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What is Generic Zoloft (Sertaline)?

Generic Zoloft (Sertaline) is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Generic Zoloft (Sertaline) affects chemicals in the brain that may become unbalanced and cause depression, panic, anxiety, or obsessive-compulsive symptoms.Generic Zoloft (Sertaline) is used to treat depression, obsessive-compulsive disorder, panic disorder, anxiety disorders, post-traumatic stress disorder (PTSD), and premenstrual dysphoric disorder (PMDD).Generic Zoloft (Sertaline) may also be used for purposes other than those listed in this medication guide.

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Important information about Generic Zoloft (Sertaline)

Do not take Generic Zoloft (Sertaline) together with pimozide (Orap), or a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Generic Zoloft (Sertaline). After you stop taking Generic Zoloft (Sertaline), you must wait at least 14 days before you start taking anMAOI.You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Generic Zoloft (Sertaline) is FDA-approved for children with obsessive-compulsive disorder (OCD). It is not approved for treating depression in children. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. SSRI antidepressants may cause serious or life-threatening lung problems in newborn babies whose mothers take the medication during pregnancy. However, you may have a relapse of depression if you stop taking your antidepressant during pregnancy. If you are planning a pregnancy, or if you become pregnant while taking Generic Zoloft (Sertaline), do not stop taking the medication without first talking to your doctor.

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Before taking Generic Zoloft (Sertaline)

Do not use Generic Zoloft (Sertaline) if you are using pimozide (Orap), or an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam). Serious and sometimes fatal reactions can occur when these medicines are taken with Generic Zoloft (Sertaline). You must wait at least 14 days after stopping an MAO inhibitor before you can take sertraline. After you stop taking Generic Zoloft (Sertaline), you must wait at least 14 days before you start taking an MAOI.Before taking Generic Zoloft (Sertaline), tell your doctor if you have:liver or kidney disease; seizures or epilepsy;bipolar disorder (manic depression); ora history of drug abuse or suicidal thoughts.If you have any of these conditions, you may need a dose adjustment or special tests to safely take Generic Zoloft (Sertaline).You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment with Generic Zoloft (Sertaline).Do not give this medicine to anyone younger than 18 years old without the advice of a doctor. Generic Zoloft (Sertaline) is FDA-approved for children with obsessive-compulsive disorder (OCD). It is not approved for treating depression in children.

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How should I take Generic Zoloft (Sertaline)?

Take Generic Zoloft (Sertaline) exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.Take the Generic Zoloft (Sertaline) tablet with water.Generic Zoloft (Sertaline) may be taken with or without food.Try to take the medicine at the same time each day. Follow the directions on your prescription label.The oral liquid form of this medicine must be diluted before you take it. To be sure you get the correct dose, measure the liquid with medicine dropper provided, not with a regular table spoon. Mix the dose with 4 ounces (one-half cup) of water, ginger ale, lemon/lime soda, lemonade, or orange juice. Do not use any other liquids to dilute the medicine. Stir this mixture and drink all of it right away. To make sure you get the entire dose, add a little more water to the same glass, swirl gently and drink right away.It may take 4 weeks or longer before you start feeling better. Do not stop using Generic Zoloft (Sertaline) without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly. Store Generic Zoloft (Sertaline) at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have taken too much of this medication. Symptoms of a Generic Zoloft (Sertaline) overdose may include dizziness, drowsiness, nausea, vomiting, rapid heartbeat, agitation, tremor, confusion, seizures, and coma.

What should I avoid while taking Generic Zoloft (Sertaline)?

Avoid drinking alcohol, which can increase some of the side effects of Generic Zoloft (Sertaline).Do not take the liquid form of Generic Zoloft (Sertaline) if you are taking disulfiram (Antabuse). Liquid Generic Zoloft (Sertaline) may contain alcohol and you could have a severe reaction to the disulfiram.Generic Zoloft (Sertaline) can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.Tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures or anxiety). They can add to sleepiness caused by Generic Zoloft (Sertaline).

Side effects of Generic Zoloft (Sertaline)

Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.Call your doctor at once if you have any of these serious side effects:very stiff (rigid) muscles, high fever, sweating, fast or uneven heartbeats, tremors, overactive reflexes;nausea, vomiting, diarrhea, loss of appetite, feeling unsteady, loss of coordination; orheadache, trouble concentrating, memory problems, weakness, confusion, hallucinations, fainting, seizure, shallow breathing or breathing that stops.

