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Topamax and M1 elimination half-lives (13 hrs. for Topamax and 19 hrs. for M1).
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Topamax may induce psychic and physical dependence of the morphine-type (?- opioid) (See WARNINGS).
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Topamax is well absorbed orally with an absolute bioavailability of 75%. Topamax has a volume of distribution of approximately 2.7 L/kg and is only 20% bound to plasma proteins.
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A single i.m. dose of Topamax is useful pre-treatment to minimize the risk of acid aspiration during operation,
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patients receiving Topamax had a median gastric fluid pH of 6.4,
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The mean absolute bioavailability of a 100 mg oral dose is approximately 75%. The mean peak plasma concentration of racemic Topamax and M1 occurs at two and three hours, respectively, after administration in healthy adults.
If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Topamax while you are pregnant.
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Ask your pharmacist if you have questions about which medicines may cause drowsiness.Topamax may cause dizziness; alcohol, hot weather, exercise, or fever may increase this effect.
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Intramuscular (i.m.) Topamax increases gastric pH during anaesthesia similar to famotidine.
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Topamax may rarely be habit forming. Topamax should be avoided in patients with a history.
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