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Topamax can cause side effects such as memory problems, trouble concentrating, problems with speech, sleep problems, feeling tired, headache and dizziness and loss of appetite.

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However, if a patient is within 6 hours of taking the next scheduled dose, tell the patient to wait until then to take the usual dose of topamax , and to skip the missed dose.

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Some cases have been reported in which topamax has been confused with toprol-xl metoprolol succinate extended-release tablets , a heart and blood pressure medication.

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Drink plenty of fluids while taking topamax to prevent kidney stones from forming.

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