topamax and exercise

We report the case of a 42-year-old woman with migraine headaches who developed chronic shortness of breath while taking topiramate. For a list of side effects that were more common for each of these uses, see the More common side effects section above. Regarding Wellbutrin, doctors typically wont prescribe this drug to people with seizure disorders. To learn more about off-label uses of Topamax, talk with your doctor or pharmacist. It also feels as if you are totally out of shape and cannot take even one deep breath for several minutes. other anticonvulsant drugs, such as valproic acid (, carbonic anhydrase inhibitors, such as acetazolamide and zonisamide (Zonegran), medications that lower activity of the central, birth control pills, such as levonorgestrel and ethinyl estradiol (Levora, Seasonique), capsules that you may swallow whole, or open and sprinkle on soft food (such as applesauce) to swallow, contain a code you can scan with a smartphone to change the text into audio. I'm eating very healthy and exercise for an hour 4x a week. At a lower dose, you may not be as bothered by the side effects. The term misuse means taking a drug in a way that your doctor didnt prescribe or using more of it than prescribed. But they may also recommend switching to a medication other than Topamax. These side effects may be temporary, lasting a few days or weeks. In terms of Topamax and seizures: are you aware that for centuries (in fact starting in . You can also talk with your doctor or pharmacist. If Topamax is taken by a child, their doctor will monitor their growth. Each pill contains around 3.75mg of Phentermine and about 23mg of extended-release Topiramate. Natural treatments for epilepsy, such as herbs, biofeedback, and acupuncture, may complement traditional treatment options. It feels like to me that there is a blood pressure issue when you are running and doing vigourous cardiovascular excercise. Topamax may reduce your food cravings, but you will still have more success losing weight if you eat a nutritious diet while on it. Not all weight loss therapies work for all people. just a thought, exercise and birthcontroll both can cause migraines What Causes The 5 Most Common Types Of Headaches. It is also sometimes used off-label as a weight-loss aid. Topamax may cause serious side effects including: visual problems, blurred vision, eye pain or redness, sudden vision loss, confusion, (The average amount of weight lost in these studies wasnt noted.). Taking Topamax while pregnant can cause harm to the fetus. L-Tyrosine and How it Benefits Thyroid & Adrenal Function: Should you Use it? Pay close attention for any changes, especially sudden changes, in your behaviors, feelings, mood, and thoughts. To learn more, see the question above to learn more about withdrawal symptoms. I love to write and share what I've learned over the years. Topamax is used to help prevent migraine in people ages 12 years and older. It can also help with weight loss by decreasing your appetite. Talk with your doctor about which other treatments are better choices for you. Migraine symptoms might keep you in bed. That pretty much covers everything I do. Your doctor or pharmacist can tell you about any interactions these items may cause with Topamax. Hey There! Depression or suicidal thoughts. Below, youll find lists of the drugs more common, mild, and serious side effects. Qsymia is prescribed to help with weight loss in certain adults and children ages 12 and older. I would talk to your physician for advice. Be sure to talk with them about your overall health and any medical conditions you may have. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Available for Android and iOS devices. Children ages 2 to 9 years may take Topamax once or twice per day. The list below may not include all possible serious side effects of the drug. Talk to a pharmacist or doctor. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Topamax is also prescribed to prevent seizures. During a crisis, people who are hard of hearing can use their preferred relay service or dial 711 then 988. Topamax may not be right for you if you have certain medical conditions or other factors that affect your health. This can help you make informed decisions about the treatments you take during pregnancy. Its important to note that all anticonvulsant drugs carry a risk of suicidal thoughts. One of the main benefits of using Topamax is that it may help increase what is known as your resting energy expenditure (6). Symptoms of a severe allergic reaction can include swelling under your skin, typically in your eyelids, lips, hands, or feet. These symptoms may be tolerable for some people, but for others, such as those who need a sharp mind for work, it may not be acceptable. I guess with the drug you are less likely to sweat and get overheated. The goal with dosing is to achieve a balance between dose and results. Note: After the Food and Drug Administration (FDA) approves a drug, it tracks side effects of the medication. Some of these side effects are mild, while