<s>[INST] Hi, I am anorexic and I am taking Aciphex 20 mg. 2xday; Topomax 75mg.2x day, Pritiq 100mg. 1xday, Lyrica 125mg. 2x day, and Abilify 10mg. 1x day. I have been experiencing muscle spasm, where I can not control my legs, and fall and stumble, I do not know where I am at times, I am confused, I can not say what I want, my mouth will not say what my brain wants. Are they interacting with each other an causing me harm? [/INST] Your symptoms of disorientation, weakness in legs may be due to hypoglycemia, a condition where blood sugar gets lowered due to inadequate food due to anorexia. You may consult a neurologist if you have doubts. Blood sugar testing should be done. Cause for anorexia should be diagnosed and treated. Report to your treating doctor too to know whether any of medicines you are on is causing side effects </s>