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Healthcare providers may avoid prescribing topiramate for individuals with a history of: Suicidal thoughts or behaviors Kidney stones Metabolic acidosis Bone conditions like osteopenia, osteomalacia, or osteoporosis Glaucoma Respiratory issues like asthma or COPD Depression or mood disorders Growth problems Thyroid, liver, or kidney disease Because topiramate can increase the risk of kidney stones, its important to stay well-hydrated while taking the medication

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