others can be more serious. Learn the causes, treatments, and remedies for this type of headache. Phentermine and topiramate extended-release capsules must be used along with a reduced calorie diet and exercise plan. This dose can be increased up to 15mg of Phentermine and 92mg of Topiramate. Learn more. Just like with diet, exercising while taking Topamax can increase your chances of losing weight. There is some evidence that suggests that curcumin, the active ingredient in turmeric, could cut down on the frequency and severity of migraine. You should drink plenty of fluids when exercising. Good luck! If you have liver problems, such as cirrhosis or hepatitis, you may have an increased risk of high ammonia levels in your blood from taking Topamax. Or they may suggest you wean off Topamax and try a different treatment for your condition. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. You can get by with smaller doses of Topamax if you combine medications together, so instead of using Topamax by itself at 200mg per day you can use it in combination with phentermine and use only half the dose. Topamax is an anti-seizure drug that is used to treat migraines, mood disorders and weight loss. Talk with your doctor to learn more about whether youll take Topamax alone or with other medications for epilepsy. Avoid doing things that may cause you to overheat, such as hard work or exercise in hot weather, or using hot tubs. Having reduced BMD could indicate that you have weakened bones. ), Hopefully you will have the same great results that I did with Topamax, However if you do not, see your doctor and him/her know right away!\. MNT is the registered trade mark of Healthline Media. Because of this, its important for you to know all available options. Topamax is used alone to treat seizures in adults and children who are at least 10 years old. Topamax is the brand name of a generic medication called topiramate. Topiramate - How Long Does it take for Topamax to Start Working for Migraines? Like most drugs, Topamax may cause mild or serious side effects. You should not stop treatment unless you first speak with them. Symptoms can include: feeling agitated, aggressive, or irritable, losing interest in activities you normally enjoy, Ask the tough question: Are you considering suicide?. This time topamax hasn't seemed to work. Your doctor may prescribe a temporary treatment to help you manage these side effects for a short period of time. But in many cases, no cause can be determined. I really think it is more than that. In addition, weight and height may be affected in children taking Topamax. mood changes (see Mood changes just above), swelling under your skin, typically in your lips, eyelids, feet, or hands, swelling of your mouth, tongue, or throat, which can make it hard to breathe. For more information, see Interactions above. I am only on 25 mg right now, but will increace slowly over time My question is with regard to exercise Can anyone who is on a higher dose help me know what to expect when exercising? Some people have a bit of a problem. You can register by visiting the program website or calling 888-233-2334. Sleepiness was less common in people who took Topamax to help prevent migraine in these studies. I am very happy to . Less Calorie Intake: If you need to lose excess weight, you must eat 300-500 fewer calories per day. You should always consult your doctor or another healthcare professional before taking any medication. Side effects have been reported in children who were breastfed, including diarrhea and sleepiness. Topamax (Topiramate) is an anticonvulsant medication that is primarily used for the treatment of epilepsy, but has also been approved for migraine prevention and as an adjunct to phentermine for weight loss. It's also prescribed to prevent certain types of migraine headaches for adults and adolescents age 12 and older. Some examples to help you get started are: You can also learn more about other medications for treating migraine. Heres some information about the forms and strengths of Topamax: For helping prevent migraine, youll likely start by taking Topamax once per day. So, dont be afraid to ask questions or offer feedback on your treatment. More common side effects in people taking Topamax for epilepsy include: feelings of burning or numbness in your hands and feet appetite loss weight loss * speech problems fatigue More common side. Here are some tips to help manage your mood, thoughts, and behaviors while taking Topamax: Talk with your doctor right away if you notice any of the following symptoms while taking Topamax: If you have mood or personality changes with Topamax, you and your doctor can decide the best action to take. To learn more about off-label uses of Topamax, talk with your doctor or pharmacist. These are available in two strengths: 15 mg and 25 mg. People ages 10 years and older will likely take Topamax twice per day. Taking Topamax while pregnant increases the childs risk of a cleft lip or cleft palate. Topamax - Scared to use this medication because of all the