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Drug Class: Commonly Known As: Category:
Anticonvulsant Topiramate Adult, Children

Topiramate - Side Effects, Precautions, and Contraindications

What side effects can Topiramate cause?

Topiramate may cause some unwanted side effects.

Generally, the common side effects tend to occur at the beginning of treatment. Such side effects may include:

  • Drowsiness, dizziness, fatigue, tiredness, difficulty in concentrating is usually temporary - Be careful when you are giving your child over-the-counter medicines. Medicines for cold and allergy may add on to the drowsiness. Be sure to supervise your child when he/she is involved in activities such as riding a bike or swimming.
  • Loss of appetite or weight loss (temporary), nausea, vomiting, indigestion, diarrhea, change in taste. - If the medication upsets the stomach, take it with food but do not take it with carbonated drinks
  • Reduced sweating and increased body temperature. - Ensure that your child drinks plenty of fluids before and during physical activities such as exercises or exposure to warm weather.
  • Behaviour and mood changes (e.g. depression, agitation, anxiety, hyperactivity), difficulty in memory
  • Numbness in the hands and feet (“pins and needles” sensation), poor muscle coordination, muscle weakness and pain
  • Changes in vision (Blurred or double vision)

Inform your doctor if any of the above side effects lasts for more than a few days or if they become serious or bothersome.

Rare but serious side effects may sometimes occur. Contact your doctor as soon as possible if you notice any of the following:

  • Worsening speech and language skills
  • Difficulty or pain in urinating, blood in urine, sudden reduction in urine volume, lower back pain
  • Sudden worsening in eyesight, red eye or eye pain
  • Unusual changes in behaviour
  • Unusual bruises or bleeding,
  • Prolonged fever, sore throat, mouth ulcer
  • Skin rash

Inform your doctor if you notice any other unusual symptoms in your child. Always discuss with your doctor or pharmacist if your child has any problems or difficulties during or after taking topiramate.

Before taking Topiramate, what precautions must I follow?

What food or medicine must I avoid when I take Topiramate?

  • Updated on Friday, October 6, 2017
  • Article contributed by Pharmacy Department KK Women's and Children's Hospital

The information provided is not intended as medical advice. Terms of use. Information provided by SingHealth


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