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Tell your topamax health care provider if you have any medical conditions, especially if any of the following apply to you: Some medicines may interact with Topamax .
Tell your health care provider if you are taking topamax any other medicines, especially any of the following: Metformin or pioglitazone because blood glucose control may be altered; monitor your blood sugar carefully if you use Topamax with metformin or pioglitazone Hydrochlorothiazide because it may increase the risk of Topamax’s side effects Carbamazepine or hydantoins (eg, phenytoin) because they may decrease Topamax’s effectiveness Amitriptyline because the risk of its side effects may be increased by Topamax Lithium because Topamax may have an effect on lithium blood levels Hormonal birth control (eg, birth control pills) or risperidone because their effectiveness may be decreased by Topamax .
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Ask your health care provider if Topamax may interact with topamax mental health what is topamax 25mg used for weight loss with topamax 50 mg does topamax other medicines that you take .
Check with your health care provider before you start, stop, or change topamax the dose of any medicine .
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