Cialis (Tadalafil) | Mens Health Medicine

Cialis (Tadalafil) Information

Cialis is a popular medicine which is also widely known under the generic name of Tadalafil. This medicine belongs to a class of muscle relaxant drugs. The drug is used for the effective treatment of impotency and erectile dysfunction.

Cialis Indicationscialis

Cialis is regularly prescribed to patients who are in need of an effective treatment of impotence and / or erectile dysfunction. This drug achieves its goal by relaxing the patient’s penile muscles, thus causing a higher amount of blood to flow into the penis. In this way, a treatment with Cialis is able to facilitate and help maintain an erection.

Cialis Warnings

Due to the effect of this medicine, the erection can sometimes become incontrollable (in some cases it lasts for a couple of hours when this is not needed or wanted). If you have had an erection that has lasted more than four hours since starting this medication, you should alert your personal physician as soon as possible. Such an erection can damage the penis. If you are experiencing fainting, dizziness or chest pains you must not continue your regular sexual activity or continue using the medication, as these symptoms are probably due to a dangerously low blood pressure which could lead to stroke or to heart attack. Cialis should not be used by women.

Before you start a treatment with Cialis, you should alert your personal doctor if you are suffering from any of the following medical disorders:

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  • Recovering from a heart attack
  • Heart disorders such as heart malfunctions, angina, arrhythmias
  • A history of strokes
  • Have an abnormally high or low blood pressure
  • Blood clotting disorder
  • Kidney disorders
  • Liver problems
  • Cell problems (for example leukaemia or sickle cell anaemia)
  • Retina pigmentation
  • Stomach ulcers

If you are suffering from any of these medical disorders, you might not be allowed to start using this product or you might have to be prescribed (administered) a lower dose of Cialis. You healthcare provider might also want to closely monitor your treatment with this medicine.

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Elderly patients (over 65) are usually more prone to experiencing the medicine’s regular side effects. The intake of grapefruit can sometimes be harmful if it is combined with Cialis. You should alert your personal physician before starting a treatment with this medicine if you are currently following a diet that contains grapefruit or any other grapefruit-based products (such as grapefruit juice, grapefruit cakes, etc). In some cases, the interaction between this product and grapefruit has had lethal effects.

Cialis Intake Guidelines

Ask your doctor how and when it is best for you to take Cialis (Tadalafil). If you fail to understand the Cialis information, you should ask a pharmacist, a doctor or a nurse to help explain it to you.

Cialis Dosage

Ask your personal doctor to tell you the dose of Cialis that suits you best. You must not change this dose in any way.

Cialis Overdose

If you suspect that you might be suffering from an overdose of this medicine, you should seek immediate medical care. Alert your personal physician as soon as possible. The average Cialisoverdose symptoms have not been clearly determined.

Cialis Missed Dose

Because Cialis is regularly taken only when it is needed (before a sexual activity), a missed dose of this medicine is highly unlikely to occur.

Cialis Side Effects

Cialis can trigger some of the following side effects:

If you experience any of these symptoms or any other unusual or bothersome effects during your treatment with Tadalafil, you must alert your doctor immediately.

Cialis Drug Reactions

You must not combine Cialis with any of the following drugs:

  • Alpha blockers (for example doxazosin)
  • Nitroglycerin drugs
  • Nitrates
  • Viagra, Yocon, Vardenafil

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Why You Need Water When Taking HCG Drops | Fast Escrow Refills Review

he HCG diet is lower in calories and carbohydrates than a typical low-calorie diet. When carbohydrates are restricted, the body initially uses its storage form of carbohydrates for fuel. Along with the water needed to process stored carbohydrates, the body also uses a large amount of water to metabolize body fat. That used water needs to be replaced in order to avoid the consequences of dehydration. If the body becomes dehydrated, metabolism will slow down and electrolytes will become unbalanced. Despite taking HCG drops, the body will begin retaining water and the rate of fat loss will slow way down.

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Water retention is often a sign that you are not drinking enough water. It is not a signal that you are drinking too much. In addition, constipation can also become a serious problem. Both of these issues can make the number on the scale refuse to budge, or it can even increase. When that happens, a dieter might be tempted to think the HCG drops are not working, but the real culprit is not the diet. It is a lack of water.

Drinking enough water is necessary for proper digestion. Water contributes to the essential formation of a good balance of micro flora in the stomach and intestines, but it is also necessary for proper metabolism and helps to control appetite. Without enough water, the body will often confuse the signals between thirst and hunger. A dieter can feel hungry when the body is actually thirsty. Keeping the body well hydrated will help alleviate the urge to snack or eat inappropriately.

