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You should not use Topamax if you are allergic to topiramateYou should not use extended-release topiramate if you have metabolic acidosishigh levels of acid in your bloodand are also taking metformin for diabetes.

Initial monotherapy in patients 2 years of age and older with partial onset or primary generalized tonic-clonic seizuresSafety and effectiveness in patients who were converted to monotherapy from a previous regimen of other anticonvulsant drugs have not been established in controlled trials.

Taking Topamax with other drugs that make you sleepy can worsen this effectAsk your doctor before taking a sleeping pillopioid pain medicationmuscle relaxeror medicine for anxiety or depression.

Overdose symptoms may include drowsinessagitationdepressiondouble visionthinking problemsproblems with speech or coordinationfaintingand seizureconvulsions

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