Information on new FDA warning is not clear and seems not to indicate that it is based on only 4 cases ever reported in the US by the NAAED. I want to know if these are the same as doses for the prevention of migraine, not epilepsy.
Just went through the FDA warning. As you said, there was no dose. The warning however, was applied to topamax as a whole. Therefore, caution should be used in all doses.
It also mentioned a risk vs benefits comparison. Therefore, you have to look at it from overall benefits. In my opion, the benefit of preventing migrans is lower than the benefit of siezure prevention.
Since there are low benefits and potential risks I would recommend against the use.
Brian PharmD Candidate
- Topamax Information for Consumers
- Topamax Information for Healthcare Professionals (includes dosage details)
- Side Effects of Topamax (detailed)
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