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Topamax ® treatment that causes metabolic acidosis during pregnancy can possibly viagra rx coupon produce adverse viagra rx coupon effects on the fetus and might also cause metabolic acidosis in the neonate from possible transfer of topiramate to the fetus see Warnings and Precautions 5.7, Use in Specific Populations 8.1. If metabolic acidosis develops and persists, consideration should be given to reducing the dose or discontinuing Topamax ® (using dose tapering). If the decision is made to continue patients on Topamax ® in viagra rx coupon the face of persistent acidosis, alkali treatment should be considered.


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