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Commonly Reported Topamax Side Effects Abdominal pain Abnormal vision Anorexia Burning or prickling in the hands, arms, legs and feet (paresthesia) Diarrhea Difficulty with memory Dizziness Fatigue/sleepiness Fever Nausea Nervousness Numbness (hypoesthesia) Slowing down of thought and movements (psychomotor slowing) Speech problems Taste change Upper respiratory tract infection Weight loss Serious Side Effects Topamax may also cause rare but serious side effects such as eye complications, metabolic acidosis and kidney stones