\/li><li>Anxiety, irritability, mood changes, confusion, disorientation<\/li><li>Difficulty concentrating, impaired thinking, memory loss, memory problems (new, sudden change, or increased severity)<\/li><li>Kidney stones, frequent or painful urination<\/li><\/ul>\n\n\n\n<p><strong><u>Uncommon (may affect up to 1 in 100 users)<\/u><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Increased acidity of the blood (may cause troubled breathing including shortness of breath, loss of appetite, nausea, vomiting, excessive tiredness, and fast or irregular heartbeat)<\/li><li>Decreased or lost ability to sweat (especially in young children exposed to high temperatures)<\/li><li>Have thoughts of serious self-harm, attempt to cause serious self-harm<\/li><li>Loss of part of the field of\u00a0vision\u00a0et<\/li><\/ul>\n\n\n\n<p><strong><u>Rare (may affect up to 1 in 1,000 users)<\/u><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Glaucoma\u00a0is a blockage\u00a0of fluid in the eye and causes increased pressure in the eye, pain, or reduced vision<\/li><li>Having difficulty thinking, remembering information, or solving problems, being less alert or attentive, and feeling very sleepy with low energy \u2013 these symptoms may be a sign of high levels of ammonia in the blood (hyperammonemia) which can lead to altered brain function (hyperammonemia\u00a0encephalopathy\u00a0)<\/li><li>Serious skin reactions such as\u00a0Stevens-Johnson syndrome\u00a0or\u00a0toxic epidermal necrolysis may appear as a rash with or without blisters.\u00a0Skin irritation, sores, or swelling in the mouth, throat, nose, eyes, and around the genitals.\u00a0The skin rash can develop into serious widespread skin damage (skin detachment of the outer skin layers and superficial mucous membranes) with life-threatening consequences.<\/li><\/ul>\n\n\n\n<p><strong><u>Has been reported (occurring in an unknown number of users):<\/u><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/eye-inflammation-in-children\/\">Eye inflammation<\/a> (\u00a0uveitis\u00a0) with symptoms such as\u00a0redness\u00a0in the eye, pain, sensitivity to light, watery eyes, small dots in the\u00a0field\u00a0of vision, or blurred vision<\/li><\/ul>\n\n\n\n<p>Other&nbsp;side effects&nbsp;include the following.&nbsp;If they get worse, contact your doctor or pharmacist:<\/p>\n\n\n\n<p><strong><u>Very common (may affect more than 1 in 10 users)<\/u><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Stuffy, runny nose, or <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/sore-throat\/\">sore throat<\/a><\/li><li>Tingling, pain, and\/or numbness in various body parts<\/li><li>Drowsiness, fatigue<\/li><li>Dizziness<\/li><li>Nausea, diarrhea<\/li><li>Weight loss<\/li><\/ul>\n\n\n\n<p><strong><u>Common (may affect up to 1 in 10 users)<\/u><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Anemia\u00a0(low blood count)<\/li><li>Allergic reactions (such as skin rash,\u00a0redness,\u00a0itching, facial swelling, hives)<\/li><li>Loss of appetite decreased appetite<\/li><li>Aggression, excitement, anger, abnormal behavior<\/li><li>Difficulty falling asleep or staying asleep<\/li><li>Problems with speech or speech difficulties, slurred speech<\/li><li>Clumsiness or lack of coordination, feeling unsteady walking<\/li><li>Decreased ability to complete routine tasks<\/li><li>Decreased, loss of, or nonexistent sense of taste<\/li><li>Involuntary tremors or shaking, rapid uncontrolled eye movements<\/li><li>Visual disturbances such as <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/distinction-and-double-vision-in-adults\/\">double vision<\/a>, blurred vision, reduced\u00a0visual acuity, difficulty focusing<\/li><li>Feeling of dizziness (\u00a0vertigo\u00a0), ringing in the ears, pain in the ears<\/li><li>Respiratory distress<\/li><li>Cough<\/li><li>Nosebleed<\/li><li>Fever, malaise, weakness<\/li><li>Vomiting, constipation, abdominal pain or discomfort, indigestion, stomach or intestinal infection<\/li><li>Dry mouth<\/li><li>Hair loss<\/li><li>Itching<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/joint-pain\/\">Joint pain<\/a> or swelling, muscle cramps or twitching, muscle pain or weakness, chest pain<\/li><li>Weight gain<\/li><\/ul>\n\n\n\n<p><strong><u>Uncommon (may affect up to 1 in 100 users)<\/u><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Reduced number of\u00a0platelets\u00a0(\u00a0blood cells\u00a0that help stop bleeding), reduced number of\u00a0white blood cells\u00a0that help protect you against\u00a0infection, reduced amount of\u00a0potassium\u00a0in the blood<\/li><li>Increased liver enzymes, increase in\u00a0eosinophils\u00a0(a type