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Carbamazepine (Tegretol) and phenytoin (Dilantin) markedly decrease the amount of topiramate in the body by increasing its elimination from the body. As a result.topiramate may lose effectiveness unless doses buy topamax side increased.
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the most common adverse reactions in the controlled clinical trial that occurred in adult patients in the 200-400 mg day topamax group with an incidence higher 10 than in the placebo group were dizziness, speech disorders related speech problems, somnolence, nervousness, psychomotor slowing, and vision abnormal table 6 .