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Common side effects of topiramate include: Burning, numbness, or tingling in your feet, hands, face, or mouth (paresthesia) Dry mouth or altered taste Constipation, nausea, or stomach pain Dizziness, drowsiness, or slowed reactions Nervousness Headache Shaking or muscle weakness Nosebleeds Involuntary eye movements Menstrual irregularities Avoid alcohol and other central nervous system (CNS) depressants, such as sedatives and certain pain medications, as they can increase these side effects

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This can lead to people having trouble meeting their protein or fiber needs