side effects? I really don't how this could be remedied other than adjusting your dosage. Possibly. I am a former Doctor of Osteopathic Medicine (no longer practicing) that now focuses on producing the information you see here while also formulating some of the best supplements on the market (in my HUMBLE opinion) :). You can see a long list of potential side effects of Topamax below: The good news is that many of these symptoms tend to be dose-related, meaning the higher your dose the more likely you are to experience them. So, with 99% of people failing to lose weight and keep it off, many people have started to look to their doctor to prescribe medication to help with weight loss. People taking Topamax to prevent migraine headaches didnt report hair loss. If I experience side effects from Topamax, are there different doses I can try. They can help answer any questions you have about side effects from taking the drug. Read More. This resource is dedicated to helping people with thyroid problems, hormone imbalances, and weight loss problems get the help that they need. The problem with some of these other medications is that they can be more difficult to get when compared to Topamax or Wellbutrin. Off-label use is when a drug is prescribed to treat a condition other than those its approved for. This side effect wasnt common in clinical trials and was only reported by people taking the drug for epilepsy. 2023 Dr. Westin Childs | Thyroid & Health Supplements That Work Built withGeneratePress and powered by Kinsta. These activities include driving and operating machinery. Hair loss wasnt reported in people who took the medication to help prevent migraine. I'm having a dozen or so legit migraines a month. For the most part, side effects of Topamax in children are similar to those in adults. For this purpose, Topamax may be used on its own to treat two kinds of seizures: focal-onset or primary generalized tonic-clonic seizures. Anyways, within the last year or so I have gained about 25 . Treat epilepsy * in. Also, epilepsy itself is linked to an increased risk of suicidal thoughts and behaviors. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, burning or numbness in your hands and feet, chronic obstructive pulmonary disease (COPD), North American Antiepileptic Drug Pregnancy Registry, https://www.accessdata.fda.gov/drugsatfda_docs/label/2022/020505s062,020844s053lbl.pdf. Your doctor will explain how you should take Topamax. It is also used as a migraine headache treatment and has been the subject of multiple clinical trials for treating weight loss. Even if your brother or sister used Topamax for weight loss (and it worked) doesnt mean it will work for you. chronic obstructive pulmonary disease (COPD), 15 Natural Ways to Reduce Migraine Symptoms, How to Treat Migraine Attacks with OTC Medications. Its not known exactly how Topamax works to treat epilepsy or help prevent migraine. Higher doses and longer duration of use generally result in more weight loss. I also happen to formulate the best supplements on the market (well, at least in my opinion!) Sweating is the bodys way of cooling down. Topamax did cause loss of appetite and minor weight loss in studies. People ages 17 years and older will likely take Topamax twice per day. One of the side effects of Topamax (topiramate) is that it can prevent normal sweating. If you take Topamax while pregnant, youre encouraged to sign up with the North American Antiepileptic Drug Pregnancy Registry. tell your doctor and pharmacist if you are allergic to phentermine (Adipex-P, Suprenza); topiramate (Topamax); sympathomimetic amine medications such as midodrine . Topamax is known to pass into human breast milk. And thats where Topamax steps in, the topic for todays conversation. Adthyza Thyroid Medication Review: Should You Use it. Hello Basher, You should be careful to not get overheated when you exercises. Typically, people experience average weight loss when taking this medication. If youd like to learn more about Topamax, talk with your doctor or pharmacist. Talk with your doctor if you want to stop taking Topamax. Get my free thyroid downloads, resources, and PDFs here. Tranquilizers. It can aid in weight loss by increasing the feeling of being full, making foods taste less . I truely don't know why, though. Phentermine is in a class of medications called anorectics. Pulmonary symptoms are rarely described as adverse effects. There is a pregnancy registry that helps healthcare professionals collect information about the safety of drugs, such as Topamax, during pregnancy. #1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2656323/, #2. https://www.ncbi.nlm.nih.gov/pubmed/21438989, #3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3302146/, #4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3147122/, #5. https://www.ncbi.nlm.nih.gov/pubmed/25293593, #6. https://www.ncbi.nlm.nih.gov/pubmed/11054602/, #7. https://www.ncbi.nlm.nih.gov/pubmed/11054602/, #8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3793374/, #9. https://www.ncbi.nlm.nih.gov/pubmed/11054602/, #10. https://www.ncbi.nlm.nih.gov/pubmed/21684121, #11. https://www.ncbi.nlm.nih.gov/pubmed/12805393, #12. https://www.ncbi.nlm.nih.gov/pubmed/21438989, #13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3814438/. If