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Patients, their caregivers, and families should be counseled that AEDs, including TRILEPTAL, may increase the risk of suicidal thoughts and behavior and should be advised of the need to be alert for the emergence or worsening of symptoms of depression, any unusual changes in mood or behavior, or the emergence of suicidal thoughts, behavior, or thoughts about self-harm.

Instruct patients that a fever associated with other organ system involvement e. Oxcarbazepine increased mutation frequencies in the in vitro Ames test in the absence of metabolic activation.

   
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Felix (taken for 1 to 5 years) 01.05.2016

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Antidepressants lower the efficiency of Topamax, and therefore the scheme of the treatment should be adjusted Topamax may be used only by patients over 2 years old Topamax does not provide a pathologic action to the fetus development, and therefore the use of this drug is not contraindicated during pregnancy. Your physician should make a decision about prescribing Topamax during pregnancy Side effect An intensity of the side effect of Topamax depends on an individual sensitivity to Topiramate and a correct daily dose.

   
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Rudolf (taken for 1 to 4 years) 23.04.2017

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Ultrarapid metabolizers use nortriptyline much faster than extensive metabolizers; patients with this metabolizer type may have a greater chance of experiencing pharmacological failure. The Clinical Pharmacogenetics Implementation Consortium recommends avoiding nortriptyline in persons who are CYP2D6 ultrarapid or poor metabolizers, due to the risk of a lack of efficacy and side effects, respectively.

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