Package	Price	Per tablet	Savings
360 tablets $ 299.40	^$ 300.00 $ 0.83	^$ 0.83 ^$ 0.83	^$ 299.40 ^$ 299.40
180 tablets $ 144.70	^$ 155.00 $ 0.86	^$ 0.86 ^$ 0.86	^$ 144.70 ^$ 144.70
120 tablets $ 94.80	^$ 105.00 $ 0.88	^$ 0.88 ^$ 0.88	^$ 94.80 ^$ 94.80
90 tablets $ 64.85	^$ 85.00 $ 0.94	^$ 0.94 ^$ 0.94	^$ 64.85 ^$ 64.85
60 tablets $ 39.95	^$ 59.95 $ 1.00	^$ 1.00 ^$ 1.00	^$ 39.95 ^$ 39.95
30 tablets	^$ 49.95 $ 1.67	^$ 1.67 ^$ 1.67

Package	Price	Per tablet	Savings
360 tablets $ 225.40	^$ 470.00 $ 1.31	^$ 1.31 ^$ 1.31	^$ 225.40 ^$ 225.40
180 tablets $ 104.70	^$ 243.00 $ 1.35	^$ 1.35 ^$ 1.35	^$ 104.70 ^$ 104.70
120 tablets $ 66.80	^$ 165.00 $ 1.38	^$ 1.38 ^$ 1.38	^$ 66.80 ^$ 66.80
90 tablets $ 43.85	^$ 130.00 $ 1.44	^$ 1.44 ^$ 1.44	^$ 43.85 ^$ 43.85
60 tablets $ 27.90	^$ 88.00 $ 1.47	^$ 1.47 ^$ 1.47	^$ 27.90 ^$ 27.90
30 tablets	^$ 57.95 $ 1.93	^$ 1.93 ^$ 1.93

Package	Price	Per tablet	Savings
360 tablets $ 251.40	^$ 612.00 $ 1.70	^$ 1.70 ^$ 1.70	^$ 251.40 ^$ 251.40
180 tablets $ 121.70	^$ 310.00 $ 1.72	^$ 1.72 ^$ 1.72	^$ 121.70 ^$ 121.70
120 tablets $ 77.80	^$ 210.00 $ 1.75	^$ 1.75 ^$ 1.75	^$ 77.80 ^$ 77.80
90 tablets $ 50.85	^$ 165.00 $ 1.83	^$ 1.83 ^$ 1.83	^$ 50.85 ^$ 50.85
60 tablets $ 28.90	^$ 115.00 $ 1.92	^$ 1.92 ^$ 1.92	^$ 28.90 ^$ 28.90
30 tablets	^$ 71.95 $ 2.40	^$ 2.40 ^$ 2.40

Package	Price	Per tablet	Savings
180 tablets $ 139.75	^$ 429.95 $ 2.39	^$ 2.39 ^$ 2.39	^$ 139.75 ^$ 139.75
120 tablets $ 89.85	^$ 289.95 $ 2.42	^$ 2.42 ^$ 2.42	^$ 89.85 ^$ 89.85
90 tablets $ 59.90	^$ 224.95 $ 2.50	^$ 2.50 ^$ 2.50	^$ 59.90 ^$ 59.90
60 tablets $ 34.95	^$ 154.95 $ 2.58	^$ 2.58 ^$ 2.58	^$ 34.95 ^$ 34.95
30 tablets	^$ 94.95 $ 3.17	^$ 3.17 ^$ 3.17

Topiramate tablet

What is this medicine?

TOPIRAMATE is effective in helping to control seizures (convulsions) in adults or children with various forms of epilepsy. Topiramate may also be prescribed for other conditions, such as prevention of migraine headaches.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

cirrhosis of the liver or other liver disease
depression
diarrhea
glaucoma
kidney stones
kidney disease
lung disease
metabolic acidosis
on a ketogenic diet
suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member
an unusual or allergic reaction to topiramate, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding

How should I take this medicine?

