watch for metabolic acidosis in patients taking Topamax (topiramate)

There's a new warning to watch for metabolic acidosis in patients taking Topamax (topiramate).

This is even more important now that Topamax is being used for so many non-approved uses...migraines, tremors, weight loss, etc.

About 30% of adults have decreases in serum bicarbonate while taking Topamax...but metabolic acidosis is rare.

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