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While using Topamax, you may need frequent blood tests. If you need surgery , tell the surgeon ahead of time that you are using this medicine.

Any medical care provider who treats you should know that you take seizure medication. Do not stop using Topamax suddenly, even if you feel fine.

Stopping suddenly may cause increased seizures. Follow your doctor's instructions about tapering your dose. Store at cool room temperature away from moisture, light, and high heat.

Keep the bottle tightly closed when not in use. Topamax dosage information in more detail. Take the missed dose as soon as you remember.

Skip the missed dose if you are more than 6 hours late in taking it. Wait until your next scheduled dose. Do not take extra medicine to make up the missed dose.

Overdose symptoms may include drowsiness, agitation , depression, double vision, thinking problems, problems with speech or coordination, fainting, and seizures convulsions.

Avoid becoming overheated or dehydrated in hot weather. Topiramate can decrease sweating and increase body temperature, leading to life-threatening dehydration especially in children.

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.

Topiramate 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.

Get emergency medical help if you have signs of an allergic reaction to Topamax: hives ; difficult breathing; swelling of your face, lips, tongue, or throat.

Report any new or worsening mood symptoms to your doctor, such as: mood or behavior changes, anxiety , panic attacks , trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive mentally or physically , depressed, or have thoughts about suicide or hurting yourself.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.

Topamax side effects in more detail. Taking Topamax with other drugs that make you sleepy can worsen this effect.

Ask your doctor before taking a sleeping pill, opioid pain medication, muscle relaxer, or medicine for anxiety or depression. This list is not complete.

Other drugs may interact with topiramate, including prescription and over-the-counter medicines, vitamins , and herbal products.

Not all possible interactions are listed in this medication guide. Topamax drug interactions in more detail. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Topamax only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records.

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See also: Topamax drug interactions in more detail. Drug Status Availability Prescription only Rx. Janssen Pharmaceuticals, Inc. Drug Class.

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