Topaz 50 Tablet
By Topaz
Rx
15 Tablet in a Strip

Composition
Topiramate(50mg)

Manufacturer - Intas Pharmaceuticals Ltd
Chinubhai Centre, Off. Nehru Bridge, Ashram Road, Ahmedabad - 380009. Gujarat. India.

Expires on or after
January, 2026
About Topaz 50 Tablet
Topaz 50 Tablet is a medication primarily used to treat epilepsy, which is a condition causing recurrent seizures characterized by sudden, uncontrolled disturbances in the brain. It is also effective in preventing migraine headaches, a type of headache that causes severe throbbing pain, nausea, sensitivity to light, and sound. Additionally, Topaz 50 Tablet is prescribed for Lennox-Gastaut syndrome, a rare and severe form of epilepsy typically occurring in early childhood.
When taking Topaz 50 Tablet, it is essential to follow the prescribed dosage instructions. It can be taken with or without food, preferably at the same time each day. If a dose is missed, it should be taken as soon as remembered, and the full course of treatment should be completed even if the individual starts to feel better. Abruptly stopping the medication without consulting a healthcare provider can lead to an increased frequency of seizures. Regular monitoring of serum bicarbonate levels may be advised by the doctor during treatment.
Common side effects associated with Topaz 50 Tablet include nausea, changes in taste perception, fatigue, diarrhea, weight loss or loss of appetite, and memory impairment. It may also lead to vision issues such as myopia or glaucoma; therefore, it is crucial to undergo an eye examination before starting the treatment and periodically thereafter. Some individuals may experience dizziness and drowsiness, so activities like driving or tasks requiring mental focus should be avoided until the effects of the medicine are known. If any of these side effects persist or become bothersome, consulting a doctor is recommended.
Topaz 50 Tablet contains topiramate, categorized as an antiepileptic/ anticonvulsant agent, essential for managing epilepsy as both monotherapy and adjunctive therapy. This medication plays a key role in restoring neural balance by reducing the spread of seizure activity within the brain. By regulating the brain's electrical activity, Topaz 50 Tablet controls seizures and alleviates migraine symptoms. It is important to take Topaz 50 Tablet on an empty stomach with water as prescribed by a physician. Dosage adjustments may be necessary based on individual weight considerations, especially in children.
Individuals are advised to disclose any hypersensitivity or allergies to the components of the medication, as well as a history of conditions like metabolic acidosis, glaucoma, lung disease, liver disease, or blood disorders. Pregnant or breastfeeding women, or those planning pregnancy, should inform their healthcare provider before using Topaz 50 Tablet due to potential risks of birth defects. Additionally, caution is recommended when using Topaz 50 Tablet in patients with liver and kidney issues, metabolic acidosis, glaucoma, growth problems, high-fat diets, children aged 2-16 years, and the elderly. Common side effects include nasal symptoms, tingling sensations, tiredness, dizziness, gastrointestinal disturbances, weight changes, and behavioral alterations, which should be reported to a doctor if they worsen.
Benefits
Topaz 50 Tablet offers several benefits in different medical conditions.
In the treatment of epilepsy and seizures, this medication acts as an anticonvulsant, working to decrease the nerve impulses responsible for seizures. By effectively controlling the frequency of seizures, Topaz 50 Tablet enables individuals to carry out their daily activities with increased confidence. It helps in reducing symptoms like confusion, uncontrollable jerking movements, loss of awareness, and feelings of fear or anxiety. Importantly, this medicine does not lead to physical or psychological dependence, although it is crucial to follow the prescribed dosage regimen consistently for optimal effectiveness. Missing doses can potentially trigger a seizure, underscoring the importance of regular intake as instructed.
For individuals seeking prevention of migraines, Topaz 50 Tablet offers relief by potentially altering abnormal nerve cell activity in the brain or increasing activity in areas associated with migraines. By working to prevent and reduce the frequency of headaches, this medication can significantly improve the quality of life by allowing individuals to perform their daily tasks without disruptions caused by migraines.
