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As Generic Topamax may slow down your thinking or reactions as well as cause blurred vision, use extra caution while driving or taking up any other activity that requires utmost concentration after taking Generic Topamax. Do not combine the medication with alcohol as it may increase the probability of side effects and increase the risk of seizure. Avoid ketogenic diets that are high in fat and low in carbohydrates, as it may increase the risk of kidney stones.