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Common side effects of Topamax include: diarrhea, paresthesia, nausea, ataxia, lack of concentration, diplopia, nervousness, dizziness, memory impairment, speech disturbance, anxiety, dysphasia, drowsiness, psychomotor disturbance, confusion, fatigue, visual disturbance, weight loss, depression, dysgeusia, mood changes, and anorexia.
In these studies, the most common Topamax side effects in adults included: Unusual sensations, such as burning or tingling (paresthesias) -- in up to 51 percent of people. Dizziness -- up to 32 percent. Fatigue -- up to 30 percent. Drowsiness -- up to 29 percent.