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Precautions

Do NOT use Topamax if:

• you might be allergic to the ingredient in Topamax
• you take a carbonic anhydrase inhibitor (eg, acetazolamide).

Contact your doctor or health care provider right away if these sign up for you.

Some health conditions may communicate with Topamax. Tell your health care provider for those who have any health conditions, particularly if any in the following connect with you:

• if you're pregnant, about 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, or any other substances
• for those who have liver or kidney problems, kidney stones, osteoporosis (weak bones), or metabolic problems, you consume alcohol regularly, or you happen to be on a ketogenic diet
• when you have diarrhea, lung or breathing problems, or low bicarbonate levels inside blood, or else you will likely be having surgery
• for those who have a good status epilepticus (continuous seizure activity or possibly a series of seizures without having a full come back to consciousness)
• if you have a history of mental or mood problems, or suicidal thoughts or actions.

Some medicines may talk with Topamax. Tell your medical provider 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 may be increased
• Valproic acid because a serious complication with signs of confusion, lethargy, and vomiting may occur
• Metformin or pioglitazone because blood sugar levels control may be altered; monitor your blood sugar levels carefully if you utilize Topamax with metformin or pioglitazone
• Hydrochlorothiazide as it could raise the probability of Topamax's side effects
• Carbamazepine or hydantoins (eg, phenytoin) because they may decrease Topamax's effectiveness
• Amitriptyline for the reason that risk of its negative effects may be increased by Topamax
• Lithium because Topamax may have an effect on lithium blood levels
• Hormonal birth control (eg, birth control pills) or risperidone his or her effectiveness may be decreased by Topamax.

This may not be an entire set of all interactions which could occur. Ask your medical provider if Topamax may interact along with other medicines that you take. Check with your medical provider before you start, stop, or change the dose from a medicine.

Important safety information:

• Topamax may cause drowsiness, dizziness, confusion, or trouble concentrating. These effects might 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 understand how you reply to it.
• Do not are drinking alcoholic beverages or use medicines that could potentially cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Topamax; it might enhance their effects. Ask the pharmacist when you have questions about which medicines could cause drowsiness.
• Topamax may reduce sweating, which may raise body temperature, particularly in children. This risk is greater in warm weather and/or during vigorous exercise. Drink lots of fluids. Dress lightly whilst in hot climates or when you exercise. Check carefully for signs of decreased sweating. If this occurs, promptly seek cooler or air-conditioned shelter and/or stop exercising. Seek medical help right away if you have unexplained fever, or if you have mental or mood changes, headache, or dizziness.
• Tell your medical professional or dentist that you just take Topamax before you decide to receive any medical or dental hygiene, emergency care, or surgery.
• Hormonal birth control method (eg, contraception pills) might not exactly are well while you're using Topamax. To prevent pregnancy, use an extra way of contraceptive (eg, condoms).
• Lab tests, including serum bicarbonate levels, could be performed while you use Topamax. These tests could be utilized to monitor your trouble or search for side effects. Be sure to keep all doctor and lab appointments.
• Use Topamax with caution within the elderly; they may be more understanding of its effects.
• Caution is advised when using Topamax in kids; they could possibly 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 as they definitely take Topamax.
• Topamax must be used with extreme care in children for migraines and in children  younger than a couple of years old for seizures; safety and effectiveness during these children have not been confirmed.
• Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and perils associated with using Topamax while you're pregnant. Topamax is located in breast milk. If you might be or will likely be breast-feeding whilst you use Topamax, seek advice from your doctor. Discuss any possible risks for your baby.