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Topamax vs. Ditropan XL

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Topiramate

(Topamax)

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Oxybutynin

 

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Summary for Topamax

Prescription only

Topiramate (Topamax) belongs to the drug class called antiepileptics. It can be used alone or together with other medications to treat certain types of seizures in people 2 years and older. Topiramate (Topamax) can also be used to prevent migraines in people 12 years and older. It comes as immediate-release tablets and sprinkle capsules. The dosage is taken by mouth twice daily. Topiramate (Topamax) has many possible side effects, like weight loss and tingling of the arms and legs. It can also interact with many other medications.

Indications for Topamax

Pros and Cons for Topamax

Pros

  • Can take by itself or with other medications to control seizures
  • An option for preventing migraines
  • Also available as a sprinkle capsule that you can open and mix contents with soft food (for people who have trouble swallowing pills)
  • Approved for both adults and children (age depends on the health problem)

Cons

Common Side Effects for Topamax

  • "Pins and needles" feeling
  • Sleepiness
  • Dizziness
  • Fatigue
  • Low appetite
  • Weight loss
  • Nervousness
  • Depression
  • Trouble concentrating
  • Trouble remembering things
  • Trouble sleeping
  • Trouble moving or keeping balance
  • Fever
  • Mood changes
  • Change in taste

Warnings for Topamax

  • Vision problems
  • High body temperature and trouble sweating
  • Too much acid in the blood (metabolic acidosis)
  • Changes in mood and risk of suicidal thoughts or behavior
  • Problems with memory, speech, or coordination
  • Sleepiness, tiredness, and lower concentration
  • High ammonia levels in the blood
  • Serious skin reactions
  • Kidney stones
  • Risk of seizures if you stop the medication suddenly
  • Bone or growth problems in children
  • Interaction with other medications
  • Harm to an unborn baby

Summary for Ditropan XL

Prescription only

Oxybutynin is used to treat overactive bladder (OAB). Oral oxybutynin is available as a short-acting tablet and solution that is taken 2 to 4 times a day. It also comes as a long-acting tablet that's taken once daily (brand name Ditropan XL). Some common side effects of oxybutynin include dry mouth, constipation, and dizziness. Older adults typically lower doses of this medication to lower the risk for side effects.

Indications for Ditropan XL

  • Overactive bladder
  • Incontinence in children due to a neurologic (brain) condition, such as spina bifida

Pros and Cons for Ditropan XL

Pros

  • Works well to improve symptoms of OAB
  • Available as a convenient, once-daily tablet (Ditropan XL)
  • Can be used in children as young as 5 years old
  • Available as an oral liquid, good for people who have trouble swallowing tablets

Cons

  • Commonly causes dry mouth as a side effect
  • Higher risk of side effects in people age 65 and older
  • Can cause dizziness and drowsiness
  • Shouldn't be used by people who have untreated narrow-angle glaucoma, difficulty urinating, or movement problems with the stomach or intestines

Common Side Effects for Ditropan XL

  • Dry mouth (up to 71%)
  • Dizziness (up to 17%)
  • Constipation (up to 15%)
  • Sleepiness (up to 14%)
  • Nausea (up to 12%)
  • Blurry vision (up to 10%)

Warnings for Ditropan XL

  • Swelling of face, lips, tongue (angioedema)
  • Hallucinations, drowsiness, and confusion
  • Worsening of other conditions
  • Heat exhaustion

Prices with our coupons for Topamax vs. Ditropan XL

Price Card Drug Icon
Topiramate30 tablets / 50mg
$8.96$42.47
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Price Card Drug Icon
Oxybutynin ER30 tablets / 10mg
$8.50$67.37
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