Topiramate Side Effects

Loss of appetite, dizziness, and tingling sensations are some of the side effects reported by adults taking topiramate. Problems that have been seen in children include runny nose, constipation, and fever. In most cases, side effects are mild and don't require medical attention. However, certain side effects of topiramate and should be reported to a healthcare provider right away, such as depression, difficulty breathing, or hallucinations.

Topiramate (Topamax)

Topiramate Side Effects: An Introduction

As with any medicine, side effects are possible with topiramate (Topamax^®). However, not everyone who takes the drug will experience side effects. In fact, most people tolerate it well. If side effects occur, in most cases, they are minor and either require no treatment or can be easily treated by you or your healthcare provider.

(This article covers many, but not all, of the possible side effects with topiramate. Your healthcare provider can discuss a more complete list of topiramate side effects with you.)

Side Effects of Topiramate to Report

There are several serious topiramate side effects that you should report immediately to your healthcare provider. These include but are not limited to:

Depression (see Topamax and Depression)
Chest pain
Difficulty breathing or shortness of breath, which may be signs of a pulmonary embolism
Hallucinations or paranoia
Fainting
Vision problems, especially associated with eye pain
Rapid breathing, which may be a sign of metabolic acidosis
Decreased sweating, especially when accompanied by a fever
Blood clots (deep vein thrombosis)
Suicidal thinking or behavior
High blood sugar (hyperglycemia) or diabetes
Kidney stones
Low blood pressure (hypotension) or high blood pressure (hypertension)
Signs of an allergic reaction, including:

Unexplained rash
Hives
Itching
Unexplained swelling
Wheezing
Difficulty breathing or swallowing

Suicidal thinking or behavior (see Seizure Medications and Suicide).

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