Topamax and Surgery

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missvirginiagirl
Regular Member


Date Joined Jul 2008
Total Posts : 39
   Posted 1/6/2009 7:28 PM (GMT -6)   
Hello fellow migraine sufferers. I usually post on the illeostomy board, but I have a question that is in this board's area of expertise. I am new to Topamax, I just started taking it yesterday (25mg) for migraines. I also just found out today I have to have surgery Friday (under general anesthesia). I am not going to take any more Topamax because I had noticed on the drug info sheet that came with the Topamax that you should notify your doctor/dentist before ANY surgery (I had never seen this warning on any of my prescriptions before). I spoke with the pre-op nurse today and she said it was okay to still do the surgery since I only took the Topamax once and it was such a low dose. My question is, why is Topamax such a no-no during surgery? No one will explain it to me. It seems like none of my doctors know why you cannot take Topamax during surgery, they just know you should not take it. I even called that Topamax hotline listed on the Topamax website and the guy I spoke with did not even know that it was not okay to take Topamax during surgery. If anyone has any more info on this it would be much appreciated. Thanks so much!
Sigmoid Resection due to sigmoidocele 3/07
Total Colectomy due to colonic inertia 2/08


tysmyboo
Veteran Member


Date Joined Dec 2004
Total Posts : 921
   Posted 1/6/2009 10:40 PM (GMT -6)   
(i replied to your other post also)
 
I was on twice the recommended dosage of Topamax for years and I never had any problems with surgery. I had kidney surgery, I had my gallbladder removed and things like that all under general of course.
 
I noticed something when I was pregnant (my baby is 3 month old) that ALOT of medications have precautions like that and I think they are CYT-"cover your tail" so they can say (if they needed to), "well, there was a warning"
 
FOR EXAMPLE: during breastfeeding I needed to take pain medications and on the phamplets that came with the meds said things like "not recommeded for use during pregnancy or breastfeeding" and I talked to multiple lactation consultants and called medicine companies and there was no specific reason other than they didnt know FOR SURE what would happen (it hadnt been tested enough)
 
sooo...with that being said I am pretty sure you are fine. If it were things like bloodthinners or even bp meds they might need to know (one so you dont "bleed out" during surgery and bp meds because your blood pressure might drop too low with anesthesia)
 
Sara
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missvirginiagirl
Regular Member


Date Joined Jul 2008
Total Posts : 39
   Posted 1/6/2009 10:59 PM (GMT -6)   
Thank you so much for your reply!!!!! You have alleviated a lot of fears I was having and now I will actually be able to go to sleep tonight yeah

I sincerely cannot express my thanks enough. I will have to visit this board more often. I am new to the world of migraines....

Have a great night!
Sigmoid Resection due to sigmoidocele 3/07
Total Colectomy due to colonic inertia 2/08

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