I know everybody's different, but here's my list of side effects, experienced within the first four days of using Topamax, at 25 mg twice a day. Within hours of the first dose, I was seriously ill, thinking I had food poisoning. After 48 hours, I realized it was the drug. Just for the record, the last side effect in this list can be fatal. It means loss of the ability to sweat. I'm very glad my first aid training allowed me to recognize it, and I avoided heat stroke in the nick of time.

I'm happy that it works for some people, but in this man's body, the stuff was poison. The list has asterisks to emphasize certain symptoms. I had to type this out for my doctor, as I had lost the ability to reliably produce speech. After just four days.

Fatigue
**Flu-like symptoms
Hot flushes
Dizziness
*Speech problems (aphasia and motor control)
**Paresthesia
Tremor
*Involuntary muscle contractions
**Nausea
*Dyspepsia
*Abdominal pain
Dry mouth
Gingivitis
Nervousness/increased startle reflex
Memory problems
*Somnolence at inappropriate times
*Mental confusion
*Cognitive distortion
*Emotional lability
*Difficulty with concentration
Pharyngitis
Sinus headache
Taste perversion
Micturition frequency
Pruritus
**Oligohydrosis

Lar