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Topamax is administered as a racemate and both [-] and [+] forms of both Topamax and M1 are detected in the circulation.
safety and effectiveness in these children have not been confirmed.PREGNANCY and BREAST-FEEDING: Topamax has been shown to cause harm to the fetus.
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which may affect the therapeutic response (see PRECAUTIONS - Drug Interactions). Topamax and its metabolites are excreted primarily in he urine with observed plasma half-lives of 6.3 and 7.4 hours for Topamax and M1, respectively.
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