What should I know before taking an anticonvulsant for migraines?

Donna Hill Howes, RN
Family Practitioner

Your doctor will need to assess your liver function before starting treatment. Serum bicarbonate will need to be measured before starting topiramate.

If you take topiramate, you should avoid alcohol.

Valproic acid and topiramate are passed into breast milk and may not be good options for breastfeeding women.

If you have kidney function impairment or liver function impairment, valproic acid and topiramate may not be good options for you.

If you have urea cycle disorder, you should not take valproic acid.

If you are pregnant, planning to become pregnant, or may be pregnant, these anticonvulsants should be avoided. The health of your baby may be at risk if you take topiramate or valproic acid.

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