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A second form of contraception is recommended while on topamax topiramate and some oral contraceptives to reduce the chance for pregnency.

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The five side effects that were most likely to cause people to discontinue use of Topiramate were psychomotor slowingfatiguememory problemsconfusionand somnolenceIn rare casesapproximately one person of patients develop kidney stones and a very few develop acute glaucoma.

If Topiramate has so little evidence supporting its usewhy should anyone prescribe it over an older drug that has more research showing its effectiveness?

People should not drink alcohol or take sedatives or tranquilizerssuch as ValiumXanaxwhile taking TopamaxTopamax suppresses the activity of carbonic anhydrase in the bodyUsing the drug with any other carbonic-anhydrase inhibitorzonisamide or acetazolamidemay increase the severity of metabolic acidosis and may also increase the risk of kidney stone formationTopamax also interacts with lithium.

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inform pregnant women and women of childbearing potential that use of topamax during pregnancy can cause fetal harm, including an increased risk for cleft lip and or cleft palate oral clefts , which occur early in pregnancy before many women know they are pregnant.

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