Do not use Topamax Sprinkle (topiramate)
Do not use this medication if you are allergic to topiramate.
Dose adjustment or special precautions may be required
To ensure this medication is safe for you, tell your doctor if you have ever had glaucoma or other eye problems, diabetes, metabolic acidosis, kidney disease, kidney stones, dialysis, lung disease, breathing problems, mood problems, depression, suicidal thoughts or actions, an eating disorder, liver disease, soft or brittle bones, a growth disorder, or if you are sick with diarrhea.
Risks
This medication can cause metabolic acidosis; a high level of acid in the blood. This can weaken your bones, cause kidney stones, or cause growth problems in children or harm to an unborn baby.
Some patients find they have suicidal thoughts when first taking this medication. Family and/or caregivers should be alert to changes.
If you become pregnant during treatment; consult your doctor but do not discontinue use. Your doctor will tell you how to properly stop taking this medication. Stopping this medication suddenly can cause seizures to occur.
Topamax Sprinkle can make birth control less effective; use non-hormonal birth control methods while being treated with this medication.
This drug can pass into breast milk and may harm a nursing infant. Do not breast feed while using this medication until you have discussed the risks and benefits with your doctor.
Drink plenty of fluids while being treated with Topamax Sprinkle; this will help reduce the risk of kidney stones or an electrolyte imbalance.