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I first realized that my depersonalization was breaking up when I caught myself chuckling at an internet meme. Talk to your healthcare provider if you are taking: Acetazolamide (Diamox) Antacids such as sodium bicarbonate, Maalox, or Mylanta Anticholinergic medicines such as atropine, benztropine (Cogentin), dicyclomine (Bentyl), hyoscyamine (Levsin), methscopolamine (Pamine), propantheline, and trihexyphenidyl Antidepressants such as amitriptyline, bupropion (Wellbutrin, Zyban), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), desvenlafaxine (Pristiq), doxepin, duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox CR), imipramine (Tofranil), maprotiline (Ludiomil), mirtazapine (Remeron), nefazodone, nortriptyline (Pamelor), paroxetine (Paxil), protriptyline (Vivactil), sertraline (Zoloft), trazodone (Desyrel, Oleptro), trimipramine (Surmontil), venlafaxine (Effexor), and vilazodone (Viibryd) Aspirin or other salicylates Atomoxetine (Strattera) Bromocriptine (Cycloset, Parlodel) Buspirone Carbamazepine (Tegretol) Citrus fruits and juices, milk, and dairy products Dextromethorphan, an ingredient in many cough and cold medicines such as Robitussin-DM Diuretics such as chlorothiazide (Diuril), chlorthalidone (Thalitone), hydrochlorothiazide (Microzide), metolazone (Zaroxolyn) and methyclothiazide Ketoconazole (Nizoral) Linezolid (Zyvox) Lithium MAO inhibitors such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate) (Do not take this medicine and an MAO inhibitor within 14 days of each other. Topamax may increase the blood levels of phenytoin (Dilantin) and decrease the effectiveness of oral contraceptives.
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