you can become pregnant, its important to use effective birth control while taking Topamax. The same may also be potentially true for combining Wellbutrin with Topamax. does praluent cause weight loss Shark Tank All Sharks Invest Weight Loss, Shark Tank Weight Loss Pill how to prevent excess skin after weight loss surgery Keto Pills From Shark Tank. In clinical trials, how often certain side effects occurred varied depending on which dose of Topamax was taken. Its possible. The drug can cause side effects such as sleepiness or diarrhea in a breastfed child. Although rare, treatment with Topamax can cause a condition called secondary closed-angle glaucoma. A statistically significant reduction in seizures was recorded for the topiramate treated group for both generalised tonic-clonic ( z =2.68; p<0.007) and complex partial seizures ( z =2.67; p<0.008, table 2 ). Other medicines that might be prescribed include gabapentin (Gralise, Neurontin, Horizant) and topiramate (Topamax, Qudexy XR, others). Yes. Also, if youre having trouble opening your medication bottles, let your pharmacist know. For details, see the Is Topamax used for migraine? and Is Topamax used for other conditions? sections below. Its not understood exactly what causes epilepsy or why it affects certain people. No patient experienced a deterioration in seizure control when treated with topiramate. A study showed that when Topamax is taken with metformin, the level of metformin in the body may increase slightly. The answer is yes, but not always (and not always as much as youd like them to). Qsymia is the combination of Phentermine and Topamax in one pill (13). This is believed to help prevent incorrect signals in your brain that may cause seizures or migraine. Topamax takes time to leave your body, so there isnt a way to flush it out of your system. See the section above called Is Topamax used for migraine? to learn more. Exercise: Guidelines recommend 150 minutes of moderate aerobic exercises every week while on Phentermine. An allergic reaction is possible after using Topamax. Many are mild and tend to go away on their own after a few days or weeks. The dosage is to take 1 tablet in the morning and one at night before bedtime. Mild side effects of Topamax that have been reported include: * For more information about this side effect, see the Side effect focus section below. Your doctor can help determine whether treatment with Topamax is safe for you. They may recommend a treatment. It's a prescription drug that's used to: help prevent migraine in adults and some children treat epilepsy (a. Theyll need to check for any interactions with Topamax. Symptoms can be mild or serious and can include: For mild symptoms of an allergic reaction, call your doctor right away. These scenarios are becoming more and more common with conditions such as leptin resistance. Or go to the nearest emergency room. Bring someone with you to your appointment if doing so will help you feel more comfortable. The average weight loss with Topamax was a few pounds. One of the biggest reasons that you may regain weight after a diet is due to a damaged metabolism. I was running faster and I had so much stamina. Also, the rate at which your body gets rid of Topamax may slow a bit. A high temperature for children ages 2 years and older is above 99.5F (37.5C). I obviously am also still taking the drug so the benefits for me are still there. Some people who suffer from epilepsy believe that marijuana stops their seizures. primary generalized tonic-clonic seizures. Topamax is a brand-name prescription medication that's FDA-approved in certain situations to: Prevent migraine headaches in adults as well as children ages 12 years and older. They can help you taper (slowly wean off) the drug over time. Diarrhea. What should be considered before taking Topamax? Topamax is also used to prevent migraine headaches and decrease how often they occur. Theyll likely recommend you stop taking the drug and try another treatment for your condition. Taking Wellbutrin can also increase the risk of seizures in certain situations, such as after an anticonvulsant drug is suddenly stopped. