Topamax topiramate can lower the effectiveness of some contraceptives particularly the ones that suppress ovulation.

Information about Topamax.
Dosage is based on your medical condition and response to treatmentFor childrenthe dosage is also based on weightYour doctor will gradually increase your dose to reduce your risk of side effectsFor some conditionsyou may start treatment with topiramate once daily at bedtime and slowly increase your dose to twice a dayIt may take several weeks or months to reach the best dose for you and to get the full benefit from this medication.
So farthere are no reports about using Topiramate for older adultsalthough there is no reason to believe that they would have a different response to it.
You should seek advice from your doctor or pharmacist about taking this medicineThey can help you balance the risks and the benefits of this medicine during pregnancy.
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in acute topamax overdose, if the ingestion is recent, the stomach should be emptied immediately by lavage or by induction of emesis.