Patient/caregiver was educated on contraindications for using Topamax as follows:
- Do not take Topamax, if you ever manifested any allergic responses to intake of Topamax or any other medications used to control seizures and nerve pain, such as, Lyrica and Cymbalta. In the event of an allergic response with any of these medications, check with your physician regarding your safety with intake of Topamax.
- Topamax use, especially in individuals with history of anxiety and bipolar disorder, carries risk of deterioration of mood disorders and worsening of clinical symptoms of mood disorders. Individuals can present with complaints such as, feeling low, anxiety, panic attacks, trouble sleeping, gross appetite changes, impulsiveness, agitation, aggression, and suicidal thoughts. So, Topamax must be used with caution in such individuals, with periodical monitoring for symptoms of worsening mood and behavior.
- Topamax use in expectant mothers could harm the unborn baby and result in birth defects. So, Topamax use should be avoided during pregnancy and in women planning to get pregnant.