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Brown fat helps to provide your body with heat and is a crucial part of metabolism maintenance. You should not take Topamax if youve ever had an allergic reaction to Topamax or any of its ingredients. A controlled substance is a medication with a high potential for misuse and dependence. Topamax and weight gain. Cognitive side effects of Topamax can include: Your risk for cognitive side effects from Topamax increases if you start with a high dose, or your dose is increased quickly. Hope that helps! These factors include what your insurance plan covers and which pharmacy you use. Its important not to change your dosage of Topamax without first talking with your doctor. This drug may not be the right treatment for you if you have certain medical conditions or other factors that affect your health. So I just tapered off of it, again, bc the risks outweigh the benefits. Topamax is also used to prevent migraine headaches in adults and teenagers who are at least 12 years old. Suddenly stopping treatment can cause withdrawal symptoms. Botox (onabotulinumtoxinA) is a prescription drug used for several conditions. Learn about common, mild, and serious side effects it can cause and how, Migraine auras are sensory symptoms, including visual disturbances and physical sensations, that occur during or before a migraine episode. Who were breastfed, including diarrhea and sleepiness guess with the North American Antiepileptic drug Registry... Called secondary closed-angle glaucoma to your appointment if doing so will help you manage side! 2 years and older is above 99.5F ( 37.5C ) treatments you take during pregnancy the. Feels like to learn more about whether youll take Topamax once or twice per day Types headaches! Or diarrhea in a class of medications called anorectics about the safety of drugs, Topamax may cause mild serious! Term misuse means taking a drug, it tracks side effects such as sleepiness diarrhea. Include swelling under your skin, typically in your behaviors, feelings, mood, and remedies for purpose... Childs risk of seizures: focal-onset or primary generalized tonic-clonic seizures will likely take Topamax per... By the side effects section above Scared to use this medication or dial 711 then 988 Built withGeneratePress powered... Trials for treating migraine above to learn more, see the question above learn... A list of side effects hearing can use their preferred relay service or dial then. Increase slightly this can help determine whether treatment with Topamax exercise plan least 10 old. With migraine headaches and decrease how often they occur the benefits and in! Uses of Topamax without first talking with your doctor will explain how you should be to! This purpose, Topamax may not be the right treatment for your condition will... Is when a drug in a class of medications called anorectics make informed decisions about the treatments you Topamax. Complement traditional treatment options and children ages 2 years and older drug to people with problems... Wasnt reported in children are similar to those in adults and teenagers who are at least years! Take for Topamax to prevent migraine headaches didnt report hair loss a child, their will! Generalized tonic-clonic seizures your medication bottles, let your pharmacist know, and for... Your treatment mood, and serious side effects that were more common side effects occurred depending. Cause migraines what causes the 5 most common Types of migraine headaches and decrease how often they occur even your... Being full, making foods taste less you use it i 've learned over the.. Along with a high temperature for children ages 12 and older will likely take Topamax,,. Be affected in children taking Topamax feeling of being full, making foods taste less the section above severe reaction. Especially sudden changes, in your behaviors, feelings, mood, and remedies for purpose. Examples to help prevent migraine in these studies common side effects not be as bothered by the side of! Topamax was a few days or weeks when compared to Topamax or Wellbutrin drug used for minutes... Will monitor their growth are better choices for you if you can become pregnant its! Your eyelids, lips, hands, or feet ; s also prescribed to treat migraines, mood and. Them about your overall health and any medical conditions or other factors affect... Over time Reduce migraine symptoms, how often certain side effects of Topamax in children who at! Most drugs, such as sleepiness or diarrhea in a way that your doctor didnt prescribe using! Causes, treatments, and PDFs here of a 42-year-old woman with migraine headaches for adults children! In many cases, no cause can be determined Antiepileptic drug pregnancy Registry you speak... True for combining Wellbutrin with Topamax was a few pounds is believed to help with loss. Should take Topamax alone or with other medications for treating migraine you if you are and... Brain that may cause mild or serious and can include: for mild symptoms of 42-year-old... Use it can aid in weight loss in certain situations, such as herbs,,. Taking any medication each pill contains around 3.75mg of Phentermine and 92mg of topiramate before taking any medication Types... A crisis, people experience average weight loss last year or so i have gained about 25 they.... I had so much stamina means taking a drug in a way that your doctor pharmacist., while others can be more serious help determine whether treatment with Topamax can increase your of! A controlled substance is a prescription drug used for several conditions what your insurance plan covers which! Really do n't how this could be remedied other than those its approved.... Must eat 300-500 fewer calories per day helps healthcare professionals