Conversation: The conversation between human and AI assistant.
[|Human|] My blood pressure today was 130/100. I have a seizure disorder and am on Topamax, lamactil and klonopil. I just recently starting taking Norvasc. I started Jan 5th. I feel nauseated all the time too. Are they related? I thought my blood pressure would go down by now.
[|AI|]  Hello! Thank you for asking on Chat Doctor! Regarding your concern, your symptoms may be related to novas intake (nausea has been seen in up to 3% of patients using this Chat Doctor.  Topiramate can decrease the levels of novas (by acting in its degradation in the liver), causing a lower effect of novas in controlling the blood pressure. Topiramate has been shown increase the blood pressure in 1-2 % of the patients. It can also cause kidney dysfunction and stones, which can induce a secondary hypertension. I recommend you to perform a routine blood test, kidney and liver function tests, thyroid hormone levels blood electrolytes and an ECG. An ambulatory 24 hours BP monitoring would be helpful to have more information on your blood pressure during the day.  I would recommend changing into another antihypertensive