Lab tests, including serum bicarbonate levels, may be performed while you use topamax.

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Topiramate can make birth control pills less effectiveUse a barrier form of birth controlsuch as a condom or diaphragm with spermicideto prevent pregnancy while taking Topamax.

When Topamax first hit the marketthe FDA limited the drug for use in treating epileptic symptomsAfter about eight yearsthe agency added migraine prevention as an FDA-approved useSeizures and migraines continue to be the only government-approved uses for Topamax in the U.S.

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i took topamax for about seven weeks for migraines , and have now been off of it for about two and a half months.