<unk>  has many drug-drug interactions. Some of the most common are listed below: * As<unk>  inhibits carbonic anhydrase, use with other inhibitors of carbonic anhydrase (e.g. acetazolamide) increases the risk of kidney stones. * Enzyme inducers (e.g. carbamazepine) can increase the elimination of<unk> , possibly necessitating dose escalations of<unk> . *<unk>  may increase the plasma-levels of phenytoin. *<unk>  itself is a weak inhibitor of CYP2C19 and induces CYP3A4; a decrease in plasma levels of estrogens and digoxin has been noted during<unk>  therapy. This can reduce the effectiveness of oral contraceptives (birth control pills); use of alternative birth control methods is recommended. Neither intrauterine devices (IUDs) nor Depo-Provera are affected by<unk> . * Alcohol may cause increased sedation or drowsiness, and increase the risk of having a seizure. * As<unk>  may result in acidosis other treatments that also do so may worsen this effect. * Oligohidrosis and hyperthermia were reported in post-marketing reports about<unk> ; antimuscarinic drugs (like trospium) can aggravate these disorders.
Topiramate
Lamotrigine
Felbamate
Cenobamate
Propazepine
Tetrabamate
Tiagabine
Mesuximide