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Precautions

Do NOT use Topamax if:

• you happen to be allergic to any ingredient in Topamax
• you are taking a carbonic anhydrase inhibitor (eg, acetazolamide).

Contact your physician or doctor right away if some of these affect you.

Some health conditions may connect to Topamax. Tell your doctor if you have any medical ailments, particularly if any from the following sign up for you:

• if you might be pregnant, intending to become pregnant, or are breast-feeding
• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, and other substances
• in case you have liver or kidney problems, kidney stones, osteoporosis (weak bones), or metabolic problems, you consume alcohol regularly, or you are on a ketogenic diet
• in case you have diarrhea, lung or breathing problems, or low bicarbonate levels inside the blood, or you is going to be having surgery
• when you have a good reputation for status epilepticus (continuous seizure activity or perhaps a compilation of seizures without having a full come back to consciousness)
• in case you have a reputation mental or mood problems, or suicidal thoughts or actions.

Some medicines may interact with Topamax. Tell your doctor if you take every other medicines, especially any with the following:

• Anticholinergics (eg, benztropine), carbonic anhydrase inhibitors (eg, acetazolamide), haloperidol, or tricyclic antidepressants (eg, nortriptyline) as the risk of decreased sweating might be increased
• Valproic acid just because a serious complication with symptoms of confusion, lethargy, and vomiting may occur
• Metformin or pioglitazone because blood sugar levels control could be altered; monitor your blood glucose carefully if you utilize Topamax with metformin or pioglitazone
• Hydrochlorothiazide since it might increase the risk of Topamax's side effects
• Carbamazepine or hydantoins (eg, phenytoin) simply because they may decrease Topamax's effectiveness
• Amitriptyline for the reason that chance of its unwanted effects could be increased by Topamax
• Lithium because Topamax could have an effect on lithium blood levels
• Hormonal birth control method (eg, contraceptive pills) or risperidone his or her effectiveness might be decreased by Topamax.

This may not be a total report on all interactions that could occur. Ask your medical provider if Topamax may interact with medicines that you just take. Check with your medical provider before you start, stop, or alter the dose associated with a medicine.

Important safety information:

• Topamax might cause drowsiness, dizziness, confusion, or trouble concentrating. These effects could possibly be worse if you go on it with alcohol or certain medicines. Use Topamax with caution. Do not drive or perform other possible unsafe tasks until you discover how you react to it.
• 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 may well increase their effects. Ask the pharmacist when you have queries about which medicines might cause drowsiness.
• Topamax may reduce sweating, which may raise body's temperature, especially in children. This risk is greater in summer and/or during vigorous exercise. Drink a good amount of fluids. Dress lightly when it's in hot climates or when exercising. Check carefully for signs of decreased sweating. If this occurs, promptly seek cooler or air-conditioned shelter and/or stop exercising. Seek medical attention without delay for those who have unexplained fever, or for those who have mental or mood changes, headache, or dizziness.
• Tell your physician or dentist that you take Topamax when you have any medical or dental treatments, emergency care, or surgery.
• Hormonal contraceptive (eg, contraceptive pills) may well not work as well while you happen to be using Topamax. To prevent pregnancy, make use of an extra way of contraception (eg, condoms).
• Lab tests, including serum bicarbonate levels, may be performed whilst you use Topamax. These tests could possibly be accustomed to monitor your complaint or pay attention to negative effects. Be sure to keep all doctor and lab appointments.
• Use Topamax with caution inside the elderly; they could be more understanding of its effects.
• Caution is suggested when utilizing Topamax in children; they might be more responsive to its effects, especially decreased sweating and decreased bicarbonate levels.
• Topamax may affect growth rate in youngsters and teenagers occasionally. They may need regular growth checks when they take Topamax.
• Topamax ought to be combined with careful attention in youngsters for migraines and in kids  younger than 2 years old for seizures; safety and effectiveness in these children weren't confirmed.
• Pregnancy and breast-feeding: If you become pregnant, contact a medical expert. You will need to discuss the benefits and perils of using Topamax while you happen to be pregnant. Topamax is found in breast milk. If you're or is going to be breast-feeding as you use Topamax, consult your physician. Discuss any possible risks in your baby.