Brief Answer:
Used for migraine, fits

Detailed Answer:
Hi dear.Thanks for giving me an opportunity to address your query.

Tomax contains Topiratmate.It is used for the treatment of fits and also for the treatment of migraine.

I were to start with a 25mg tablet at night time for the first week and uptitrate further depending on the response and the condition for which it is being used for.Dose needs to be adjusted in case of renal dysfunction/impairment especially in elderly age group.

Generally well tolerated by posible side effects include weight loss, formation of renal stones, vision disturbances, loss of appetite, dizziness and speech problems.

I would like to know about your diagnosis so that I can help you better.

Hope these information give you a glimpse of Topamax.Feel free to reach for further clarifications.

---

Brief Answer:
Both for monotherapy and as an adjunct

Detailed Answer:
Hi,

I am glad to share that topiramate is used both as a monotherapy and as adjunct in bipolar and schizoaffective disorders.

The commonest side effect of classical drugs like valproate and lithium is weight gain.You are very much aware that it is an important risk for hypertension, coronary heart disease, type 2 diabetes mellitus & dyslipidemia further translating to noncompliance with an increased risk of relapse and subsequent rehospitalization. This is one of the main reasons to make this choice.

You may kindly request the forum for the answer from a psychiatrist for further clarifications.Thanks for your interest and valuable time.

Regards,

---