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doi: 10.7326/0003-4819-149-7-200810070-00006 118 SreenivasuluKNandeeshaHDorairajanLNRajappaMVinayagamVCherupanakkalC

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If taken in large quantities, it can worsen an already existing acidity issue

Topiramate can cause metabolic acidosis (high blood acid), nephrolithiasis (kidney stones), and oligohidrosis (decreased sweating)

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