Correct (2): Topiramate inhibits carbonic anhydrase, causing metabolic acidosis, increased risk of calcium phosphate kidney stones, and paresthesias (tingling in fingers/toes). Cognitive side effects ("dopamax") include word-finding difficulty and slowed thinking. Anorexia and weight loss are common. Adequate hydration (2-3 L/day) reduces stone risk. (1,3,4) Irrelevant dietary advice.
In-depth explanation
Memory Tip Topiramate = "Topa-MAX side effects" — kidney stones, slowness, sensation (paresthesia), slim (weight loss). CPG Avoid in clients with kidney stone history; check baseline bicarbonate.
For study reference only. Always follow current clinical guidelines and your institution’s protocols.