TOPAMAX Oral

TOPAMAX Oral Side Effects

Weakness, tiredness, drowsiness, dizziness, confusion, difficulty concentrating, tingling of the hands/feet, loss of appetite, diarrhea, impotence, and weight loss may occur. If any of these symptoms persist or worsen, notify your doctor promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

• mental/mood changes (e.g., memory problems, nervousness)
• slow/unsteady movement
• speech/language problems

This medication rarely may cause mood or behavior changes, such as anxiety, agitation, hostility, pressured/rapid speech, or thoughts of suicide. Tell your doctor immediately if you develop unusual (possibly sudden) mood changes.

Tell your doctor immediately if any of these rare but very serious side effects occur:

• severe back/side pain
• rapid breathing
• bone pain/breakage
• loss of consciousness
• fast/slow/irregular heartbeat
• stomach/abdominal pain
• painful urination
• bloody or pink-colored urine
• chest pain

Seek immediate medical attention if either of these rare but very serious eye problems occur:

• sudden vision changes (e.g., blurred vision)
• eye pain/redness

This medication can rarely cause a serious metabolic problem (hyperammonemia), especially if you are also taking valproic acid. Tell your doctor immediately if you experience sudden/unexplained tiredness, vomiting, or mental changes (e.g., difficulty staying awake).

A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include:

• rash
• itching/swelling (especially of the face/tongue/throat)
• severe dizziness
• trouble breathing

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Call your doctor for medical advice about side effects. In the US, you may report side effects to the Food and Drug Administration (FDA) at 1-800-FDA-1088.

In Canada, you may report side effects to Health Canada at 1-866-234-2345.

TOPAMAX Oral Medical Alert

Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA) or 1-800-668-1507 (Canada).