bleeding-precautions!
Medications
Patient and caregiver instructed on precautions regarding medications like always check expirations date on medications, and dispose of expired meds, take all meds exactly as ordered. Never share medications with friends or family members or take medications that are not prescribed for you, keep medications out of reach of children, do not mix medications in bottles. Patient/caregiver instructed to keep an updated medication list in the home. Always take or send medication list to hospital or doctor's appointments with patient.
Instructed patient about take precautions don't rub the injection site. This could cause bruising.
Patient and caregiver educated on precautions to be exercised while taking Topiramat (Topamax). Topamax can induce extreme dry mouth and diarrhea. Sucking on a sugar free hard candy can help with symptomatic relief of dry mouth. Proper hydration measures and compliance with daily fluid intake recommendations can help with fluid supplementation. Topamax intake can induce some dizziness. Also, Topamax use can result in a side-effect of increased ammonia in the blood, which also contributes to increased nausea, confusion, and dizziness. Patient instructed to avoid activities where loss of consciousness (passing out) could result in serious danger to self or those around you (including swimming, driving a car, climbing in high places, etc.). Patient instructed to talk to his doctor before engaging in such activities.