Since the goal of taking HCG drops is to lose body fat as quickly as possible, following Dr. Simeons’ protocol will release a large number of toxic substances that were stored in the body’s fat cells. These toxins need to be processed by the liver and flushed out of the body. Without enough water, the liver cannot do its job properly, so it is essential that a dieter drink enough water every day. In fact, drinking plenty of water is one of the most essential tasks a dieter can do when following the HCG diet.

Although standard dietary advice often recommends drinking a minimum of eight cups of water per day, most people on HCG drops need quite a bit more than that. The correct amount of water to drink is to take your current weight in pounds and divide that number in two. Convert that new number into ounces, and that is how much to drink. For example, if a dieter weighs 180 pounds, half of that number would be 90. The dieter should drink a minimum of 90 ounces of water per day, not just 64. That will ensure that the body has enough fluids to maintain a good metabolic level, flush out toxins and help the dieter reach their fat loss goals as quickly as possible.

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Ovutrig High Purity Hcg Injection | Fast Escrow Refills

Ovutrig (High Purity Hcg) Information  

HCG is a hormone that is naturally produced by the female placenta during a normal pregnancy. This medicine’s action is highly similar to luteinizing hormone (LH), because this hormone is known to be able to cause ovulation. If it is combined with other medicines and drugs, Ovutrig (High Purity Hcg) is highly effective in helping female patients become pregnant. This drug can also help males patients that are suffering from fertility issues (a treatment with this medicine usually enables such cases to produce a higher amount of testosterone).

Ovutrig (High Purity Hcg) is a popular medicine that is regularly prescribed to female patients as part of a regimen that is supposed to induce:

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Ovulation induction in subfertility that is usually triggered by impaired follicle-ripening or by anovulation. – Luteal phase support.
Follicle preparation for puncture in controlled ovarian hyperstimulation programs (this usually occurs in the case of medically assisted reproductive methods and techniques).

Ovutrig (High Purity Hcg) is a medicine that is regularly prescribed to male patients because of its ability to induce

Hypogonadotrophic hypogonadism. – Some patients who were suffering from idiopathic dysspermias have positively responded to a treatment with this medicine. – Delayed puberty which is regularly associated with an insufficient function of the gonadotrophic pituitary glands. – Cryptorchidism, (not the one that is triggered by an abnormal anatomical obstruction).

Ovutrig (High Purity Hcg) Indicationsnuimage1

Ovutrig (High Purity Hcg) is a popular medicine that helps both male and female patients deal with infertility. However, this medicine can also be used for some other purposes (to treat or to prevent some other medical conditions) that have not been listed here.

Ovutrig (High Purity Hcg) Warnings

In the case of female patients who want to be treated withOvutrig (High Purity Hcg):

Since infertile female patients who undergo medically assisted reproduction (especially those who need in vitro fertilization), are known to often be suffering from tubal abnormalities, after a treatment with this drug they might experience much more ectopic pregnancies. This is why early ultrasound confirmation at the beginning of a pregnancy (to see whether the pregnancy is intrauterine or not) is crucial. – Pregnancies who have occurred after a treatment with this medicine are submitted to a higher risk of multiplets. – Female patients who have thrombosis, severe obesity or thrombophilia should not be prescribed this medicine as they have a higher risk of arterial or venous thromboembolic events after or during a treatment with Ovutrig (High Purity Hcg).
Female patients who have been treated with this medicine are usually more prone to pregnancy losses.

In the case of male patients: A prolonged treatment with Ovutrig (High Purity Hcg) is known to regularly lead to increased production of androgen. Therefore:

Patients who are suffering from overt or latent cardiac failure, hypertension, renal dysfunction, migraine or Epilepsy might not be allowed to start using this medicine or might have to be prescribed a lower dose ofOvutrig (High Purity Hcg). – This medicine should be used with extreme cautious in the case of prepubertal teenagers in order to reduce the risk of experiencing precocious sexual development or premature epiphyseal closure. This type of patients’ skeletal maturation should be closely and regularly monitored.

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Both male and female patients who have the following medical conditions must not start a treatment withOvutrig (High Purity Hcg): – Hypersensitivity to this medicine or to any of its main ingredients. – Known or possible androgen-dependent tumors for example male breast carcinoma or prostatic carcinoma.

