When you see your doctor, make sure you get bicarbonate testing... Topamax causes a metabolic acidosis in about 30% of patients which can occur anytime during therapy. Acidosis leads to tingling and other sensations, fatigue, and confusion. Patients on this drug should have periodic blood testing of bicarbonate levels.
Letters were sent to doctors several years ago about this but I don't think many heeded the warnings.
Here is the letter:
http://www.fda.gov/downloads/Drugs/G.../ucm054728.pdf
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Weezie looking at petunias 8.25.2017
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