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Topiramate Side Effects

The most commonly reported side effects of topiramate include off label use, headache, and nausea, based on 98,867 FDA adverse event reports from 2004 to 2025. 9.5% of reports found the drug to be ineffective.

Topiramate side effects

Percentages show how often each reaction appears relative to total reports for topiramate.

1
Drug Ineffective9.5%9,379
2
Off Label Use7.2%7,165
3
Headache6.1%6,059
4
Nausea5.2%5,181
5
Fatigue5.0%4,959
6
Migraine4.1%4,007
7
Pain4.0%3,916
8
Seizure3.9%3,874
9
Dizziness3.9%3,844
10
Diarrhoea3.4%3,364
11
Vomiting3.2%3,119
12
Depression3.1%3,074
13
Product Use In Unapproved Indication3.1%3,060
14
Paraesthesia2.9%2,888
15
Weight Increased2.7%2,696

These are voluntary reports and do not establish that topiramate caused these reactions.

Report severity

65.0%Serious64,223 reports
24.0%Hospitalizations23,699 reports
6.7%Fatal6,615 reports

Seriousness is determined by the reporter, not by OpenClaim.

Topiramate drug interactions

Other drugs that appear in adverse event reports alongside topiramate. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Phentermine6.6%6,572
2
Levetiracetam6.2%6,104
3
Lamotrigine5.4%5,318
4
Sodium-oxybate3.9%3,874
5
Adalimumab3.6%3,574
6
Acetaminophen3.3%3,230
7
Erenumab-aooe3.3%3,221
8
Gabapentin2.8%2,799
9
Valproic-acid2.6%2,618
10
Lacosamide2.6%2,610
11
Quetiapine-fumarate2.6%2,534
12
Carbamazepine2.5%2,505
13
Oxycodone2.5%2,463
14
Diclofenac2.4%2,410
15
Naproxen2.3%2,299

Taken alongside

1
Acetaminophen11.9%11,797
2
Ergocalciferol10.0%9,862
3
Gabapentin9.7%9,573
4
Levothyroxine-sodium9.5%9,408
5
Omeprazole7.7%7,644
6
Albuterol7.7%7,593
7
Clonazepam6.8%6,721
8
Duloxetine-hydrochloride6.5%6,384
9
Aspirin6.2%6,118
10
Fluticasone6.0%5,937
11
Ibuprofen5.2%5,143
12
Bupropion5.0%4,990
13
Atorvastatin-calcium5.0%4,974
14
Oxycodone4.9%4,870
15
Pantoprazole-sodium4.9%4,821

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports topiramate side effects

70.1% of topiramate adverse event reports involve female patients and 19.0% involve male patients. The largest age group is adult at 79%. These figures reflect who reports side effects, not underlying risk.

Sex

Female70.1%
Male19.0%
Unknown10.9%

Age group

< 23.0%
2–114.8%
12–173.6%
18–6478.8%
65+9.7%

What is topiramate used for

Conditions and purposes for which patients were taking topiramate when the adverse event was reported.

Abdominal Pain UpperAbnormal BehaviourAbnormal DreamsAbnormal Weight GainAbstains From AlcoholAbstains From Recreational DrugsAccidental Drug Intake By ChildAccidental ExposureAccidental Exposure To ProductAccidental Exposure To Product By ChildAcromegalyAcute Angle Closure GlaucomaAcute Disseminated EncephalomyelitisAcute Encephalitis With Refractory, Repetitive Partial SeizuresAcute Psychosis

Showing 15 of 1,211 indications

Topiramate brand names and reporting trend

Topiramate is sold under the brand name Qsymia.

Brand names

Qsymia60,636

Quarterly reports (20042025)

20052010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking topiramate with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.