Notify your doctor of all other medications you are taking, especially: lithium (Eskalith, LithoBid); hydrochlorothiazide (HCTZ, HydroDiuril, Hyzaar, Lopressor, Vasoretic, Zestoretic); metformin (Glucophage, Actoplus Met, Avandamet, Fortamet, Janumet, PrandiMet, Riomet); atropine (Atreza, Sal-Tropine), belladonna (Donnatal, etc.), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop); bronchodilators such as ipratropium (Atrovent) or tiotropium (Spiriva); bladder or urinary medications such as darifenacin (Enablex), solifenacin (Vesicare), etc.; glaucoma medications such as acetazolamide (Diamox) or methazolamide (Neptazane); other seizure medications such as carbamazepine (Carbatrol, Equetro, Tegretol), lamotrigine (Lamictal), phenytoin (Dilantin), valproic acid (Depakote, Depakene), or zonisamide (Zonegran).
Use extra caution when combining Generic Topamax with cold or allergy medications, sedatives, painkillers, sleeping pills, muscle relaxers and antidepressants, as they may increase the sleepy effect of Generic Topamax.
Other medications may interact with Generic Topamax as well.