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Precautions

Do NOT use Topamax if:

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

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

Some health conditions may talk with Topamax. Tell your health care provider for those who have any medical conditions, especially if any from the following connect with you:

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

Some medicines may connect to Topamax. Tell your doctor if you are taking every other medicines, especially any with the following:

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

This will not be a complete list of all interactions which could occur. Ask your health care provider if Topamax may interact along with other medicines that you just take. Check with your health care provider before you start, stop, or change the dose of the medicine.

Important safety information:

• Topamax might cause drowsiness, dizziness, confusion, or trouble concentrating. These effects may be worse if you take it with alcohol or certain medicines. Use Topamax with caution. Do not drive or perform other possible unsafe tasks before you understand how you reply to it.
• Do not consume alcohol or use medicines that might cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Topamax; it could increase their effects. Ask the pharmacist when you have questions about which medicines could cause drowsiness.
• Topamax may reduce sweating, which may raise body temperature, specially in children. This risk is greater in warm weather and/or during vigorous exercise. Drink lots of fluids. Dress lightly when it's in hot climates or when exercising. Check carefully for signs and symptoms of decreased sweating. If this occurs, promptly seek cooler or air-conditioned shelter and/or stop exercising. Seek medical assistance immediately for those who have unexplained fever, or for those who have mental or mood changes, headache, or dizziness.
• Tell your medical professional or dentist that you simply take Topamax before you decide to get any medical or dentistry, emergency care, or surgery.
• Hormonal birth control (eg, contraceptive pills) may not be well while you might be using Topamax. To prevent pregnancy, use an extra way of contraceptive (eg, condoms).
• Lab tests, including serum bicarbonate levels, could possibly be performed while you use Topamax. These tests might be used to monitor your trouble 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 recommended when utilizing Topamax in kids; they could be more understanding of 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 since they take Topamax.
• Topamax must be used with extreme care in youngsters for migraines and in children  younger than a couple of years old for seizures; safety and effectiveness during these children haven't been confirmed.
• Pregnancy and breast-feeding: If you get pregnant, contact your doctor. You will need to discuss the rewards and perils associated with using Topamax while you happen to be pregnant. Topamax is found in breast milk. If you are or will likely be breast-feeding as you use Topamax, talk with a medical expert. Discuss any possible risks to your baby.