Get emergency medical help if you have signs of an allergic reaction to Trokendi XR (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).
Report any new or worsening mood symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), depressed, or have thoughts about suicide or hurting yourself.
Call your doctor at once if you have:
a skin rash, no matter how mild;
vision problems, blurred vision, eye pain or redness, sudden vision loss (can be permanent if not treated quickly);
confusion, problems with thinking or memory, trouble concentrating, problems with speech;
dehydration symptoms - decreased sweating, high fever, hot and dry skin;
signs of a kidney stone - severe pain in your side or lower back, painful or difficult urination;
signs of too much acid in your blood - irregular heartbeats, feeling tired, loss of appetite, trouble thinking, feeling short of breath; or
signs of too much ammonia in your blood - vomiting, unexplained weakness, feeling like you might pass out.
Common Trokendi XR side effects may include:
dizziness, drowsiness, tired feeling, slow reactions;
problems with speech or memory;
abnormal vision;
numbness or tingling in your arms and legs, decreased sensation (especially in the skin);
changes in your sense of taste;
feeling nervous;
nausea, diarrhea, stomach pain, loss of appetite;
fever, weight loss; or
cold symptoms such as stuffy nose, sneezing, sore throat.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
 Trokendi XR side effects (more detail)
