Topirva XR Topiramate Valproic Acid
MajorCombination can cause hyperammonaemia with or without encephalopathy and hypothermia.
These medicines can affect each other in a serious way. Do not start taking them together unless your doctor has said it is OK. If you already take both, do not stop either one on your own: speak to your doctor or pharmacist soon.
Clinical management: Monitor for lethargy, vomiting and confusion; check ammonia if symptomatic.