{"content":[{"text":"•","bbox":{"left":0.084039,"top":0.048031,"width":0.007056000000000007,"height":0.015789000000000004}},{"text":"are taking topiramate tablets to treat epilepsy and you are pregnant or a woman of childbearing \n potential (see “pregnancy, breastfeeding and fertility”-section for further information)","bbox":{"left":0.114268,"top":0.048031,"width":0.801693,"height":0.032185}},{"text":"If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before taking \n topiramate tablets.","bbox":{"left":0.084039,"top":0.097218,"width":0.832123,"height":0.03218500000000002}},{"text":"It is important that you do not stop taking your medicine without first consulting your doctor.","bbox":{"left":0.084039,"top":0.146405,"width":0.7525189999999999,"height":0.015788999999999997}},{"text":"You should also to talk to your doctor before taking any medicine containing topiramate that is given \n to you as an alternative to this medicine.","bbox":{"left":0.084039,"top":0.179197,"width":0.832128,"height":0.03218499999999999}},{"text":"You may lose weight if you use topiramate so your weight should be checked regularly when using \n this medicine. If you are losing too much weight or a child using this medicine is not gaining enough \n weight, you should consult your doctor.","bbox":{"left":0.084039,"top":0.228384,"width":0.8321240000000001,"height":0.04858100000000001}},{"text":"A small number of people being treated with anti-epileptic medicines such as topiramate have had \n thoughts of harming or killing themselves. If at any time you have these thoughts, immediately contact \n your doctor.","bbox":{"left":0.084039,"top":0.293967,"width":0.832081,"height":0.04858100000000004}},{"text":"Topiramate tablets may in rare cases cause high levels of ammonia in the blood (seen in blood tests) \n which can lead to a change in brain function, especially if you are also taking a medicine called \n valproic acid or sodium valproate. Since this may be a severe condition, tell your doctor immediately \n if the following symptoms occur (see also section 4 ‘Possible side effects’):","bbox":{"left":0.084039,"top":0.35955,"width":0.832186,"height":0.06497700000000001}},{"text":"- \n - \n -","bbox":{"left":0.084039,"top":0.441529,"width":0.006710999999999995,"height":0.048580999999999985}},{"text":"difficulty thinking, remembering information, or solving problems \n being less alert or aware \n feeling very sleepy with low energy","bbox":{"left":0.144498,"top":0.441529,"width":0.536259,"height":0.048580999999999985}},{"text":"At higher doses of topiramate tablets, the risk of developing these symptoms may increase.","bbox":{"left":0.084039,"top":0.507112,"width":0.733575,"height":0.015789000000000053}},{"text":"Other medicines and topiramate tablets \n Tell your doctor or pharmacist if you are taking, have recently taken or might take any other \n medicines, Topiramate tablets and certain other medicines can affect each other. Sometimes the dose \n of some of your other medicines or this medicine will have to be adjusted. \n Especially, tell your doctor or pharmacist if you are taking: \n • other medicines that impair or decrease your thinking, concentration, or muscle coordination (e.g. \n central nervous system depressant medicines such as muscle relaxants and sedatives). \n • birth control pills. This medicine may make your birth control pills less effective. You should talk \n to your doctor about the best kind of contraception to use while you are taking topiramate tablets.","bbox":{"left":0.084039,"top":0.539904,"width":0.824869,"height":0.14695500000000006}},{"text":"Tell your doctor if your menstrual bleeding changes while you are taking birth control pills and \n topiramate.","bbox":{"left":0.084039,"top":0.703862,"width":0.7686419999999999,"height":0.0321840000000001}},{"text":"Keep a list of all the medicines you take. Show this list to your doctor and pharmacist before you start \n a new medicine.","bbox":{"left":0.084039,"top":0.753049,"width":0.8216,"height":0.03218500000000013}},{"text":"Other medicines you should discuss with your doctor or pharmacist include other antiepileptic \n medicines, risperidone, lithium, hydrochlorothiazide, metformin, pioglitazone, glyburide, \n amitriptyline, propranolol, diltiazem, venlafaxine, flunarazine and St. John’s Wort (Hypericum \n perforatum; a herbal preparation used to treat depression).","bbox":{"left":0.084039,"top":0.802236,"width":0.764251,"height":0.06497700000000006}},{"text":"If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before using \n topiramate.","bbox":{"left":0.084039,"top":0.884215,"width":0.8321240000000001,"height":0.03218500000000013}}],"images_bbox":[],"images_bbox_not_text_overlap":[]}