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Author: Admin | 2025-04-28
You have a history of this condition and take the drug, your risk of metabolic acidosis can increase. Your doctor can help determine whether Topamax is right for you.Liver problems: You may be at an increased risk of side effects from Topamax if you have liver problems, such as hepatitis.Topamax can increase the level of ammonia in your blood. If you have a liver condition, you may already have a high ammonia level. So taking Topamax when you have a liver problem could cause the ammonia level to increase further.In addition, it’s possible for Topamax to increase the risk of other liver problems. If you have a liver condition, your doctor can help determine whether Topamax is safe for you.Pregnancy: Topamax may cause harm to a developing fetus if the drug is taken during pregnancy. Due to these risks, your doctor will likely not prescribe Topamax if you’re pregnant or trying to become pregnant. They can advise you on the right treatment option for you.Breastfeeding: Topamax may cause sleepiness and diarrhea in a child exposed to the drug through breastfeeding. Your doctor can help determine whether it’s safe to breastfeed while you take Topamax.Allergic reaction: If you’ve had an allergic reaction to Topamax or any of its ingredients, your doctor will likely not prescribe Topamax. Taking the drug could cause another allergic reaction. You can ask your doctor about other treatments that may be better choices for you.Depression, mood conditions, or suicidal thoughts or behaviors: Topamax may increase the risk of changes in mood as well as suicidal thoughts or behaviors. If you have a history of depression, mood conditions, or suicidal thoughts or behaviors, tell your doctor before taking Topamax. You may be at an increased risk of these side effects. Your doctor can help determine whether Topamax is right for you. Here are some frequently asked questions about Topamax and possible interactions.Do SNRIs such as Effexor XR and Cymbalta interact with Topamax?There aren’t any known drug interactions between serotonin-norepinephrine reuptake inhibitors (SNRIs) and Topamax. So, it’s likely safe to take SNRI drugs with Topamax. SNRIs are often used to treat depression. Examples of SNRIs include:venlafaxine (Effexor XR)duloxetine (Cymbalta)desvenlafaxine (Pristiq)Your doctor and pharmacist can help answer other questions you have about taking an SNRI with Topamax.Can I take prednisone with Topamax?Yes, you can likely take prednisone (Rayos) in combination with Topamax. The two drugs aren’t known to interact with
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