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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.
Topamax Special Warnings. Topamax and Serious Eye Problems. Topamax may cause problems with the eyes, including serious problems that can lead to vision loss or blindness. One of these problems is called open angle glaucoma, in which fluid builds up inside of the eye, causing too much pressure and possibly leading to blindness if left untreated.