There is 1 alcohol/food/lifestyle interaction with Topamax (topiramate):
Alcohol (Ethanol) ↔ topiramate
Moderate Drug Interaction
Ask your doctor before using ethanol together with topiramate. This can cause excessive sleep, confusion, and difficulty with memory or speech. Use caution when driving, operating machinery, or performing other hazardous activities, these medications may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
What should I avoid while taking Topamax?
Do not drink alcohol. Dangerous side effects or increased seizures can occur when alcohol is combined with Topamax.
Avoid becoming overheated or dehydrated in hot weather. Topamax can decrease sweating and increase body temperature, leading to life-threatening dehydration (especially in children). This effect can be worse if you also use: cold or allergy medicine, bladder or urinary medicine, a bronchodilator, medicine for Parkinson's disease, or medicine to treat stomach ulcers or irritable bowel syndrome.
Ketogenic or "ketosis" diets that are high in fat and low in carbohydrates can increase the risk of kidney stones. Avoid the use of such diets while you are taking Topamax.
Topamax may cause blurred vision or impair your thinking or reactions. Avoid driving or operating machinery until you know how this medicine will affect you.
Also avoid activities that could be dangerous if you have an unexpected seizure, such as swimming or climbing in high places.
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