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Topamax side effects Get emergency medical help if you have any 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.
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. Topamax 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.
Carefully follow the swallowing instructions for your medicine. While using topiramate, you may need frequent blood tests. If you need surgery, tell the surgeon ahead of time that you are using Topamax. Any medical care provider who treats you should know that you take seizure medication. Drink plenty of liquids while you are taking this medicine, to prevent kidney stones or an electrolyte imbalance.
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What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include drowsiness, agitation, depression, double vision, thinking problems, problems with speech or coordination, fainting, and seizure (convulsions).
Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs.

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