Implementation

• Implement seizure precautions

» Do not confuse Topamax (topiramate) with Toprolol (metoprolol)

• PO: May be administered without regard to meals

» Do not break/crush tablets because of bitter taste

» Contents of the sprinkle capsules can be sprinkled on a small amount (teaspoon) of soft food, such as applesauce, custard, ice cream, oatmeal, pudding, or yogurt. To open, hold the capsule upright so that you can read the word "TOP." Carefully twist off the clear portion of the capsule. It may be best to do this over the small portion of the food onto which you will be pouring the sprinkles. Sprinkle the entire contents of the capsule onto the food. Be sure the patient swallows the entire spoonful of the sprinkle/food mixture immediately without chewing. Follow with fluids immediately to make sure all of the mixture is swallowed. Never store a sprinkle/food mixture for use at another time

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