In rare cases of Lennox-Gastaut syndrome, a severe form of epilepsy that typically emerges in early childhood, Topaz 50 Tablet plays a vital role in preventing and controlling seizures. By reducing nerve impulses that trigger seizures, this medication helps manage the varied types of seizures experienced by individuals with Lennox-Gastaut syndrome, offering them better control over their condition and improving their overall quality of life.
Overall, Topaz 50 Tablet provides valuable benefits in managing epilepsy, preventing migraines, and controlling seizures associated with Lennox-Gastaut syndrome. It is essential to consult a healthcare professional for proper guidance on its usage to achieve the desired therapeutic effects and maintain optimal health outcomes.
How to use the Topaz 50 Tablet
To use Topaz 50 Tablet, follow the instructions given by your doctor. Swallow the tablet whole with a glass of water. It's important not to chew, crush, or break the tablet as this can affect how the medication works and may lead to a bitter taste. You can take Topaz 50 Tablet with or without food, but try to take it at the same time each day to help you remember. Make sure to stay hydrated by drinking plenty of fluids while taking this medication. The correct dosage and duration of treatment will be determined by your doctor based on factors such as your age, weight, and the specific condition being treated. Follow your doctor's guidance closely to ensure the medication is effective and safe for you.
Uses of Topaz 50 Tablet
Topaz 50 Tablet is commonly used for managing epilepsy and seizures in both adults and children above the age of 6. It can be used alone in individuals above 6 years old, and as an add-on treatment along with other medications in adults and children above 2 years of age. Additionally, Topaz 50 Tablet is also prescribed for preventing migraine headaches in adults. This medication is also found to be effective in treating Lennox–Gastaut syndrome, a severe form of childhood epilepsy.
What conditions Topaz 50 Tablet treats?
Topaz 50 Tablet is used to treat epilepsy (seizures), prevent migraines, and manage Lennox-Gastaut syndrome, a severe form of epilepsy that begins in early childhood. For epilepsy, the medication reduces nerve impulses that trigger seizures, aiding in managing symptoms like confusion and uncontrolled movements. In the case of migraines, it may modify abnormal nerve cell activity in the brain, potentially decreasing headache frequency. When dealing with Lennox-Gastaut syndrome, the tablet helps prevent various seizure types by regulating nerve impulses. It is crucial to take the medication as prescribed and to not abruptly stop treatment to avoid increased seizure risk.
Should you consult a doctor?
You should seek a doctor before taking Topaz 50 Tablet if you have a history of metabolic acidosis (blood and body fluid abnormality), eye problems such as glaucoma, issues with growth, or are following a high-fat diet like a ketogenic diet. If any of these conditions apply to you, it's important to consult with a healthcare professional before starting treatment with Topaz 50 Tablet. This will help ensure that the medication is safe and appropriate for your specific health situation.
Side effects of Topaz 50 Tablet
Topaz 50 Tablet may cause various side effects. Some common side effects include abdominal pain, diarrhea, dizziness, fatigue, fever, loss of appetite, memory impairment, nausea, nervousness, numbness, psychomotor impairment, sleepiness, speech disorder, taste change, upper respiratory tract infection, visual impairment, and weight loss.
More serious side effects may also occur that require immediate medical attention. These include signs of decreased platelet and white blood cell counts, increased liver enzymes, swelling of glands in the neck, armpit, or groin, increased appetite, elevated mood, signs of psychosis, lack of emotion, speech problems, restlessness, slowed thinking, abnormal body movements, fainting, impaired sense of touch and smell, heart palpitations, low blood pressure upon standing, flushing, pancreatitis symptoms, heartburn, bleeding gums, excessive thirst, muscle stiffness and pain, blood in urine, sexual dysfunction, flu-like symptoms, cold extremities, feeling intoxicated, learning disabilities, and respiratory issues.
Other side effects to watch for include allergic reactions, abnormal behavior, potassium level changes, watery eyes, irregular heartbeat, sleep disturbances, coordination problems, loss of taste, trembling, visual disturbances, vertigo, constipation, hair loss, joint pain, mood swings, blindness, liver or kidney issues, and self-harming thoughts. If experiencing new or worsening depression, seizures, mood changes, concentration problems, kidney stones, high acid levels in the blood, serious skin reactions, or other severe symptoms, it is important to stop taking Topaz 50 Tablet and seek immediate medical attention.
Safety advice

