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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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the key to success with topamax is a very slow titration up to the therapeutic dose.