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Precautions

Do NOT use Topamax if:

• you're allergic to your ingredient in Topamax
• you take a carbonic anhydrase inhibitor (eg, acetazolamide).

Contact a medical expert or health care provider without delay if all of these apply to you.

Some medical conditions may interact with Topamax. Tell your health care provider when you have any medical ailments, especially if any with the following apply to you:

• if you happen to be pregnant, about to conceive, or are breast-feeding
• if you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, or another substances
• in case you have liver or kidney problems, kidney stones, osteoporosis (weak bones), or metabolic problems, you consume alcohol regularly, or you're on a ketogenic diet
• when you have diarrhea, lung or breathing problems, or low bicarbonate levels in the blood, otherwise you will be having surgery
• in case you have a history of status epilepticus (continuous seizure activity or possibly a number of seizures without a full resume consciousness)
• when you have a good mental or mood problems, or suicidal thoughts or actions.

Some medicines may connect to Topamax. Tell your health care provider if you are taking every other medicines, especially any from the following:

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

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

Important safety information:

• Topamax may 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 understand how you respond to it.
• Do not are drinking alcohol or use medicines that could potentially cause drowsiness (eg, sleep aids, muscle relaxers) while you happen to be using Topamax; it might help to increase their effects. Ask your pharmacist if you have questions regarding which medicines might cause drowsiness.
• Topamax may reduce sweating, that may raise temperature, particularly in children. This risk is greater in hot weather and/or during vigorous exercise. Drink lots of fluids. Dress lightly while in hot climates or during 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 help without delay for those who have unexplained fever, or if you have mental or mood changes, headache, or dizziness.
• Tell a medical expert or dentist that you simply take Topamax when you receive any medical or dental care, emergency care, or surgery.
• Hormonal birth control method (eg, contraception pills) might not exactly work as well while you are using Topamax. To prevent pregnancy, readily extra type of birth control method (eg, condoms).
• Lab tests, including serum bicarbonate levels, may be performed when you use Topamax. These tests could possibly be employed to monitor your problem or look for negative effects. Be sure to keep all doctor and lab appointments.
• Use Topamax with caution inside the elderly; they could possibly be more understanding of its effects.
• Caution is required when you use Topamax in children; they could be more sensitive to its effects, especially decreased sweating and decreased bicarbonate levels.
• Topamax may affect growth rate in youngsters and teenagers in some cases. They may need regular growth checks since they take Topamax.
• Topamax needs to be in combination with extreme caution in kids for migraines and in youngsters  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 your medical professional. You will need to discuss the huge benefits and perils of using Topamax while you might be pregnant. Topamax is located in breast milk. If you happen to be or is going to be breast-feeding while you use Topamax, talk with a medical expert. Discuss any possible risks to your baby.