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Precautions

Do NOT use Topamax if:

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• you happen to be allergic to the ingredient in Topamax

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• you take a carbonic anhydrase inhibitor (eg, acetazolamide).

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Contact your physician or health care provider without delay if these apply to you.

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Some medical conditions may connect to Topamax. Tell your medical provider in case you have any health concerns, particularly if any in the following apply to you:

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• if you might be pregnant, likely to conceive, or are breast-feeding

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• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• when you have allergies to medicines, foods, or other substances

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• when you have liver or kidney problems, kidney stones, osteoporosis (weak bones), or metabolic problems, you consume alcohol regularly, or you happen to be on a ketogenic diet

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• when you have diarrhea, lung or breathing problems, or low bicarbonate levels inside the blood, or you will likely be having surgery

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• if you have a history of status epilepticus (continuous seizure activity or even a compilation of seizures with out a full go back to consciousness)

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• if you have a reputation mental or mood problems, or suicidal thoughts or actions.

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Some medicines may communicate with Topamax. Tell your doctor if you consider some other medicines, especially any in the following:

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• Anticholinergics (eg, benztropine), carbonic anhydrase inhibitors (eg, acetazolamide), haloperidol, or tricyclic antidepressants (eg, nortriptyline) because the likelihood of decreased sweating may be increased

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• Valproic acid just because a serious side effect with signs and symptoms of confusion, lethargy, and vomiting may occur

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• Metformin or pioglitazone because blood glucose levels control could possibly be altered; monitor your blood glucose carefully if you use Topamax with metformin or pioglitazone

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• Hydrochlorothiazide as it could raise the probability of Topamax's unwanted side effects

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• Carbamazepine or hydantoins (eg, phenytoin) because they may decrease Topamax's effectiveness

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• Hormonal contraception (eg, birth control method pills) or risperidone because their effectiveness could be decreased by Topamax.

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This may not be a complete list of all interactions that will occur. Ask your medical provider if Topamax may interact to medicines which you take. Check with your medical provider before you begin, stop, or affect the dose from a medicine.

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Important safety information:

• Topamax could potentially cause drowsiness, dizziness, confusion, or trouble concentrating. These effects may be worse if you go with alcohol or certain medicines. Use Topamax with caution. Do not drive or perform other possible unsafe tasks before you recognize how you reply to it.

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• Do not are drinking alcohol or use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you happen to be using Topamax; it may increase their effects. Ask the pharmacist for those who have questions about which medicines might cause drowsiness.

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• Topamax may reduce sweating, which could raise body's temperature, specially in children. This risk is greater in hot weather and/or during vigorous exercise. Drink a lot of fluids. Dress lightly while in hot climates or when you exercise. Check carefully for indications of decreased sweating. If this occurs, promptly seek cooler or air-conditioned shelter and/or stop exercising. Seek medical attention right away in case you have unexplained fever, or when you have mental or mood changes, headache, or dizziness.

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• Tell your physician or dentist that you just take Topamax prior to deciding to receive any medical or dentistry, emergency care, or surgery.

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• Hormonal birth control (eg, birth control method pills) may not be well while you are using Topamax. To prevent pregnancy, use an extra type of birth control method (eg, condoms).

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• Lab tests, including serum bicarbonate levels, might be performed as you use Topamax. These tests may be utilized to monitor your trouble or look for unwanted effects. Be sure to keep all doctor and lab appointments.

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• Use Topamax with caution inside the elderly; they could possibly be more understanding of its effects.

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• Caution is advised when you use Topamax in children; they could possibly be more understanding of its effects, especially decreased sweating and decreased bicarbonate levels.

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• Topamax may affect growth rate in children and teenagers sometimes. They may need regular growth checks while they take Topamax.

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• Topamax ought to be in combination with warning in youngsters for migraines and in youngsters  younger than 2 years old for seizures; safety and effectiveness of these children haven't been confirmed.

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• Pregnancy and breast-feeding: If you conceive, contact your physician. You will need to discuss the rewards and perils of using Topamax while you happen to be pregnant. Topamax can be found in breast milk. If you're or will probably be breast-feeding when you use Topamax, seek advice from your physician. Discuss any possible risks for a baby.

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