Topamax reviews

Topamax (Topiramate) Reviews

4.5 Stars

Posted 217 months ago (10/4/2003)4

Rated for Bipolar II disorder Report

Its helped my family I am bipolar and have been experimenting with everything up to this point. My thyroid has been attacked by Lithium or Risperdol making me gain 20 pounds in one month, Depakote knows how to make those rages come out, to Tegertol giving me the itches. Since Topamax I have lost the weight I gained and also am to my prepregnancy weight. I get some of the side effects when my meds need to be moved up, those usually last until the meds have stabilized (within a week). However this has been the drug I have been looking for; I thank my Doc every time I see him. It really has helped me deal with and come to terms with "MY" bipolar.Do get me wrong I have had side effects with Topamax but I figure thats with every drug. I have spelling problems, tingles in the feet time to time. Those usually happen more when the Doc ups the meds. I usually forget to eat and have had to learn how to remind my self to eat and eat well since I have now become Anemic because of my own eating habits, not because of the drug.

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3.5 Stars

Posted 217 months ago (9/27/2003)3

Rated for Bipolar I disorder Report

Topamax for what? Why am I taking this? Oh- and overlook the mistakes in spelling! Ha! Yes- I can no longer spell or talk thanks to Topamax! I feel like an idiot thanks to this drug! And this is supposed to help a bipolar??? Make us feel better?? hmmm...And all of the ratings talk about weight loss. It did make me lose weight. But I wouldn't want to take such a harmful drug just to lose weight. It messes with your mind too much. It makes me think that there are a million tiny ants on my feet! They tingle all of the time. UPDATE:: Ok After taking Topamax now for a lot longer I guess it's gotten into my system and it's working a bit differently. I still have trouble spelling and saying things I wanna say! My weight is great! And my mood swings are doing fine. So I guess I just had to let the medicine get in there and do it's thing. Some meds you just have to stick with a while and get through the initial side effects to get to the good. Topamax paired along with Trileptal that I'm taking now has me feeling better than I've felt in a long time. I can put up with the slight tingling in the feet every now and then, and the spelling mistakes! Peace~

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4 Stars

Posted 217 months ago (9/26/2003)4

Rated for Bipolar I disorder Report

Not too bad I've been on Topamax/Lamictal for 3 months now and things are definitely better than on Depakote/Effexor. There are a some side effects that I've learned to deal with: the pins and needles in the hands and feet died after a few weeks, drowsiness, I'm diggin the weight loss especially after the Depakote! All is well for now. 06/12/03 Things are going great! Im now up to 700mg of Topamax and 700mg of Lamictal. The side effects along the way changed a bit, I would have headaches the first few days after increase but they would subside. The pins and needles in the hands did subside about 3-4 months into treatment. Ive lost all 60 pounds and then some that I had gained from the Depakote/Effexor combo. This is the first time in 15 years (I was diagnosed at 15) that I have felt great. Honestly, less side effects compared to many of the other anticonvulsant or antidepressants Ive taken. The side effects I did experience were not half as bad as those experienced with the other drugs. I would definitely recommend Topamax over Neurontin, Depakote or Lithuim, or the long list of antidepressants.

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2.5 Stars

Posted 217 months ago (9/26/2003)2

Rated for Bipolar II disorder Report

Pros & Cons Just on it for a couple of days. I've been diagnosed with Borderline Personality Disorder by my therapist and BP II by my pdoc. Regardless, they felt I needed a mood stabilizer. I was already taking 300 mg Wellbutrin and 20 mg Paxil. For the first two days, the sleepiness and tiredness were close to unbearable. Now, I feel a bit under the weather, but not horrible. Changes for the better: My brain got quiet. I can actually sit and pet my cat and think nothing. I've never been able to do that. I'd always had "racing thoughts." Quiet is good. Not-so-good changes: Yesterday, I started feeling depressed. VERY depressed. If I keep feeling this bad, I'll have to call my pdoc to see if we need to do something w/ my antidepressants. And I'm also having the "flat soda" syndrome. I'm supposed to up my dosage to 50 mg on Tuesday. My goal is 100 mg. We'll see how we go. But to start, I had worse side effects when I started taking Paxil.

