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Ketogenic or "ketosis" diets that are high in fat and low in carbohydrates can increase the risk of kidney stones. Avoid the use of such diets while you are taking Topamax. Topamax may cause blurred vision or impair your thinking or reactions. Avoid driving or operating machinery until you know how this medicine will affect you. Also avoid activities that could be dangerous if you have an unexpected seizure, such as swimming or climbing in high places.
Notify your doctor of all other medications you are taking, especially: lithium (Eskalith, LithoBid); hydrochlorothiazide (HCTZ, HydroDiuril, Hyzaar, Lopressor, Vasoretic, Zestoretic); metformin (Glucophage, Actoplus Met, Avandamet, Fortamet, Janumet, PrandiMet, Riomet); atropine (Atreza, Sal-Tropine), belladonna (Donnatal, etc.), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop); bronchodilators such as ipratropium (Atrovent) or tiotropium (Spiriva); bladder or urinary medications such as darifenacin (Enablex), solifenacin (Vesicare), etc.; glaucoma medications such as acetazolamide (Diamox) or methazolamide (Neptazane); other seizure medications such as carbamazepine (Carbatrol, Equetro, Tegretol), lamotrigine (Lamictal), phenytoin (Dilantin), valproic acid (Depakote, Depakene), or zonisamide (Zonegran).
Some people have thoughts about suicide while taking an anticonvulsant. Your doctor will need to check your progress at regular visits while you are using Topamax. Your family or other caregivers should also be alert to changes in your mood or symptoms. Topamax can increase the level of acid in your blood (metabolic acidosis). This can weaken your bones, cause kidney stones, or cause growth problems in children or harm to an unborn baby. You may need blood tests to make sure you do not have metabolic acidosis, especially if you are pregnant.
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Topamax (topiramate) is a seizure medicine, also called an anticonvulsant. Topiramate is used to treat seizures in adults and children who are at least 2 years old. Topamax is also used to prevent migraine headaches in adults and teenagers who are at least 12 years old.
Common Topamax side effects may include: numbness or tingling in your arms and legs; flushing (warmth, redness, or tingly feeling); headache, dizziness, drowsiness, tired feeling; mood problems, confusion, feeling nervous, problems with thinking or memory; slow reactions, problems with speech or vision; nausea, diarrhea, stomach pain, loss of appetite, indigestion, weight loss; cold symptoms such as stuffy nose, sneezing, sore throat; or changes in your sense of taste.
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