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What are the precautions when taking this medicine?
• Wear disease medical alert identification.
• Follow laws about driving with a seizure condition.
• If you have been taking this medicine for several weeks, talk with healthcare provider before stopping. You may want to gradually withdraw this medicine.
• If you are on a ketogenic diet, talk with healthcare provider.
• If you have kidney disease, talk with healthcare provider.
• If you have liver disease, talk with healthcare provider.
• If you have mental illness, talk with healthcare provider.
• If you have osteoporosis, talk with healthcare provider.
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• Do not take St John's wort with this medicine. It may make this medicine less effective.
• You may not be alert. Avoid driving, doing other tasks or activities until you see how this medicine affects you.
• Avoid alcohol (includes wine, beer, and liquor) or other medicines and natural products that slow your actions and reactions.
• Avoid grapefruit and grapefruit juice.
• Tell healthcare provider if you are pregnant or plan on getting pregnant.
What are some possible side effects of this medicine?
• Feeling lightheaded, sleepy, having blurred vision, or a change in thinking clearly. Avoid driving, doing other tasks or activities that require you to be alert or have clear vision until you see how this medicine affects you.
• Feeling dizzy. Rise slowly over several minutes from sitting or lying position. Be careful climbing.
• Nervous and excitable.
• Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
• Not hungry.
• Serious skin reactions can rarely occur.
Reasons to call healthcare provider immediately
• If you suspect an overdose, call your local poison control center or emergency department immediately.
• Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.
• Signs or symptoms of infection. These include a fever of 100.5 degrees or higher, chills, severe sore throat, ear or sinus pain, cough, increased sputum or change in color, painful urination, mouth sores, wound that will not heal, or anal itching or pain.
• Signs or symptoms of depression, suicidal thoughts, nervousness, emotional ups and downs, abnormal thinking, anxiety, or lack of interest in life.
• Severe dizziness or passing out.
• Difficulty breathing.
• Significant change in balance.
• Significant change in thinking clearly and logically.
• Not sweating during activities or in warm temperatures.
• Back pain, belly pain, or blood in the urine. May be signs of a kidney stone.
• Unusual bruising or bleeding.
• Not able to eat.
• Feeling extremely tired or weak.
• If seizures are worse or different after starting medicine.
• Any rash.
• No improvement in condition or feeling worse.