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1 Stars

Posted 217 months ago (9/23/2003)1

Rated for Migraine Report

Tompamax = Dopamax I began using Tompamax a little over a month ago after my migraines have increased in both frequency and severity over the past six months. I started at the 25mg increasing 25mg every 6-7 days until reaching the 200mg dose. At each level I experience new side effects. I got heartburn and I never get heartburn whenever I increased the dose for the 1st few days. I got tinglying in my fingers a few times a day during the course of my treatment. I often felt anxious and very stressed. I had trouble sleeping for long periods of time (more than 5-6 hours) I couldn't concentrate. I had no memory. I had a delay in retrieving data that was stored in my brain. I felt as though my files had flown to another state and it took quite some time to retrieve them. Thise was annoying to me because I am a fast paced person. Basically I am now slow and dim.

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5 Stars

Posted 217 months ago (9/22/2003)5

Rated for Bipolar I disorder Report

Miracle I was diagnosed with bipolar about eight months ago, and was treated with Lithium. After six months of suicidal thoughts, insomnia, depression, diarrhea, nausea, and vomiting, I switched psychiatrists, and the new doctor realized that my problem was NOT so much depression but side effects from the Lithium--the Topamax has given me energy and a new lease on life, and for the first time in a long time, food has no pull for me. I have now been on Topamax for ten months, and have lost 35 pounds. My only caution would be that anyone using it watch the dose carefully--at one point we tried an increased dose and I became unmanageably drowsy, but at the level of 200 mg/day, the drug remains a miracle for me.

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2 Stars

Posted 217 months ago (9/21/2003)2

Rated for Migraine Report

Topamax for Migraines I'm taking topamax for Bipolar disorder--- and the doctor said just the other day that it would help with my migraines. HA! I had three migraines in five days! And that is while I have been taking topamax for years. The side affects are not good. I have the same ones as others~~ speach problems, memory,spelling is awful, and others. But I take it mostly for my bipolar.It seems to be helping with that. It isn't helping my migraines at all. I read these reviews and it's funny to me how every drug works so differently on each individual. If only they worked the same on us all! Peace~

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4 Stars

Posted 217 months ago (9/14/2003)4

Rated for Epilepsy Report

my Experience I had problems with it causing me to bleed easily, got a lot of nosebleeds as well as rectal bleeding and had stomach pain when on it. I was also getting very depressed on this medication, I hate to think if I had had to use a larger dose what it would have done to me!!

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3.5 Stars

Posted 217 months ago (9/11/2003)3

Rated for Bipolar II disorder Report

Topomax works I started using topomax for my bipolar about 4 months ago. It has helped me greatly. My mood swings are extremely less frequent than they used to be and for that my husband and I are both grateful. Plus after having my last child I had a hard time getting the weight off but the topomax is helping me with that now!

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4.5 Stars

Posted 217 months ago (9/9/2003)4

Rated for Migraine Report

Migraine Preventative My neurologist has me taking Topamax as a migraine preventative and it has worked well in preventing migraines. I still get headaches, but not like I used to get.

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3 Stars

Posted 217 months ago (9/8/2003)3

Rated for Bipolar I disorder Report

didn't last I think it started out working for me, but ultimitely didn't work out. It made me really tired all the time too.

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4 Stars

Posted 217 months ago (9/4/2003)4

Rated for Bipolar II disorder Report

Topamax This has worked really well for me. I have lost some weight without really trying which is nice, but I have one awful side effect. I cannot seem to control my body temp. Meaning, I feel either way too hot or too cold in relation to the actual temp of the room. Usually too hot and I'm in short sleeves in January and want to run the AC when it hits 70*. The longer I take it, the more I'm able to adapt to this, but it's no fun at all. Other than that, it has done wonders for me.

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3 Stars

Posted 218 months ago (9/1/2003)3

Rated for Bipolar II disorder Report

Newbie I have only recently been diagnosed with bipolar II, but have been suffering for a while. I've only taken Topamax for a week/2 and am experiencing odd side effects of acute mood swings and speech problems. No memory issues though. However, for the 1st time in 3 wks, I'm finally out of bed. I'm impressed so far. More to come.

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3.5 Stars

Posted 218 months ago (8/31/2003)3

Rated for Bipolar I disorder Report

Topomax Effectiveness I was on Topamax and Lithium for about one year. The Topomax was discontinued when I experienced tingling in my fingers and couldn't think straight. Lithium toxicity was not a factor. I am currently on Lithium, Lamictal and Clonazepam and am doing moderately well. What I miss the most is weight loss. I had lost 40 lbs. while taking Topamax and have now gained back the same amount in a little over 1 1/2 years.

