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Precautions

Do NOT use Topamax if:

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

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Contact your doctor or doctor right away if some of these connect with you.

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Some medical ailments may talk with Topamax. Tell your doctor when you have any health conditions, in particular when any of the following connect with you:

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• if you might be pregnant, about to get pregnant, 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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• in case you have allergies to medicines, foods, or any other substances

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• for those who have liver or kidney problems, kidney stones, osteoporosis (weak bones), or metabolic problems, you are drinking alcohol regularly, or you might be on a ketogenic diet

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

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Some medicines may talk with Topamax. Tell your doctor if you consider another medicines, especially any of the following:

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• Anticholinergics (eg, benztropine), carbonic anhydrase inhibitors (eg, acetazolamide), haloperidol, or tricyclic antidepressants (eg, nortriptyline) since the probability of decreased sweating could possibly be increased

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• Valproic acid must be serious complication with the signs of confusion, lethargy, and vomiting may occur

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This might not be a total set of all interactions which could occur. Ask your health care provider if Topamax may interact with medicines which you take. Check with your health care provider before you begin, stop, or affect the dose from a medicine.

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Important safety information:

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

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• Do not are drinking alcoholic beverages or use medicines that could potentially cause drowsiness (eg, sleep aids, muscle relaxers) while you happen to be using Topamax; it could add to their effects. Ask your friendly phamacist if you have questions on which medicines may cause drowsiness.

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

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• Tell your physician or dentist that you simply take Topamax before you have any medical or dental treatments, emergency care, or surgery.

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• Hormonal contraception (eg, birth control pills) might not exactly are well while you might be using Topamax. To prevent pregnancy, readily extra form of birth control (eg, condoms).

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

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• Caution is required when using Topamax in youngsters; they could possibly be more sensitive to its effects, especially decreased sweating and decreased bicarbonate levels.

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• Topamax needs to be combined with extreme caution in children for migraines and in youngsters  younger than two years old for seizures; safety and effectiveness over these children weren't confirmed.

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