Take topiramate tablets and capsules by mouth. Swallow the tablets whole with a drink of water; do not crush or chew. The capsules can be swallowed whole or opened carefully and the contents sprinkled on about on a small amount of soft food, such as applesauce, pudding, ice cream, oatmeal, or yogurt. This mixture must be swallowed immediately; do not chew or store the sprinkles on the food for later use. Be sure to take the entire dose. You may take topiramate with meals. Take your doses at regular intervals. Do not take your medicine more often than directed.

Topiramate should be taken on a daily basis as prescribed by your health care professional for the prevention of migraine headaches. Topiramate should not be used to 'abort' or stop a migraine once it has started.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. Topiramate has been used in children for the treatment of various seizure disorders.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

acetazolamide
birth control pills or other hormones for birth control, including implants or injections
bosentan
carbamazepine
dichlorphenamide
digoxin
ethanol
hydrochlorothiazide
medications for pain, sleep, or muscle relaxation
methazolamide
phenobarbital or primidone
phenytoin
pioglitazone
probenecid
sevelamer
valproic acid

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What should I watch for while taking this medicine?

Visit your prescriber or health care professional for a regular check on your progress. Do not stop taking this medicine suddenly. This increases the risk of seizures if you are using this medicine to control epilepsy. Wear a Medic Alert bracelet or necklace. Carry an identification card with information about your condition, medications, and prescriber or health care professional.

You should drink plenty of fluids while taking this medicine. If you have had kidney stones in the past, this will help to reduce your chances of forming kidney stones.

If you have stomach pain, with nausea or vomiting and yellowing of your eyes or skin, call your health care provider immediately.

You may get drowsy, dizzy, or have blurred vision. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. To reduce dizziness, do not sit or stand up quickly, especially if you are an older patient. Alcohol can increase drowsiness and dizziness. Avoid alcoholic drinks.

If you take birth control pills, this medicine may reduce their effectiveness at preventing pregnancy. Notify your prescriber or health care professional if you notice changes in your monthly cycles or bleeding patterns. You may want to discuss birth control options with your health care provider.

The use of this medicine may increase the chance of suicidal thoughts or actions. Pay special attention to how you are responding while on this medicine. Any worsening of mood, or thoughts of suicide or dying should be reported to your health care professional right away.

If you notice blurred vision, eye pain, or other eye problems, seek medical attention at once for an eye exam.

If you are going to have surgery, tell your prescriber or health care professional that you are taking this medicine.

What side effects may I notice from this medicine?

Side effects that you should report to your prescriber or health care professional as soon as possible:

agitation, restlessness, irritability, or other changes in mood
decreased sweating and/or rise in body temperature
difficulty breathing
difficulty speaking
difficulty walking or controlling muscle movements
eye pain, redness or swelling
hearing impairment
kidney stones (severe pain in the side or back, or on urination)
nose bleeds
redness, blistering, peeling or loosening of the skin, including inside the mouth
skin rash, itching
stomach pain with nausea or vomiting
swelling of the face, lips or tongue
tingling, pain or numbness in the hands or feet
unusual weakness or tiredness
vision problems, like blurred vision
vomiting
worsening of mood, thoughts or actions of suicide or dying
yellowing of the skin or eyes

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

back pain, joint aches and pains
breast pain
diarrhea, or constipation
difficulty sleeping
dizziness, drowsiness
dry mouth
headache
heartburn or stomach acid reflux
hot flashes
loss of appetite
menstrual disorder
muscle aches or pains
nausea
swelling of the gums
stomach upset, indigestion
stuffy, runny nose
sweating
tiredness or weakness
taste altered
tremor

This list may not describe all possible side effects.

Where can I keep my medicine?

Keep out of reach of children in a container that small children cannot open.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) in a tightly closed container. Protect from moisture. Throw away any unused medicine after the expiration date.

Topamax