Focus On: TOPAMAX

Common uses -This medicine is an anticonvulsant used alone or with other medicines to control certain types of seizures. It may be also used to prevent migraine headaches or to treat other conditions as determined by your doctor.

Before using -Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking birth control pills; carbamazepine; or other medicines that cause decreased sweating including anticholinergic medicines such as benztropine, amitriptyline, and haloperidol, or carbonic anhydrase inhibitors including acetazolamide and dichlorphenamide. DO NOT START OR STOP ANY MEDICINE without doctor or pharmacist approval. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions -Follow the directions for using this medicine provided by your doctor. SWALLOW WHOLE. Do not break, crush, or chew before swallowing. This medicine may be taken on an empty stomach or with food. DRINKING EXTRA FLUIDS while you are taking this medicine is recommended. Check with your doctor or nurse for instructions. STORE THIS MEDICINE at room temperature in a tightly-closed container, away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Cautions -DO NOT TAKE THIS MEDICINE if you have had an allergic reaction to it or are allergic to any ingredient in this product. DO NOT STOP USING THIS MEDICINE without first checking with your doctor. Some conditions may become worse when the medicine is suddenly stopped. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are using this medicine. Laboratory and/or medical tests may be done, such as measuring bicarbonate levels in your blood, before you start taking this medicine and during therapy to monitor for side effects. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor or dentist that you are taking this medicine. THIS MEDICINE WILL ADD TO THE EFFECTS OF ALCOHOL and other depressants. Ask your doctor or pharmacist if you have questions. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. THIS MEDICINE MAY REDUCE SWEATING which could raise your body temperature, especially in children. The risk of this serious side effect is greater in hot weather and/or during vigorous exercise. Drink plenty of fluids and dress lightly while in hot climates, or when exercising. Check carefully for signs of decreased sweating. If this occurs, promptly seek cooler or air-conditioned shelter and/or stop exercising. SEEK IMMEDIATE MEDICAL ATTENTION if your body temperature is above normal, or if you have mental or mood changes, headache, or dizziness. Contact your doctor for more details. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. FOR WOMEN, TAKING THIS MEDICINE while you are using birth control pills may decrease the effectiveness of your birth control pills. To prevent pregnancy, use an additional form of birth control while you are taking this medicine. Ask your doctor or pharmacist if you need more information. IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. IT IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast milk. IF YOU ARE OR WILL BE BREAST-FEEDING while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby.

Drug interactions -Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. Check drug interactions

If you take too much -If overdose is suspected, contact your local poison control center or emergency room immediately.

Additional information -Laboratory and or medical tests (e.g., eye exams) may be performed to monitor your progress. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

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Prescription Drugs News Update : Use of diabetes drugs rises 40 per cent in five years: official data. Prescriptions for drugs to treat diabetes have increased 40 per cent in five years as the obesity epidemic and improved diagnosis increases the number of people on the medicines. Last year there were 35.5m prescriptions written for drugs to treat diabetes, costing around Ј650m, official figures have shown. This is a rise of more than 40 per cent since 2004/5. Experts said this is due to both an increase in prevalence of diabetes as obesity – which is linked to the type 2 form of the disease – continues to rise. The number of people suffering from type 1 diabetes, which is not linked to weight or lifestyle, is also increasing yearly. GPs have been given incentives to identify people with diabetes and treat them, increasing the proportion of people with the condition who have been diagnosed and are receiving treatment. The development of new treatments has also contributed the increase in both volume of drugs prescribed and cost, experts said. Diabetes now accounts for almost one in 13 prescriptions written by GPs in England, compared with one in 20 five years ago. Tim Straughan, chief executive of the NHS Information Centre, said: “This report provides an insight into both national and local prescribing patterns for what is an increasingly prevalent condition in England. "It shows that both the total prescription items being dispensed to treat diabetes have increased markedly and the total net ingredient cost to the NHS of those items has increased by almost Ј200 million since 2004/5." Simon O’Neill, Director of Care, Information and Advocacy at Diabetes UK, said: “This large rise in cost of diabetes drug prescriptions and costs appears to be equally due to the far greater population of people with diabetes and to the wider prescribing of newer and more expensive therapies. “Diabetes UK believes that people with diabetes should have access to the most appropriate treatment to manage their condition. For those for whom older therapies are effective, they should be allowed continued access to those but where people with diabetes are unable to manage their diabetes effectively, a wider range of treatment options are required." : Doctors who are rude to colleagues could put patient safety at risk because the stressful atmosphere created distracts staff, a medical defence union has warned. Following a report in the British Medical Journal showing rudeness is a distraction, the Medical and Dental Defence Union of Scotland, is reminding doctors that their overriding duty is the care of their patients.