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Talk with your doctor before taking Topamax if you have: eye problems, such as glaucoma a job that requires working in hot weather or a hot environment a kidney condition, such as chronic kidney disease a breathing condition, such as chronic obstructive pulmonary disease a ketogenic diet that you follow chronic diarrhea depression or other mental health conditions a history of suicidal thoughts or behaviors osteoporosis or weak bones caused by another condition a liver condition, such as cirrhosis upcoming surgery scheduled a pregnancy a baby you are breastfeeding regular alcohol consumption an allergic reaction to Topamax or any of its ingredients Get in-depth information about Topamax interactions

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It is often more affordable and accessible for individuals who may not qualify for, or have access to, brand-name prescription medications like Ozempic or Wegovy due to medical necessity

Diarrhea and constipation are also common