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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.
The most common Topamax side effects when taken with other medicines by adults with epilepsy are: 1  Sleepiness. 2  Dizziness. 3  Wobbliness. Problems speaking properly, including speech disorders.  Slowed reflexes and reaction 1  time. Vision problems.  Memory 1  problems. Tingling of the arms and  legs. Double vision.