A member asked:

Taking 400mg topomax and minastrin bcp, and noticing a lot of breakthrough bleeding, in past month to 6 weeks, how do i combat this?

A doctor has provided 1 answer
Dr. Al Hegab answered

Specializes in Allergy and Immunology

? Drug interaction : Topamax more than 200 mg / day would affect hormonal contraception and decrease its effectiveness, use an additional contraceptive method / decrease topamax dosage, through your prescriber. Breakthrough bleeding could be a side effect of the drug-drug interaction, see your doctor(s) for evaluation, best wishes

Answered 1/18/2017

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