When I was taking that much Topomax (I only take 50 mg twice a day now) I had a serious problem with word-finding while I was speaking. I struggle a little with that anyway, but with the Topomax it felt like there was a word every sentence that I couldn't come up with. I could picture it in my mind, but I could not speak it. It made me feel totally stupid.

I hope the meds work well for you QueenAccountant.