Topamax 50mg Tablet
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Prescription Required
Overview
Topamax 50mg Tablet is a prescription-only medicine (POM) presented as a tablet, with Topiramate 50mg as its active ingredient content.
This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.
Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.
Directions for Use
Take the tablet whole with plenty of water, with or without food, at the same times each day as directed by your doctor. Do not stop suddenly.
Dosage
The dose is individualised and started low, then increased gradually over several weeks as directed by your doctor, based on whether it is used for epilepsy or migraine prevention.
Shelf Life
Refer to the expiry date printed on the packaging.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- Tingling sensation in arms or legs
- Drowsiness or fatigue
- Difficulty concentrating
- Loss of appetite or weight loss
- Taste changes
- Dizziness or coordination issues
- Mood changes or irritability
Contraindications
- Known hypersensitivity to topiramate or any excipient
- Pregnancy, unless no other suitable treatment is available, due to a risk of birth defects – discuss family planning with your doctor
- Should be used with caution in patients with a history of kidney stones or metabolic acidosis
Drug / Food Interactions
- May reduce the effectiveness of hormonal contraceptives at higher doses – discuss reliable contraception with your doctor.
- Combining with other medicines that cause drowsiness (such as sedatives or alcohol) increases central nervous system side effects.
- Combining with other carbonic anhydrase inhibitors increases the risk of kidney stones and metabolic acidosis.
- Inform your doctor of all medicines you are taking, including other seizure or migraine medicines.
Quick Tips
- Drink plenty of water throughout the day to help reduce the risk of kidney stones.
- Never stop this medicine suddenly, as this can trigger seizures – reduce the dose gradually only under your doctor’s guidance.
- Report any unusual mood changes, memory difficulties, or vision changes to your doctor.
- Inform your doctor immediately if you are or may become pregnant, given the risks to the developing baby.
Frequently Asked Questions
Is Topamax 50mg Tablet a prescription medicine?
Yes. Topamax 50mg Tablet is a prescription-only medicine (POM). It can only be supplied against a valid prescription written by a registered doctor, and it should be used only by the person named on the prescription label.
What does Topamax 50mg Tablet contain?
Topamax 50mg Tablet is supplied as a tablet and contains Topiramate 50mg. The full composition is listed in the Composition section on this page and on the product packaging.
Why is there no information here about what Topamax 50mg Tablet is for?
Malaysian rules for prescription medicines limit public product pages to product, safety and handling information. Your doctor decides whether this medicine is appropriate for you and will explain it during your consultation, and your pharmacist can answer further questions when the medicine is dispensed.
How should I take Topamax 50mg Tablet?
Follow your doctor’s instructions and the directions on the dispensing label without changing them. If anything on the label is unclear, check with your pharmacist before taking the first dose, and read the Directions for Use section on this page.
What should I do if I miss a dose?
Take it as soon as you remember, unless your next dose is nearly due. In that case skip the missed dose and carry on with your usual schedule. Never take two doses together to make up for a missed one. If you miss doses often, tell your doctor or pharmacist.
How should I store Topamax 50mg Tablet?
Store below 30°C in a dry place, away from direct sunlight and out of reach of children. Keep it in the original pack until use, and do not use it after the expiry date printed on the packaging.
What should I do if I notice side effects?
Tell your doctor or pharmacist about any reaction that concerns you, and seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.
Can I stop taking Topamax 50mg Tablet on my own?
No. Speak to your doctor before stopping, pausing or changing the dose, even if you feel well or think you no longer need the medicine.
How do I get a prescription for Topamax 50mg Tablet?
Customers in Malaysia can complete an online consultation with a DoctorOnCall doctor, who decides whether a prescription is appropriate, or upload a valid prescription already issued by their own doctor.
Orders going to Singapore are dispatched from Malaysia as an international delivery, so you need to hold a valid prescription or doctor’s letter for the medicine. Check the consultation and prescription upload options shown at checkout for your delivery address before placing the order.
How long will delivery take?
Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.
Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.
What payment methods can I use?
Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.
FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.
Can Topamax 50mg Tablet be delivered to Singapore?
Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.
Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.
Is Topamax 50mg Tablet registered with the authorities?
Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.
An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.
Who do I contact if there is a problem with my order?
DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.
For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.
Ingredients / Active Ingredients
- Topiramate 50mg
Safety Advice
Pregnancy
There is no adequate data on use during pregnancy. Consult a doctor before use.
Breastfeeding
Generally not recommended while breastfeeding.
Kidney
Use only if prescribed, with possible monitoring of kidney function.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
It is not advisable to consume alcohol while taking this medicine.
Driving
It is not advisable to drive if you experience side effects from this medicine.
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