Topiramate Warnings

May cause drowsiness. Alcohol and marijuana may intensify this effect. Use care when operating a vehicle, vessel (e.g., boat), or machinery.
Do not chew or crush before swallowing.
Capsule may be opened and contents sprinkled over soft food. Swallow mixture immediately without chewing.
May cause dizziness
If you are pregnant or considering becoming pregnant you should discuss the use of this medication with your doctor or pharmacist.
Medication should be taken with plenty of water.
Call your doctor immediately if you have mental/mood changes like confusion, new/worsening feelings of sadness/fear, thoughts of suicide, or unusual behavior.
It is very important that you take or use this exactly as directed. Do not skip doses or discontinue unless directed by your doctor.
This medication can interfere with the effectiveness of birth control pills. Consult your doctor or pharmacist.

Data from registries indicate increased risk of cleft lip and/or palate and being small for gestational age with exposure to topiramate in utero. Animal data suggest developmental toxicity at doses similar to the recommended human dose. Consider maternal treatment benefits versus potential fetal/neonatal adverse outcomes. Inform pregnant patient of the possible risk to a fetus.