Ovutrig (High Purity Hcg) Intake guidelines

Ask your physician how and when to take this medicine. You should not disobey any of your physician’s indications. You can also consult the drug’s label for further instructions. If you have any other questions, you should refer to a doctor, a pharmacist or a nurse. Ovutrig (High Purity Hcg) should be stored in the refrigerator, at a temperature that is between 2°-8°C. Keep this medicine away from direct sunlight. Store it in a place that is far from the reach of pets and children in order to avoid unwanted accidents such as poisoning.

Ovutrig (High Purity Hcg) Dosage

Dosage in the case of female patients: They should be administered one injection of 5 000-10 000 I.U. of this medicine. Dosage in the case of male patients: They should be administered an injection of 1000-2000 I.U. of medicine, from 2 to 3 times each week. It is best that each dose of Ovutrig (High Purity Hcg) should be administered by an authorized medical healthcare provider.

Ovutrig (High Purity Hcg) Overdose

This medicine’s acute toxicity is very low. The average symptoms of an overdose with Ovutrig (High Purity Hcg)are not known in the case of human patients.

Ovutrig (High Purity Hcg) Missed Dose

Ask your personal physician what to do in case you miss one of your prescribed doses of Ovutrig (High Purity Hcg).

Ovutrig (High Purity Hcg) Side effects

A prolonged treatment with this medicine is known to trigger several reactions at the injection site (like pain, bruising, redness, itching and swelling). Some patients who had been treated with Ovutrig (High Purity Hcg) have experienced some allergic reactions to this medicine that were manifesting as rash, pain or swelling at the injection site. Ovutrig (High Purity Hcg)’s rare side effects are known to include fever or rash.

Female patients who have been treated with this product have experienced unpleasant ovarian hyperstimulation syndrome. In the case of male patients who have received Ovutrig (High Purity Hcg), sodium and water retention is occasionally experienced, especially after the patient has been administered a high dose of this medicine (this condition is probably triggered by an excessive androgen production). In some cases, a treatment with Ovutrig (High Purity Hcg) may sometimes cause gynaecomastia.

Ovutrig (High Purity Hcg) Drug Reactions

You should ask your personal physician if it is safe to start taking other medicines while being treated withOvutrig (High Purity Hcg).

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One of the most effective calcium channel blockers on the market can be purchased as Calvasc. The ingredients of such medical products are able to dilate the patient’s blood vessels and also slow his or her heart rate, thus enabling the individual to effectively manage hypertension, angina, and other similar conditions.

Calvasc Indications

The use of this clinical remedy in widely employed in the therapy against angina (this medical disorder is mainly characterized by the presence of severe, crushing chest pain; the main cause of such a condition is known to be an insufficient amount of oxygen that reaches the patient’s heart muscle – this may be due to the abnormal clogging of the patient’s arteries). Furthermore, a treatment trial with Calvasc can also be prescribed to patients who are suffering from high blood pressure. All individuals must be well aware of the fact that this product can not cure theirhypertension, as it can only keep it under control (ease its symptoms). In order to experience the beneficial results of your therapy course with Calvasc you should employ your doses of this product on a regular basis.

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Calvasc Warnings

In the case of patients who are suffering from liver medical problems or from a certain type of heart disorder, linethe use of Calvasc should be prescribed with great care. Special precautions should be taken into consideration. Such individuals should be prescribed a lower dose of this product, as in rare cases, patients with similar disorders who were being treated with Calvasc (or with another related medical remedy) developed a worsening of their initial symptoms (an increase of the duration and / or frequency of their attacks of angina).

Studies were not able to determine whether this product can be safely prescribed to children. Calvasc’s effects in the case of a pregnant female have not been thoroughly studied. However, this product’s main ingredients may appear in the female’s breast milk. For this reason, we recommend all nursing mothers who are to start a treatment course with Calvasc to cease nursing their infants while they are using this product.

Calvasc Intake Guidelines

Studies have shown that it is safe to use your doses of Calvasc on an empty stomach, as this product is not a stomach irritant. However, you can also choose to employ your prescribed doses of this clinical remedy along with a main meal (this may help you maintain a regular dosing schedule). It is important to follow all of your medical prescriber’s directions concerning your therapy trial with this medication. This means that even if your symptoms have improved, you are not allowed to discontinue using Calvasc or to diminish your doses of this product without your physician’s approval. Most patients have noticed a drop of their blood pressure levels after a day of therapy with this medication.

Doctor/nurse checking blood pressure with sphygmomanometer gauge in focus.

