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Common Side Effects Nausea (most common) Diarrhea Reduced appetite Vomiting Constipation Stomach pain and indigestion To minimize these, doctors usually start patients on the lowest dose and increase it gradually every four weeks
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PMID: 32532347 Mao Y, et al
Topiramate may cause decreased sweating and increased body temperature (fever)
Close follow-up helps manage dosage, side effect mitigation, and long-term planning
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