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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.
Hi The abnormal metallic taste sensation or taste perversion is a common side effect seen after Topamax use. These tablets have a bitter taste and lose their effectiveness quickly when broken, so you should swallow them whole. Chewing the tablet may leave a bitter taste. Hence, do not split, chew, or crush them.