Hello,
A moderate drug interaction occurs between Topamax
and yaz. Efficacy of oral contraception may be decreased by concomitant use with
topiramate. You have to use additional birth control measure. Also There may be changes in the bleeding patterns.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps.