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Topiramate Side Effects The most common side effects of topiramate are: Blurred vision Burning, prickling, or tingling sensations Clumsiness or unsteadiness Confusion Continuous, uncontrolled back-and-forth or rolling eye movements Dizziness Double vision Drowsiness Eye redness or pain Generalized slowing of mental and physical activity Memory problems Trouble in concentrating or paying attention Unusual tiredness or weakness Topiramate Dosage and Administration Topiramate dosing differs between Topamax, Qudexy XR, and Trokendi XR