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Do not start or stop taking Topamax during pregnancy without your doctor’s advice. Taking topiramate during pregnancy may increase the risk of low birth weight and cleft lip and/or cleft palate in the newborn. But having a seizure during pregnancy could harm both mother and baby. There may be other seizure medicine that can be more safely used during pregnancy. Topamax can make birth control pills less effective. Use a barrier form of birth control (such as a condom or diaphragm with spermicide) to prevent pregnancy while taking Topamax. Tell your doctor right away if you become pregnant during treatment.
Possible side effects The most widespread effects are drowsiness, headaches and migraines.May appear some allergic effects.Tell your doctor about any unusual or bothersome side effect. Drug interactions Tell your doctor about all other medicines you use,as Topiramate can cooperate with: * hormones for birth control, including implants or injections * carbamazepine * digoxin * medications for pain, sleep, or muscle relaxation * methazolamide * valproic acid Missed dose Take the missed dose as soon as you possible. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
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Seek emergency medical attention if you have a sudden change in vision or pain around or behind the eyes. These may be early signs of a serious and permanent side effect on your vision. Do not stop using Topamax without first talking to your doctor, even if you feel fine. You may have increased seizures if you stop using Topamax suddenly. You may need to use less and less before you stop the medication completely. Contact your doctor if your seizures get worse or you have them more often while taking this medicine.