Comparing Emgality vs Topiramate
Emgality Remove Emgality from your drug comparison | Topiramate Remove Topiramate from your drug comparison |
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Emgality galcanezumab Remove Emgality from your drug comparison | Topiramate Remove Topiramate from your drug comparison | ||||||||||||||||
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Emgality is an injectable medication that can be self-administered subcutaneously (under the skin) once monthly for the prevention of migraine in adults or during a cluster headache period when used... View more |
Topiramate may be prescribed either alone or in combination with other medications for the treatment of certain types of epilepsy, or it may be given for the prevention of migraines. Drowsiness is a... View more |
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Prescription only |
Prescription only |
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Ratings & ReviewsRecent helpful reviews |
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5.0
For Migraine Prevention: I have been taking Emgality for a few months. Helped the migraines but the second month I did the injection I developed a rash at injection site and the subsequent injections seem like the reaction is getting worse. When I spoke to my neurologist, she said to take Claritin before the injection but I get drowsy with any kinda of antihistamines( even the ones that say non drowsy) . I tried Benadryl before the shot but still got a bad reaction and neurologist told me it’s possible I could get a bad anaphylactic reaction. So I think I will not take the Emgality anymore. Will have to take my rescue Amerge when I get a migraine and keep looking for my miracle cure one day. I do believe the all side effects of Emgality are not well known yet and are under reported. |
6.4
For Migraine Prevention: I have been taking Topamax on and off I for over 15 years for migraine prevention. I have lost weight on this medication, although not intentionally. Every time I try to stop talking I gain back any weight that I lost almost right away, and the headaches come back with a vengeance. The side effects have been incredibly aggravating! The brain fog is difficult for me because I’m a graduate student. I can’t remember words, read without repeating to make sure I can retain the information. Plus, I felt like it numbed my personality. I’ve read that it cause bone density issues, problems with acid levels in the blood and more. The weight loss is not permanent, and is most likely due to the appetite suppressing effect. It doesn’t teach you how to eat properly, nor is it a long term solution. I have decided to come off of it again. Yes, I have started to gain a little bit of weight, but I would rather have that than the dangerous and frustrating side effects. For Migraine Prevention: I have been taking this medication 50 mg. Since Jan 7 ,2019. At first after reading all of the side effects and reviews I really just wanted to tell the doc forget it try something else. I guess the side effects are really just person to person. I have had the tingling in my hands and feet, and maybe some mental fog but nothing worse than my mommy brain farts. I have lost a few pounds so far like 3-4. Like I said I didn't want to take it, but I didn't want it to be that one med that worked that I passed up. |
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Drug Class |
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Side Effects |
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See the full Emgality side effects document. |
Commonly reported side effects include: anxiety, ataxia, confusion, diarrhea, diplopia, dizziness, drowsiness, dysphasia, fatigue, lack of concentration, memory impairment, nausea, nervousness, paresthesia, psychomotor disturbance, speech disturbance, depression, visual disturbance, weight loss, dysgeusia, mood changes, and anorexia. See the full topiramate side effects document. |
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Pricing and Coupons* Prices are without insurance |
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View all Emgality prices |
View all topiramate prices |
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Generic Availability |
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No |
Yes (this medicine) |
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Dosage Form(s) Available |
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Brand Names |
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N/A |
Qudexy XR, Topamax, Trokendi XR | ||||||||||||||||
Half LifeThe half-life of a drug is the time taken for the plasma concentration of a drug to reduce to half its original value. |
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648 hours |
56 hours |
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CSA Schedule**View glossary of terms. |
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Not a controlled drug
Is not subject to the Controlled Substances Act. |
Not a controlled drug
Is not subject to the Controlled Substances Act. |
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Pregnancy Category |
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Summary unavailable. See the full Pregnancy Warnings document. |
Category D
Positive evidence of risk
See the full Pregnancy Warnings document. |
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FDA Alerts |
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N/A |
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Drug Interactions |
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No known drug interactions. This does not necessarily mean no interactions exist. Always consult your healthcare provider. |
A total of 264 drugs are known to interact with topiramate:
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Alcohol/Food/Lifestyle Interactions |
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No known alcohol/food interactions. This does not necessarily mean no interactions exist. Always consult your healthcare provider. |
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Disease Interactions |
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No known disease interactions. This does not necessarily mean no interactions exist. Always consult your healthcare provider. |
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First Approval Date |
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September 27, 2018 |
December 24, 1996 |
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WADA ClassView World Anti-Doping Agency classifications. |
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N/A |
N/A |
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More Information |
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Consumer Resources |
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Professional Resources |
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Related Treatment Guide |
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** The Controlled Substances Act (CSA) schedule information displayed applies to substances regulated under federal law. There may be variations in CSA schedules between individual states.
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
For Migraine Prevention: Started Emgality November 2019 after daily headaches, migraines two a week approximately and occasional thunderclap headaches. Worked great at first by late December headaches cut to 50%, migraine severity much less and also half and only one thunderclap. Even better January and a February with the only marked symptom being last week before injection return to daily pounding headaches ending in mid level migraine. Then mid March, difficulty breathing started. It is now near June and the doctors have no explanation of why I’m having breathing issues. Turns out it’s a known side effect of Emgality, one of the most common too. It’s terrible, like someone constantly sitting on your chest. Considering the pandemic, could not have been worse timed.