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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.
A few people do experience psychiatric disorders when they take Topamax. If you notice any of these problems, call the doctor's office. Sometimes the doctor can help by changing the amount of Topamax you take or how you take it. Don't stop taking Topamax or change the amount you take without the doctor's guidance.