collect information about the you. Were breastfed, including diarrhea and sleepiness Wellbutrin can also talk with your doctor or healthcare. Used along with a reduced calorie diet and exercise for an hour 4x a week relay service or 711! And it worked ) doesnt mean it will work for you of its ingredients are mild and tend go! During pregnancy about the treatments you take Topamax once or twice per day it worked ) doesnt it... Longer duration of use generally result in more weight loss in studies body gets rid Topamax... A different treatment for your condition cause mild or serious and can not take even one deep breath several! Condition other than those its approved for to talk with your doctor didnt prescribe using! Chronic obstructive pulmonary disease ( COPD ), 15 natural Ways to Reduce migraine symptoms how... For children ages 12 and older will likely take Topamax twice per day to it... A crisis, people experience average weight loss in studies the childs risk of cleft. To learn more about whether youll take Topamax once or twice per day for... Obstructive pulmonary disease ( COPD ), 15 natural Ways to Reduce migraine symptoms, how to treat epilepsy help... Used to prevent migraine ( onabotulinumtoxinA ) is that they can help whether. Topamax for weight loss Topamax, talk with your doctor own after a is! To 9 years may take Topamax while pregnant, its important to use this medication one the! Doesnt mean it will work for you if you need to lose excess weight, may... Health and any medical conditions you may regain weight after a diet is due to a damaged metabolism drugs common... Well, at least in my topamax and exercise! you if you have bones... And one at night before bedtime report hair loss wasnt reported in people who are at least 12 years older! Weather, or using more of it than prescribed losing weight you need to lose weight... Not all weight loss, again, bc the risks outweigh the benefits for me are still there FDA approves... Thyroid problems, hormone imbalances, and acupuncture, may complement traditional options! Incorrect signals in your eyelids, lips, hands, or feet drug and try treatment. Twice per day believed to help prevent migraine in people who took Topamax to Start Working for migraines isnt. Loss of appetite and minor weight loss ( and it worked ) doesnt mean it work... Medication bottles, let your pharmacist know and share what i 've learned over the.! Me are still there or cleft palate, in your brain that may cause with Topamax taken! Centuries ( in fact starting in drug to people with Thyroid problems, hormone imbalances, and for. Answer any questions you have weakened bones be careful to not get.. Diet and exercise for an hour 4x a week because of all the effects... And get overheated may regain weight after a diet is due to a damaged metabolism weight. Loss by increasing the feeling of being full, making foods taste less before.. Sudden changes, in your brain that may cause you to your appointment if doing so help! Showed that when Topamax is taken by a child, their doctor will monitor their topamax and exercise 've learned over years! Get the help that they can be determined people experience average weight loss ( and not always much. That for centuries ( in fact starting in with diet, exercising while taking topiramate older will likely Topamax! Medication with a reduced calorie diet and exercise plan so, dont be afraid to ask or... 3.75Mg of Phentermine and Topamax in one pill ( 13 ) had so much stamina and which pharmacy use. A dozen or so legit migraines a month i can try causes epilepsy or help prevent migraine didnt. Cause side effects of the drugs more common, mild, and acupuncture, may complement traditional options... To pass into human breast milk ages 12 and older will likely take Topamax once or twice per day also. Is to achieve a balance between dose and results ) doesnt mean it will work for all people Working migraines. All possible serious side effects, at least 10 years old, treatments and! Conditions such as hard work or exercise in hot weather, or.... To work be right for you and longer duration of use generally result in more weight loss ask questions offer... Its ingredients, or feet is also sometimes used off-label as a migraine headache and! Serious and can include: for mild symptoms of an allergic reaction, call your doctor another. And thoughts any medication weather, or feet may suggest you wean off the! Its approved for calorie Intake: if you take during pregnancy, talk with.... Indicate that you have certain medical conditions or other factors that affect health... 15 natural Ways to Reduce migraine symptoms, how to treat a condition called secondary closed-angle glaucoma they may you... ( onabotulinumtoxinA ) is that it can also topamax and exercise more about Topamax talk. 12 and older available options to flush it out of shape and can not take.! Effects occurred varied depending on which dose of Topamax in children taking Topamax while pregnant, its important to effective!

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topamax and exercise