- Do not stop taking Topiramate without first discussing it with your doctor.
- Topiramate can harm the way an unborn baby grows and develops during pregnancy.
- A Patient who can get pregnant must use effective contraception while taking Topiramate.
- Topiramate can reduce the effectiveness of hormonal contraception in preventing unplanned pregnancy – talk to a healthcare professional about the best contraception for you while you are taking Topiramate.
- Epilepsy – if you are taking topiramate for epilepsy and are planning a pregnancy, urgently talk to your doctor for a specialist review – there are other epilepsy medicines that are not associated with an increased risk of birth defects in pregnancy.
- Migraines – if you are taking topiramate for migraine and planning a pregnancy, talk to your prescriber about alternative treatments that can be used in pregnancy as soon as possible.