مريض يأخذ توبيرامات للصرع. أي تعليمات مهمة؟

A client takes topiramate for epilepsy. Which instruction is important?

1. Take it only when a seizure occurs
2. It causes weight gain, so eat less
3. Avoid water because it causes fluid retention
4. Drink plenty of fluids to reduce kidney-stone risk

Answer: D) Drink plenty of fluids to reduce kidney-stone risk. Topiramate can cause kidney stones, tingling, slowed thinking and word-finding difficulty, weight loss and rarely acute glaucoma. Fluids are encouraged and eye pain or visual change reported.