liver
When taking Topaz 50 Tablet, it is important to be cautious if you have liver disease. Patients with liver issues should use this medication carefully, as dose adjustment may be necessary. It is advisable to talk to your doctor before starting or changing the dose of Topaz 50 Tablet, especially if you have liver disease.

kidney
Topaz 50 Tablet needs caution in patients with kidney disease. Dose adjustment may be necessary. Consult your doctor for guidance.

alcohol
It is not safe to drink alcohol while taking Topaz 50 Tablet.

driving
Topaz 50 Tablet can reduce alertness, impact vision, and cause drowsiness and dizziness. Avoid driving if experiencing these effects.

pregnancy
Topaz 50 Tablet is not safe during pregnancy. Consult your doctor as there is a risk to the developing baby. It may be prescribed in life-threatening situations if benefits outweigh risks.

breastfeeding
Topaz 50 Tablet may not be safe during breastfeeding; limited data indicates potential harm to the baby through breastmilk.
Age above 75(Geriatrics)
Topaz 50 Tablet should be used with caution in elderly patients. Consult your doctor before taking this medicine.
Age below 6 months(Pediatrics)
Topaz 50 Tablet should be used with caution in children (above 2 years up to 16 years of age). It is not recommended for migraine prevention in children. Consult your doctor before taking this medicine.
Consumption warning before consuming Topaz 50 Tablet
Before consuming Topaz 50 Tablet, it is important to be aware of certain warnings. This medication is primarily used for treating epilepsy, preventing migraines, and managing Lennox-Gastaut syndrome. It is advised to take Topaz 50 Tablet consistently each day, with or without food, at the same time. In case a dose is missed, take it as soon as remembered and complete the full course of treatment to ensure effectiveness.
Abruptly stopping the medication without consulting your doctor can lead to an increase in seizures. Regular monitoring of serum bicarbonate levels may be recommended during the treatment. Common side effects may include nausea, taste changes, fatigue, diarrhea, weight loss, appetite reduction, and memory issues. Additionally, Topaz 50 Tablet may affect vision, causing myopia or glaucoma, hence it's crucial to have your eyesight checked before and during the treatment.
Potential side effects such as dizziness and sleepiness may occur, so refrain from driving or engaging in activities requiring focus until you understand how the medicine impacts you. If any side effects persist or become bothersome, consult your healthcare provider for guidance.
What if you forgot to take Topaz 50 Tablet?
If you happen to miss a dose of Topaz 50 Tablet, try to take it as soon as you remember. But if your next dose is almost due, it's better to skip the missed dose and continue with your scheduled doses. Avoid taking a double dose to make up for the missed one as it may increase the risk of side effects. This helps maintain the right level of medication in your body for the best results.
What happens if you take overdose of Topaz 50 Tablet?
In case of an overdose of Topaz 50 Tablet, it is crucial to seek immediate medical assistance by consulting a doctor or going to the nearest hospital. An overdose may lead to various symptoms such as excessive drowsiness, fatigue, decreased alertness, dizziness caused by a drop in blood pressure, feelings of depression or agitation, coordination issues, speech difficulties, blurred vision, abdominal discomfort, or even seizures. If you suspect an overdose or experience any of these symptoms after taking Topaz 50 Tablet, do not hesitate to seek prompt medical attention to address the situation effectively.
Related lab tests
When taking Topaz 50 Tablet, it is important to monitor various lab tests to ensure the medication is working effectively and is not causing any negative effects on your health. The following related lab tests should be considered:
1. Complete Blood Count (CBC): This test provides important information about the different types of cells in your blood, such as red blood cells, white blood cells, and platelets. It helps in detecting a range of disorders including anemia, infections, and clotting issues.
2. Blood Sugar Level: Monitoring your blood sugar level is crucial, especially for individuals with diabetes or prediabetes. Topaz 50 Tablet may affect blood sugar levels, so it is important to regularly check and maintain them within the normal range.
3. Electrolyte Panel: This test measures the levels of electrolytes such as sodium, potassium, and chloride in your blood. Electrolytes are essential for various bodily functions including muscle contractions and maintaining the balance of fluids in your body. Monitoring electrolyte levels is important to ensure proper functioning of your organs and overall health.
4. Kidney Function Test: This test assesses how well your kidneys are working by measuring the levels of creatinine and blood urea nitrogen (BUN) in your blood. Topaz 50 Tablet can affect kidney function, so regular monitoring is necessary to detect any potential kidney problems early on.
By keeping track of these related lab tests and discussing the results with your healthcare provider, you can ensure safe and effective management of your health while taking Topaz 50 Tablet.
Additional Information
Habit Forming | No |
Chemical Class | Dioxolopyrans Derivative |
Therapeutic Class | NEURO CNS |
Action Class | Sodium channel modulators (AED) |
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Content verified by

Dr. Preeti Kumar
MBBS, DGO - Obstetrics and Gynaecology, DNB - Obstetrics and Gynaecology
Last update on 18-Nov-2024