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Taking topamax while taking these specific medications can cause increased sleepiness.

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Sudden vision losspain around or behind your eyesdry mouthincreased thirstdrowsinessdecreased sweatingincreased body temperatureand hotdry skinconfusionslowed thinkingmemory problemstrouble concentratingproblems with speech or balancevomitingloss of appetitetired feelingirregular heartbeatsfeeling like you might pass outor severe pain in your side or lower backpainful or difficult urination.

Before using this medicationtell your doctor or pharmacist your medical historyespecially ofa certain eye problemnarrow angle glaucomakidney problemssuch as kidney stonesliver problemsmental/mood problemssuch as depressionthoughts of suicidelung/breathing problemsa certain metabolic imbalancemetabolic acidosislong-term diarrheaa diet high in fat and low in carbohydratesketogenic dietbrittle bonesosteoporosis

Topiramate can make birth control pills less effectiveUse a barrier form of birth controlsuch as a condom or diaphragm with spermicideto prevent pregnancy while taking Topamax.

A small number of people who take anticonvulsants for any conditionsuch as seizuresbipolar disorderpainmay experience depressionsuicidal thoughts/attemptsor other mental/mood problemsTell your doctor right away if you or your family/caregiver notice any unusual/sudden changes in your moodthoughtsor behavior including signs of depressionsuicidal thoughts/attemptsthoughts about harming yourself.

It is important to test for any of several conditions that can interact with mood disordersThe necessary tests include blood and urine testsbecause these conditions could be the cause of a mood disorder.

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topamax therapy usually begins with a dose of 50 milligrams once daily during the first week.

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