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According to the UK SmPC (Summary of Product Characteristics), gastrointestinal symptoms are common, with nausea occurring in up to 20% of patients, diarrhoea in approximately 12%, and vomiting in around 9%

Women of childbearing potential taking topiramate must use highly effective contraception and comply with the MHRA Pregnancy Prevention Programme

Glucose Regulation : Supports more stable blood sugar patterns through effects on insulin response and gastric emptying