It can also happen if your dose is increased too quickly. Some people describe it as “having the word on the tip of their tongue” without being able to come up with it.Ĭognitive impairment tends to be more common with higher doses of topiramate. It could also include difficulty finding or remembering a word. It involves symptoms like confusion or trouble with focus and memory. This term can best be described as a mental slowing. One of the more frustrating topiramate side effects is cognitive impairment. But they might also provide you with dietary changes to help prevent too much weight loss. But if you’re concerned about it, let your healthcare provider know. Topiramate may also increase the amount of energy used by the body each day.įor some people, weight loss with topiramate may be a positive side effect. But it’s thought that it may help you feel fuller after a meal, lower your appetite, or change how food tastes. How topiramate causes weight loss is unclear. In fact, a combination of topiramate and phentermine ( Qsymia) is FDA approved for weight loss. Weight loss is a well-known topiramate side effect. They may also recommend certain creams, like capsaicin, that can help lessen the feeling. Let your healthcare provider know if you notice bothersome or persistent “pins and needles” after starting topiramate. But it’s often a reason why people ask their healthcare provider for an alternative medication. For many people, this side effect is temporary and gets better as you adjust to topiramate. It also seems to be more common in patients taking topiramate for migraine. In some clinical trials, up to about 50% of participants taking the medication reported the sensation. Paresthesia is also a common topiramate side effect. You might also describe it as your foot or hand “falling asleep” after being in a position for too long. Paresthesia is the medical term for that “pins and needles” sensation often felt in the hands or feet. Here, we’ll review nine notable topiramate side effects you should know about and how you might manage them. It can be used by itself or in combination with other antiepileptic medications.Īlthough it can be effective, topiramate does have some side effects to be aware of. It’s FDA approved to treat or prevent certain types of seizures.
Topiramate (Topamax) is an antiepileptic (antiseizure) medication.
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