Tell your doctor if your or your child's skin feels like it is burning, crawling, itching, or if you have numbness, prickling, "pins and needles", or tingling feeling after using topiramate. I’ve been following them for 3 months now. She has had about 6 episodes in the last month. Tell your doctor right away if you or your child have any of these symptoms. The case: A 33 year old female has had an increase in the frequency of migraines over the last few months. This is definitely an adverse effect that we need to watch out for in this case. Topiramate and Birth Control Pills? Birth control pills containing estrogen may not work properly if you take them with topiramate. No other differences were found. Purpose: Because enzyme-inducing antiepileptic drugs (AEDs) can affect pharmacokinetics of oral contraceptives and thereby cause contraceptive failure, the potential effect of topiramate, a new AED, on the pharmacokinetics of the combination oral contraceptive norethindrone/ethinyl estradiol was evaluated. Also tell the doctor if you have sudden or strong feelings, such as feeling nervous, angry, restless, violent, or scared. Check with your doctor right away if you or your child are having unusual drowsiness, dullness, tiredness, weakness, feelings of sluggishness, mental depression or anxiety, nightmares or unusually vivid dreams, or vomiting. Web Browser Cookies Must be Enabled to use DocGuide These cookies do not contain any personal information and are only used to customise the site for you. Use extra care not to become overheated during exercise or hot weather with this medicine. Thanks for being a stakeholder in my career progression. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Use an effective form of birth control to keep from getting pregnant. Some examples of medicines that affect the CNS are antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicines, medicine for depression, medicine for anxiety, prescription pain medicine or narcotics, medicine for attention deficit and hyperactivity disorder, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. Please enable it to take advantage of the complete set of features! I believe there is some thought that lower doses of topiramate may not have this impact. If you, your child, or your caregiver notice any of these side effects, tell your doctor right away. Topiramate has the potential to reduce the effectiveness of the estrogen containing birth control, potentially leading to an unplanned pregnancy.Back up protection should be utilized at a minimum to prevent an unplanned pregnancy. Her only other medication is Ortho-Tri-Cyclen Lo.She was prescribed topiramate for migraine prophylaxis. Methods: Twelve women receiving stable valproic acid (VPA) … She experienced her first migraine about 7 months ago, and has had about 5 more since that time. Data from the Slone Epidemiology Center Birth Defects Study (BDS) from 1997–2009 and the National Birth Defects Prevention Study (NBDPS) from 1997–2007 were analyzed. He migraines went down to about 1 per month on average. 2020 Feb;34(2):147-161. doi: 10.1007/s40263-020-00698-5.Xu Y, Gabriel K, Wang Y, Zhou Y, Eisele O, Vutikullird A, Mikol DD, Lee E.CNS Drugs. Neither she or the pharmacist mentioned a decrease in effectiveness but I've researched and found out that Topiramate DOES decrease effectiveness in BCP. 2018 Dec;40(10):1000-1012. doi: 10.1080/13803395.2018.1458822. level 1. Alternative therapy should also be considered. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.Mayo Clinic does not endorse companies or products. I’ve had a lot of really kind people help me along the way, and I wanted a way for myself and others to give back some of the things we’ve learned about medication management and healthcare. Of a serious condition called hyperammonemic encephalopathy may want you or your have. Less which will cause your body temperature to increase use extra care not to become depressed! She experienced her first migraine about 7 months ago, and has had about 6 episodes in last! 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