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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.
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. Call your doctor if your seizures get worse or you have them more often while taking Topamax. Store at cool room temperature away from moisture, light, and high heat. Keep the bottle tightly closed when not in use. See also: Dosage Information (in more detail)
What should I avoid while taking Topamax? Do not drink alcohol. Dangerous side effects or increased seizures may occur when alcohol is combined with Topamax. Avoid becoming overheated or dehydrated in hot weather. Topamax can decrease sweating and increase body temperature, leading to life-threatening dehydration (especially in children). This effect can be worse if you also use: cold or allergy medicine, bladder or urinary medicine, a bronchodilator, medicine for Parkinson’s disease, or medicine to treat stomach ulcers or irritable bowel syndrome.
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Topamax (topiramate) is a seizure medicine, also called an anticonvulsant. Topiramate is used to treat seizures in adults and children who are at least 2 years old. Topamax is also used to prevent migraine headaches in adults and teenagers who are at least 12 years old. This medicine will only prevent migraine headaches or reduce the number of attacks. It will not treat a headache that has already begun.
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.

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