Take topiramate only if prescribed by a healthcare professional for weight loss or weight-related conditions
Follow the exact dose and schedule your prescriber gives you
Take it at the same time each day
Swallow tablets or capsules whole with water
Take it with or without food
If it causes stomach upset, take it with food
Start with a low dose if instructed and increase slowly only as directed
Do not change your dose on your own
Do not stop taking it suddenly unless your prescriber tells you to
If you miss a dose, take it when you remember unless it is close to the next dose
Do not take two doses at once
Drink enough fluids while taking it
Avoid alcohol unless your prescriber says it is safe
Tell your prescriber about all other medicines and supplements you take
Report side effects such as tingling, drowsiness, dizziness, trouble concentrating, mood changes, or vision changes
Seek urgent medical help for severe rash, eye pain, sudden vision changes, confusion, or suicidal thoughts
Use birth control if needed and discuss pregnancy risks with your prescriber
Keep follow-up appointments for dose checks and monitoring
Use topiramate only as part of a weight-loss plan that includes diet and exercise