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Author: Admin | 2025-04-28
Usual. Your doctor may also monitor you for symptoms.If you have questions about your risk of bleeding while you’re taking Topamax, talk with your doctor.BupropionIt’s possible for bupropion (Wellbutrin XL) to interact with Topamax. This interaction may occur in people taking Topamax for epilepsy.Interaction result: Taking Topamax in combination with bupropion can increase the risk of seizures in people with seizure disorders.Interaction explained: Bupropion can lower your seizure threshold, which means the drug can increase your risk of seizures. If you’re taking Topamax for epilepsy, taking bupropion with Topamax may make your condition worse.Steps you or your doctor may take. If you’re taking Topamax for epilepsy, your doctor may recommend that you do not take bupropion. If they do prescribe bupropion and Topamax, they may monitor you more often than usual throughout your treatment.MetforminIt’s possible for metformin (Fortamet) to interact with Topamax.Interaction result: Taking metformin and Topamax may increase your risk of side effects of both medications, including metabolic acidosis. This is a condition in which the fluids in your body have too much acid. (Learn more about side effects of Topamax.)Interaction explained: Both Topamax and metformin can cause metabolic acidosis. If the drugs are taken in combination, the risk of the condition increases. Sometimes, metabolic acidosis can be severe and possibly life threatening.Steps you or your doctor may take. If your doctor prescribes Topamax and metformin, they may monitor your blood acid levels throughout your treatment. This helps your doctor see whether your levels are becoming too high.You can also watch for symptoms of metabolic acidosis and let your doctor know if you develop:jaundicebreathing that’s fast and shallowheadacheincreased heart ratefatigueIf you develop metabolic acidosis, your doctor can work with you to treat it.Topamax may have other interactions, such as with supplements, foods, vaccines, or even lab tests. You’ll find details in the sections later in the article. Keep in mind that the following information does not include all other possible interactions with Topamax.Topamax and supplementsIt’s possible for drugs to interact with supplements such as vitamins and herbs.Topamax and herbsThere are no specific reports of herbs interacting with Topamax. However, that doesn’t mean interactions won’t occur or be recognized in the future. Because of this, it’s important to check with your doctor or pharmacist before taking any of these products during Topamax treatment.Topamax and vitaminsNo vitamins have been specifically reported to interact with Topamax. However, that doesn’t mean interactions won’t
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