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doi: 10.3390/pharmaceutics15051333, 192

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They accidentally took five times the correct dose

These can include: Tingling in the arms or legs (paresthesia) Nausea, diarrhea, or stomach discomfort Changes in how food tastes Tiredness, drowsiness, or feeling dizzy Slower reaction time or trouble with memory and speech Fever, abdominal pain, or minor vision changes Rare but serious side effects Serious reactions are uncommon, but its important to recognize warning signs and act quickly: Kidney stones Topamax increases the risk of kidney stones