http://www.medications.com/effect/view/33493 Initially, numbness and tingling in extremities which subsided, but memory loss and loss for words is very uncomfortable, and my neurologist suggested caffeine every AM to compensate, which helps some, but not enough. Difficulty reaching orgasm has become Tue, 02 Sep 2008 10:37:54 -0400 http://www.medications.com/effect/view/33493?item=11876 I have suffered migraines for almost 20 years. When the neurologist put me on Topamax, he warned me that if I were a concert pianist I would have "trouble" performing. What a joke! I have had years of short term memory loss, and now that I'm off of it, http://www.medications.com/effect/view/33493?item=11876