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Topamax (topiramate) is an antiepileptic for epilepsy and migraine prevention No documented pharmacological interaction exists between semaglutide and topiramate as they use different metabolic pathways Both medications can cause gastrointestinal side effects and weight loss, which may be amplified when used together Regular monitoring of kidney function, electrolytes, and hydration status is essential when combining these medicines Topiramate is subject to a Pregnancy Prevention Programme due to birth defect risks

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