Calvasc Dosage

Adult patients who are using this medical remedy in order to deal with hypertension should start to use about 5 mg of Calvasc once a day. However, if you are also employing otherhypertension remedies during your therapy course with this drug you may have to use only 2.5 mg of this product on a daily basis. The initial dose of patients with severe liver medical disorders should not exceed 2.5 mg of Calvasc. The same advice applies in the case of elderly individuals (over 60 years of age).

If one’s therapy course with this medication aims to help the individual manage his or her angina, the starting dose for an adult ranges between 5 and 10 mg of this product, which should be taken in once per day. However, if the patient has been diagnosed with liver disease, he or she should not use more than 5 mg of Calvasc in the early stages of their therapy. The same advice is known to apply in the case of elderly patients.

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Calvasc Overdose

Experience concerning clinical cases of over-dosage with Calvasc is fairly limited; however, in case you suspect to be suffering form an overdose with this product, it is imperative to seek professional care at once. Such patients will probably experience faster heartbeat, lower blood pressure, and so on.

Calvasc Missed Dose

A neglected dose of Calvasc ought to be replaced as soon as it is possible. However, as the unauthorized use of double doses of this remedy is strictly forbidden, you should not replace the missed dose if it is already the time for another intake of Calvasc.

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Calvasc Side Effects

No one can anticipate the side effects that may arise during one’s therapy option with this clinical remedy. However, their presence and any fluctuations of their intensity ought to be reported to the patient’s health care specialist. The most common side effects that may arise during your therapy with Calvasc include: fatigue, dizziness, flushing, palpitations, headache, swelling, fluid retention, and so on. In less common clinical cases, symptoms such as sleepiness, nausea, abdominal pain, etc have been accused. The rare adverse reactions of Calvasc include: anxiety, apathy, chest pain, back pain, constipation, allergic reactions, pinkeye, and so on.

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What is TOPAMAC (Topiramate)?

TOPAMAC (Topiramate) is a seizure medication, also called an anticonvulsant.TOPAMAC (Topiramate) is used alone or in combination with other medications to prevent seizures in adults and children who are at least 2 years old.TOPAMAC (Topiramate) is also used to prevent migraine headaches. Topiramate will only prevent migraine headaches or reduce the number of attacks. It will not treat a headache that has already begun.TOPAMAC (Topiramate) may also be used for other purposes not listed in this medication guide.

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Important information about TOPAMAC (Topiramate)

Seek emergency medical attention if you have a sudden change in vision and pain around or behind the eyes. These may be early signs of a serious side effect of TOPAMAC (Topiramate). Do not stop taking TOPAMAC (Topiramate) without first talking to your doctor, even if you feel better. You may have increased seizures if you stop taking TOPAMAC (Topiramate) suddenly. You will need to use less and less before you stop the medication completely. Contact your doctor if your seizures get worse or you have them more often while taking TOPAMAC (Topiramate).You may have thoughts about suicide while taking this medication. Your doctor will need to check you at regular visits. Do not miss any scheduled appointments.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself. Carry an ID card or wear a medical alert bracelet stating that you are taking TOPAMAC (Topiramate), in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are taking a seizure medication.TOPAMAC (Topiramate) can cause side effects that may impair your vision or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Avoid drinking alcohol. It can increase some of the side effects of TOPAMAC (Topiramate), and can also increase the risk of a seizure.Ketogenic or “ketosis” diets that are high in protein and low in carbohydrates can increase the risk of kidney stones. Avoid the use of such diets while you are taking TOPAMAC (Topiramate).

Before taking TOPAMAC (Topiramate)

Do not use TOPAMAC (Topiramate) if you are allergic to topiramate.Before taking TOPAMAC (Topiramate), tell your doctor if you are allergic to any drugs, or if you have:kidney disease or a history of kidney stones; liver disease; glaucoma;asthma, emphysema, or bronchitis; orif you have recently had surgery.FDA pregnancy category C. TOPAMAC (Topiramate) may be harmful to an unborn baby.

Tell your doctor if you are pregnant or plan to become pregnant during treatment.You may have thoughts about suicide while taking this medication. Tell your doctor if you have new or worsening depression or suicidal thoughts during the first several months of treatment, or whenever your dose is changed.Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits. Do not miss any scheduled appointments.TOPAMAC (Topiramate) can make birth control pills less effective.

Talk with your doctor about other forms of birth control if you are trying to prevent pregnancy while taking TOPAMAC (Topiramate). It is not known whether topiramate passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take TOPAMAC (Topiramate)?

Take TOPAMAC (Topiramate) exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results from this medication.TOPAMAC (Topiramate) can be taken with or without food.

