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1 Dosing may be increased to 100 mg every four to six hours, but the daily dosage should not exceed 400 mg 1 and should be limited to 250 to 300 mg .
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Topamax had only slight thermoregulatory effects. Its use is thus unlikely to provoke hypothermia or to facilitate fever.
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Topamax should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
Topamax may induce psychic and physical dependence of the morphine-type (?- opioid) (See WARNINGS).

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Ask your pharmacist if you have questions about which medicines may cause drowsiness.Topamax may cause dizziness; alcohol, hot weather, exercise, or fever may increase this effect.
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