epilepsy control and anxiety
15 Aug 2011
You can take these together as long as you are aware of the following interaction potential:
alprazolam ↔ topiramate
Applies to: Xanax (alprazolam), Topamax (topiramate)
MONITOR: Central nervous system- and/or respiratory-depressant effects may be additively or synergistically increased in patients taking multiple drugs that cause these effects, especially in elderly or debilitated patients.
MANAGEMENT: During concomitant use of these drugs, patients should be monitored for potentially excessive or prolonged CNS and respiratory depression. Ambulatory patients should be counseled to avoid hazardous activities requiring mental alertness and motor coordination until they know how these agents affect them, and to notify their physician if they experience excessive or prolonged CNS effects that interfere with their normal activities.
As far as what you are referring to as higher doses, the higher the dose the greater chance of CNS and respiratory depression. Best to follow the doctor's prescription.
16 Aug 2011
For starters, you dont state how much Topamax and Xanax you are taking. How much did your physician prescribe of each of these for you? And what exactly are you taking each one for? Reason I ask, Topamax is generally prescribed for seizures, however I take 400mg per day to thwart off migraines. That is the dosage prescribed for me by my doctor. As for Xanax, I only use 1mg tablets for insomnia as needed. You need to make sure the amounts you take are the ones prescribed by your doctor. If you take more than that, you could be setting yourself up for a bad health event.
Laurie gave you the perfect information above as to watching out for side effects. Her information is right on key. Please take heed to what she has quoted you. It is very important that you follow the proper dosage on both medications.
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