of\u00a0white blood cell\u00a0) in the blood<\/li><li>Swollen\u00a0glands\u00a0in the neck, armpit, or groin<\/li><li>Increased appetite<\/li><li>Elevated mood<\/li><li>Hearing, seeing, or feeling things that are not there, severe mental disorder (\u00a0psychosis\u00a0)<\/li><li>Not showing and\/or feeling emotions, unusual suspiciousness, panic attack<\/li><li>Reading, speaking, and writing difficulties<\/li><li>Restlessness, overactivity<\/li><li>Difficulty thinking reduced alertness or attention<\/li><li>Reduced or slow body movements, involuntary abnormal or repetitive muscle movements<\/li><li>Fainting<\/li><li>Abnormal or reduced sensation<\/li><li>Impaired, distorted, or no sense of smell<\/li><li>Unusual feeling or sensation that may precede a\u00a0migraine\u00a0or a certain type of attack<\/li><li>Dry eyes, light sensitivity, involuntary eyelid twitching, watery eyes<\/li><li>Impaired or lost hearing, loss of hearing in one ear<\/li><li>Slow or irregular heartbeat, feeling like your heart is pounding in your chest<\/li><li>Low\u00a0blood pressure\u00a0when standing (so some people taking Topiramate Accord may feel weak, dizzy, or may faint when standing or sitting up suddenly)<\/li><li>Redness, feeling of warmth<\/li><li>Pancreatitis\u00a0(\u00a0inflammation\u00a0of the pancreas)<\/li><li>Gas, heartburn, fullness, or bloating<\/li><li>Bleeding gums, increased salivation, drooling, bad breath<\/li><li>Intake of abnormally large amounts of fluid, increased thirst<\/li><li>Discolored skin<\/li><li>Muscle stiffness, pain in the side<\/li><li>Blood in the urine, urinary incontinence (difficulty controlling the bladder), urge to urinate, pain in the side or kidney pain<\/li><li>Difficulty getting or keeping\u00a0an erection, sexual\u00a0dysfunction<\/li><li>Flu-like symptoms<\/li><li>Cold fingers and toes<\/li><li>Feeling of intoxication<\/li><li>Learning difficulties<\/li><\/ul>\n\n\n\n<p><strong><u>Rare (may affect up to 1 in 1,000 users)<\/u><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Abnormally elevated mood<\/li><li>Unconsciousness<\/li><li>Blindness in one eye, temporary blindness,\u00a0night blindness<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/visual-impairment\/\">Visual impairment<\/a><\/li><li>Swelling in and around the eyes<\/li><li>Numbness, tingling, and discoloration (white, blue, then red) in fingers and toes when exposed to cold<\/li><li>Liver inflammation, liver failure<\/li><li>The abnormal smell on the skin<\/li><li>Discomfort in arms or legs<\/li><li>Kidney disease<\/li><\/ul>\n\n\n\n<p><strong>Has been reported (occurring in an unknown number of users)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Maculopathy\u00a0is a disease of the\u00a0macula, the small spot on the retina where vision is sharpest.\u00a0You should see a doctor if you notice a change or deterioration in your vision.<\/li><\/ul>\n\n\n\n<p><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children<\/h2>\n\n\n\n<p>Side effects&nbsp;in children are generally similar to those seen in adults, but the following&nbsp;side effects&nbsp;may be more common in children than in adults:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Concentration problems<\/li><li>Increased acidity in the blood<\/li><li>Have thoughts of serious self-harm<\/li><li>Fatigue<\/li><li>Decreased or increased appetite<\/li><li>Aggression, abnormal behavior<\/li><li>Difficulty falling asleep or staying asleep<\/li><li>The feeling of unsteady gait<\/li><li>Feeling of illness<\/li><li>Decreased amount of\u00a0potassium\u00a0in the blood<\/li><li>Not showing and\/or feeling emotions<\/li><li>Watery eyes<\/li><li>Slow or irregular heartbeats<\/li><\/ul>\n\n\n\n<p>Other&nbsp;side effects&nbsp;that may occur in children are:<\/p>\n\n\n\n<p><strong>Common (may affect up to 1 in 10 users)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Dizziness (&nbsp;vertigo&nbsp;)<\/li><li>Vomiting<\/li><li>Fever<\/li><\/ul>\n\n\n\n<p><strong>Uncommon (may affect up to 1 in 100 users)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Increase in&nbsp;eosinophils&nbsp;(a type of&nbsp;white blood cell&nbsp;) in the blood<\/li><li>Hyperactivity<\/li><li>Feeling of warmth<\/li><li>Learning problems<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Topiramate Accord<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.\u00a0Use before the expiry date which is stated on the carton, bottle, or blister after EXP\/EXP.\u00a0The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Store at a maximum of 25 \u00baC.&nbsp;Keep the container tightly closed.&nbsp;Moisture sensitive.<\/p>\n\n\n\n<p>Medicines must not be thrown into the drain or among the household waste.