Healthcare providers often prescribe Topamax® (topiramate) for the treatment of epilepsy and the prevention of migraines. Although most people respond well to Topamax, dangers associated with the medication should be reviewed with your healthcare provider to help minimize risks.
Topamax can cause a specific type of electrolyte imbalance called metabolic acidosis. This is a common complication with the medicine, and can become a problem if it lasts too long or is severe. Metabolic acidosis can increase your risk of kidney stones, rickets, and osteoporosis.
The drug can also cause cognitive problems (such as confusion, problems with concentration or attention, memory loss, and speech problems) or psychiatric problems (such as depression, anxiety, hallucinations, paranoia, and suicidal actions or thoughts).
Some of the more common (and less dangerous) Topamax side effects that have been reported include fatigue, drowsiness, loss of appetite, and nausea. These reactions are often mild and, in most cases, either do not require medical attention or can be treated easily by you or your healthcare provider.
(Click Topamax Side Effects and Topamax Warnings and Precautions for more information about the potential dangers of Topamax, including a list of other possible side effects and warnings for those who should avoid this medicine.)