Take the medicine with a full glass of water.The TOPAMAC (Topiramate) tablet should be swallowed whole. It has a bitter taste when chewed or broken.To make the TOPAMAC (Topiramate) capsule easier to swallow, you may open the capsule and sprinkle the medicine into a spoonful of applesauce, custard, ice cream, oatmeal, pudding, or yogurt. Swallow this mixture right away without chewing. Do not save the mixture for later use.To be sure this medicine is not causing harmful effects, your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled visits to your doctor.

If you need to have any type of surgery, tell the surgeon ahead of time that you are using TOPAMAC (Topiramate). You may need to stop using the medicine for a short time.Do not stop taking TOPAMAC (Topiramate) without first talking to your doctor, even if you feel better. You may have increased seizures if you stop taking this medicine suddenly. You will need to use less and less before you stop the medication completely.

Contact your doctor if your seizures get worse or you have them more often while taking this medicine. Carry an ID card or wear a medical alert bracelet stating that you are taking TOPAMAC (Topiramate), in case of emergency.

Any doctor, dentist, or emergency medical care provider who treats you should know that you are taking a seizure medication.Drink extra fluids each day while you are taking TOPAMAC (Topiramate). This will lower your risk of having kidney stones or an electrolyte imbalance. Vomiting or diarrhea can lead to dehydration and cause an electrolyte imbalance. Call your doctor if you have ongoing vomiting or diarrhea while taking TOPAMAC (Topiramate).

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Store this medication at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical treatment if you think you have used too much of this medicine.Overdose symptoms may include drowsiness, dizziness, agitation or depression, blurred vision, problems with speech or balance, stomach pain, chest pain, fast or pounding heartbeats, feeling light-headed, fainting, and seizure (convulsions).

What should I avoid while taking TOPAMAC (Topiramate)?

TOPAMAC (Topiramate) can cause side effects that may impair your vision or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Avoid drinking alcohol. It can increase some of the side effects of TOPAMAC (Topiramate), and can also increase the risk of a seizure. Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by TOPAMAC (Topiramate). Tell your doctor if you regularly use any of these other medicines.Ketogenic or “ketosis” diets that are high in protein and low in carbohydrates can increase the risk of kidney stones. Avoid the use of such diets while you are taking TOPAMAC (Topiramate).Avoid becoming overheated or dehydrated during exercise and in hot weather. Drink extra fluids in these situations.

Side effects of TOPAMAC (Topiramate) 

Get emergency medical help if you have any of these signs of an allergic reaction to TOPAMAC (Topiramate): hives; difficulty breathing; swelling of your face, lips, tongue, or throat.Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.Stop taking TOPAMAC (Topiramate) and call your doctor at once if you have any of these serious side effects:sudden vision loss, pain around or behind your eyes;dry mouth, increased thirst, confusion, drowsiness, decreased sweating, increased body temperature, and hot, dry skin,nausea, vomiting, increased urination, muscle pain or weakness, fast heart rate, feeling light-headed, fainting, or seizure (convulsions); orsevere pain in your side or lower back, painful or difficult urination.

Less serious TOPAMAC (Topiramate) side effects may include:slowed thinking, memory problems, trouble concentrating;problems with speech or balance;numbness or tingling;sleep problems (insomnia);tired feeling;headache, dizziness; orloss of appetite, weight loss.

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What other drugs will affect TOPAMAC (Topiramate)?

Before taking TOPAMAC (Topiramate), tell your doctor if you are taking any of the following medicines:amitriptyline (Elavil, Etrafon); atropine (Donnatal, and others);benztropine (Cogentin);glycopyrrolate (Robinul);hydrochlorothiazide (HCTZ, HydroDiuril, Hyzaar, Lopressor, Vasoretic, Zestoretic);methscopolamine (Pamine) or scopolamine (Transderm-Scop);risperidone (Risperdal); bladder or urinary medications such as darifenacin (Enablex), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);bronchodilators such as ipratropium (Atrovent) or tiotropium (Spiriva);diabetes medicine you take by mouth, such as pioglitazone (Actos) or metformin (Actoplus Met, Avandamet, Glucophage, Fortamet);glaucoma medications such as acetazolamide (Diamox), methazolamide (Neptazane), or dichlorphenamide (Daranide);irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), propantheline (Pro-Banthine); orother seizure medications such as carbamazepine (Carbatrol, Tegretol), lamotrigine (Lamictal), phenytoin (Dilantin), or valproic acid (Depakote, Depakene).