Topiramate
Brand: Topamax
No boxed warning on the current FDA label.
- Caution
- Acute angle-closure glaucoma (sudden vision change or eye pain), kidney stones, and metabolic acidosis.
- Pregnancy
- Avoid if possible: cleft lip and palate risk; also lowers contraceptive effectiveness.
Common side effects
- Tingling in hands and feet
- Drowsiness
- Difficulty concentrating
- Weight loss
- Dizziness
Key interactions
- May reduce birth-control effectiveness
- Alcohol increases sedation
- Adds to other sedating drugs
- Caution with other seizure medicines
Counseling points
- Drink plenty of water to reduce kidney stones
- Report vision changes or eye pain
- Do not stop suddenly
- May cause word-finding difficulty
- Use backup contraception if advised
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