\u00a0Ask the pharmacist how to dispose of medicines that are no longer used.\u00a0These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Contents declaration<\/h2>\n\n\n\n<p>The active substance is topiramate.<\/p>\n\n\n\n<p>Each film-coated tablet contains 25 mg of topiramate.<\/p>\n\n\n\n<p>Each film-coated tablet contains 50 mg of topiramate.<\/p>\n\n\n\n<p>Each film-coated tablet contains 100 mg of topiramate.<\/p>\n\n\n\n<p>Each film-coated tablet contains 200 mg of topiramate.<\/p>\n\n\n\n<p>The other ingredients are\u00a0lactose monohydrate\u00a0(see section 2: Topiramate Accord contains\u00a0lactose\u00a0), microcrystalline cellulose, pregelatinized\u00a0starch\u00a0(ie potato starch), croscarmellose sodium, and magnesium stearate.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The 25 mg tablets are\u00a0coated\u00a0with hypromellose, titanium dioxide (E171), and macrogol<\/li><li>The 50 mg and 100 mg tablets are\u00a0coated\u00a0with hypromellose, titanium dioxide (E171), macrogol, and yellow iron oxide (E172)<\/li><li>The 200 mg tablets are\u00a0coated\u00a0with hypromellose, titanium dioxide (E171), macrogol, and red iron oxide (E172).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Appearance and package sizes of the medicine:<\/h2>\n\n\n\n<p>Film-coated tablet.<\/p>\n\n\n\n<p>Topiramate Accord is available in four strengths containing either 25 mg, 50 mg, 100 mg, or 200 mg of topiramate.<\/p>\n\n\n\n<p>25 mg film-coated tablets are round, biconvex film-coated tablets, approximately 6 mm in diameter, with beveled edges.\u00a0The white tablets are debossed with TP on one side and 25 on the other side.&#8217;<\/p>\n\n\n\n<p>50 mg film-coated tablets are round, biconvex film-coated tablets, approximately 7 mm in diameter, with beveled edges.&nbsp;The light yellow tablets are marked with TP on one side and 50 on the other side.<\/p>\n\n\n\n<p>100 mg film-coated tablets are round, biconvex film-coated tablets, approximately 9 mm in diameter, with beveled edges.&nbsp;The dark yellow tablets are debossed with TP on one side and 100 on the other side.<\/p>\n\n\n\n<p>200 mg film-coated tablets are round, biconvex film-coated tablets, approximately 12.7 mm in diameter, with beveled edges.\u00a0The red tablets are embossed with TP on one side and 200 on the other side.<\/p>\n\n\n\n<p>Topiramate Accord film-coated tablets are available in aluminum\/aluminum blisters in pack sizes of 10, 14, 20, 28, 30, 50, 56, 60, 100, 120, and 200 film-coated tablets or in high-density polyethylene (HDPE) cans with a white\u00a0opaque\u00a0child-resistant polypropylene closure with a cotton swab with an induction seal supplied in cartons with pack sizes of 14, 30, 60, 100 and 200 film-coated tablets.\u00a0Each jar contains a silica gel desiccant that should not be swallowed.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing authorization holder and manufacturer<\/h2>\n\n\n\n<p><em>Marketing Authorisation Holder<\/em><\/p>\n\n\n\n<p>Accord Healthcare BV<\/p>\n\n\n\n<p>Winthontlaan 200<\/p>\n\n\n\n<p>3526 VK Utrecht<\/p>\n\n\n\n<p>Netherlands<\/p>\n\n\n\n<p><em>Manufacturer<\/em><\/p>\n\n\n\n<p>Accord Healthcare Polska Sp.z o.o<\/p>\n\n\n\n<p>ul.&nbsp;Lutomirska 50<\/p>\n\n\n\n<p>95-200 Pabianice<\/p>\n\n\n\n<p>Poland<\/p>\n\n\n\n<p>or<\/p>\n\n\n\n<p>Accord Healthcare BV<\/p>\n\n\n\n<p>Winthontlaan 200<\/p>\n\n\n\n<p>3526 VK Utrecht<\/p>\n\n\n\n<p>Netherlands<\/p>\n","protected":false},"excerpt":{"rendered":"<p>25 mg, 50 mg, 100 mg and 200 mg\u00a0film-coated tablets<br \/>\ntopiramate<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,22500],"tags":[26043,26120,26124,26123,26046,26045,26041,26122,26121,26044],"class_list":["post-25262","post","type-post","status-publish","format-standard","hentry","category-medicines","category-t","tag-topiramate","tag-topiramate-accord","tag-topiramate-accord-side-effects","tag-topiramate-accord-tablet","tag-topiramate-side-effects","tag-topiramate-tablet","tag-what-is-topiramate","tag-what-is-topiramate-accord","tag-what-topiramate-accord-is-used-for","tag-what-topiramate-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/25262","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=25262"}],"version-history":[{"count":3,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/25262\/revisions"}],"predecessor-version":[{"id":25306,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/25262\/revisions\/25306"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=25262"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=25262"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=25262"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}