When I first went on this med it was in the middle of a cold Canadian winter. I also have Raynauds which causes tingling fingers and toes, when exposed to cold temperatures. I have had that condition for quite a long time and never have I ever experienced a winter in which my hands and feet got as bad as they did this year. My doctor could not give me any answers, just wait and see if next year they are any better and I am still on the meds.
I work in a commercial kitchen. My feet would fall asleep constantly, and get the pins and needles feeling. Now, that happens once in a while. I would get the same thing happen to my hands. I would lose sensation in my hands. I can remember a few times when I cut myself. I eventually jut started to change menu items on the days my hands were really numb and I couldn't use knives really well. I also used to drop stuff too, and I had a hard time picking up plates (one right after the other for plate service). Now, that was when I was on the med for a short while, like the first few months. I did talk to my doctor about all that, cause it scared the crap out of me. I have been taking the med for 8 months now. The only thing I know I am having a hard time with now is verbalizing what I want to say. It is almost like the words are being robbed from me. Oh yeah, maybe it was a muscle twitch, maybe it was the drug. I was working the line. filled a plate and was ready to pass it over. All of a sudden, I felt kind of wierd, and the plate flew. Nobody got hurt!
I like topamax, it really is my last option. I hope it works for you.