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Precautions

Do NOT use Topamax if:

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• you might be allergic to your ingredient in Topamax

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

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Contact your physician or physician without delay if any of these connect with you.

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Some medical conditions may communicate with Topamax. Tell your medical provider if you have any health conditions, particularly when any with the following affect you:

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• if you might be pregnant, intending 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
• when you have allergies to medicines, foods, or another substances

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• if you 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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• in case you have diarrhea, lung or breathing problems, or low bicarbonate levels inside blood, or you is going to be having surgery

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• when you have a good status epilepticus (continuous seizure activity or perhaps a compilation of seizures without having a full resume consciousness)

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Some medicines may talk with Topamax. Tell your doctor if you are taking 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 chance of decreased sweating could possibly be increased

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

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

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• Hydrochlorothiazide given it may increase the likelihood of Topamax's unwanted side effects

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

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• Amitriptyline as the likelihood of its unwanted side effects may be increased by Topamax

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• Hormonal birth control (eg, contraceptive pills) or risperidone his or her effectiveness may be decreased by Topamax.

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This may not be an entire set of all interactions that will occur. Ask your medical provider if Topamax may interact with medicines that you take. Check with your medical provider before you begin, stop, or affect the dose of the medicine.

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Important safety information:

• Topamax might 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 and soon you know how you react to it.

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• Do not consume alcohol or use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you might be using Topamax; it might help to increase their effects. Ask your pharmacist if you have questions on which medicines could cause drowsiness.

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• Topamax may reduce sweating, that could raise temperature, especially in children. This risk is greater in warm weather and/or during vigorous exercise. Drink a lot of fluids. Dress lightly during 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 straight away if you have unexplained fever, or if you have mental or mood changes, headache, or dizziness.

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

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• Hormonal birth control (eg, contraception pills) may not act as well while you're using Topamax. To prevent pregnancy, use an extra form of birth control method (eg, condoms).

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

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• Use Topamax with caution in the elderly; they may be more responsive to its effects.

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

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• Topamax may affect growth rate in children and teenagers in some instances. They may need regular growth checks when they take Topamax.

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• Topamax should be used with extreme caution in youngsters for migraines and in kids  younger than a couple of years old for seizures; safety and effectiveness of these children haven't been confirmed.

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• Pregnancy and breast-feeding: If you become pregnant, contact your medical professional. You will need to discuss the huge benefits and perils associated with using Topamax while you are pregnant. Topamax is located in breast milk. If you are or will probably be breast-feeding as you use Topamax, check with your physician. Discuss any possible risks for a baby.

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