Drug side effects
topiramate Side Effects
The reactions most often reported to the FDA for topiramate (also sold as Topamax), with demographics, serious outcomes, and reporting trends.
Data updated 2026-05-15
- 90,083
- FAERS reports
Data from the FDA Adverse Event Reporting System (FAERS), 2001 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.
The most commonly reported side effects of topiramate come from 90,083 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.
This page analyzes 90,083 reports to the FDA Adverse Event Reporting System (FAERS) for topiramate (Topamax): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.
Total Reports
90,083
Reports Mentioning Death
6,485
7.2% of reports — not proof the medicine caused the death
Hospitalizations
22,919
25.4% of reports
Top Indication
Product Used For Unknown Indication
Most Reported Adverse Reactions
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
Reactions in Death Reports
Top reactions reported in 6,485 reports where death was an outcome. These are voluntarily reported and do not establish causation.
| Reaction | Reports |
|---|---|
| COMPLETED SUICIDE | 1,318 |
| DEATH | 1,183 |
| TOXICITY TO VARIOUS AGENTS | 881 |
| WOUND | 704 |
| RASH | 703 |
| PAIN | 690 |
| GASTROOESOPHAGEAL REFLUX DISEASE | 685 |
| SYNOVITIS | 685 |
| FOLLICULITIS | 661 |
| CONDITION AGGRAVATED | 660 |
| SYSTEMIC LUPUS ERYTHEMATOSUS | 659 |
| TYPE 2 DIABETES MELLITUS | 658 |
| WEIGHT INCREASED | 653 |
| MATERNAL EXPOSURE DURING PREGNANCY | 647 |
| PEMPHIGUS | 643 |
| PERICARDITIS | 639 |
Reactions in Hospitalization Reports
Top reactions in 22,919 reports where hospitalization was an outcome.
| Reaction | Reports |
|---|---|
| HEADACHE | 1,846 |
| PAIN | 1,808 |
| NAUSEA | 1,704 |
| VOMITING | 1,663 |
| FATIGUE | 1,615 |
| PNEUMONIA | 1,430 |
| DEPRESSION | 1,391 |
| FALL | 1,359 |
| DYSPNOEA | 1,355 |
| DIARRHOEA | 1,295 |
| SEIZURE | 1,292 |
| DIZZINESS | 1,249 |
| MIGRAINE | 1,249 |
| CONDITION AGGRAVATED | 1,209 |
| CONFUSIONAL STATE | 1,155 |
| WEIGHT INCREASED | 1,137 |
| ASTHENIA | 1,117 |
| RASH | 1,076 |
Nearby, Related Medications
What the FAERS Data Reveals About topiramate Side Effects
The FDA Adverse Event Reporting System (FAERS) contains 90,083 voluntary reports linked to topiramate and its brand equivalents (Topamax), spanning 2001 through 2025. Of those, 6,485 (7.2%) listed death as an outcome and 22,919 (25.4%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.
Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 78% were female and 22% male; age distribution skews toward 18-44, with 23,728 reports in that bracket. The single most reported reaction is headache with 6,464 submissions, followed by nausea and fatigue.
How to read these numbers
FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice, speak with a licensed clinician about any side-effect concerns.
Drugs With a Similar FAERS Report Volume
Other medications with a total FDA adverse-event report count closest to topiramate's 90,083.
Read our methodology - how this data is sourced, computed, and verified.