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OK I reminded her yesterday.

I woke up in the middle of the night with electric shocks (really bad paresthesia I assume ) in my right hand - which I've been having a lot in my hands and feet lately and blaming it on the topamax - and my thumb had a wicked tremor in it - around 2 hertz - 1 cm deflection. The tremor continued until the electric shock sensation stopped.

I've had tingling in my hands and feet for years now, ever since a B12 deficiency, but nothing like these recent 'shocks' - and I've never had such a huge tremor before - more like little vibrations.

I just went from 50mg to 62.5 mg of Topamax on Monday so I'm back to thinking the Topamax might be causing some extra issues. But if it clears my vision up, I'll deal with it.