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2.5 Stars

Posted 218 months ago (8/31/2003)2

Rated for Bipolar II disorder Report

Topomax Pricy-its time to increase the dose but so expensive

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2 Stars

Posted 218 months ago (8/30/2003)2

Rated for Bipolar II disorder Report

Memory loss fades I have been on Topamax this time since December (8 months) and in combination with several different mood stabilizers. While it doesn't seem to do much for my moods at the dose I'm taking now (100 mg in the morning and 150 mg at night), it still keeps my appetite normal and my weight stable. When I first started taking it I had severe memory problems. It was Christmas time, I had already wrapped my presents, and I couldn't remember what I got anyone for Christmas. That lasted for about three weeks. It gradually got better over the next few months. Now, after 8 months, it seems to be pretty much back to normal. If you have good results from the med, it may be worth hanging in with the side effects for a few months to see if they subside. I've noticed that with Lithium, too. I don't notice any side effects with Topamax anymore.

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3.5 Stars

Posted 218 months ago (8/28/2003)3

Rated for Bulimia Report

I love it but I hate it! I absolutely love Topamax but I hate it at the same time. Since starting on topamax I've completely stopped cutting (self-injury) and purging (bulimia). It kills my appetite which is a great thing because it prevents me from binging and its really helped with my impulsivity. BUT - the side effects are almost too much for me to take. The memory problems, the word finding problems, the confusion and tingly fingers. I have a medication monitoring appointment in about a month but i'm so tempted to just stop my medication. I no longer care about the weight loss, I want my memory back!

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0.5 Stars

Posted 218 months ago (8/21/2003)0

Rated for Migraine Report

Horror Story! This medication made me angry. I was angry at everyone at work and by the third night, I got up and was screaming at the top of my lungs at my husband. I do not even know what I was angry about. I stopped taking it and I went back to "normal" (whatever normal is). I really wish I could've benefited from the weightloss side effect this is supposed to have. Almost forgot to mention I was a bank teller at the time and could not balance my cash drawer. This is a stupid pill....it makes you stupid!

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0 Stars

Posted 218 months ago (8/21/2003)0

Rated for Epilepsy Report

Topamax My son was on Topamax for 3 months. WHAT A NIGHTMARE! He was hallucinating, hurting himself, not eating, oh my the list goes on...

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5 Stars

Posted 218 months ago (8/19/2003)5

Rated for Cyclothymic disorder Report

my review God bless topamax!!! topamax is a God send if not for topamax i think the meds im on would have me looking like a blimp, combined with my other meds the combo works great!!!

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Sours: https://www.everydayhealth.com/drugs/topamax/reviews/41

Topamax (topiramate)

Topamax side effects

Topamax can cause mild or serious side effects. The following lists contain some of the key side effects that may occur while taking Topamax. These lists do not include all possible side effects.

For more information about the possible side effects of Topamax, talk with your doctor or pharmacist. They can give you tips on how to deal with any side effects that may be bothersome.

Note: The Food and Drug Administration (FDA) tracks side effects of drugs it has approved. If you would like to notify the FDA about a side effect you’ve had with Topamax, you can do so through MedWatch.

Mild side effects

Mild side effects* of Topamax can include:

Most of these side effects may go away within a few days or a couple of weeks. But if they become more severe or don’t go away, talk with your doctor or pharmacist.

* This is a partial list of mild side effects from Topamax. To learn about other mild side effects, talk with your doctor or pharmacist, or visit Topamax’s medication guide.
** For more information on this side effect, see the “Topamax for weight loss” section below.
† This side effect could affect your ability to safely drive or use machines. You shouldn’t drive or use dangerous machines until you know how Topamax affects you.
‡ For more information about this side effect, see “Side effect details” below.

Serious side effects

Serious side effects from Topamax aren’t common, but they can occur. Call your doctor right away if you have serious side effects. Call 911 or your local emergency number if your symptoms feel life threatening or if you think you’re having a medical emergency.

Serious side effects and their symptoms can include:

* For more information about this side effect, see “Side effect details” below.

Side effects in children

Topamax is approved for treating certain types of seizures in children ages 2 years and older. It’s also approved for preventing migraine headaches in children ages 12 years and older. (To learn more about the uses of Topamax, see the “Topamax uses” section below.)

Side effects of Topamax in children are similar to those in adults. These side effects are described above and in “Side effect details” below.

One clinical study looked at children ages 6 years and older who took Topamax alone for epilepsy. The most common side effects were:

  • fever
  • weight loss
  • respiratory infections, such as colds

In other clinical studies, children ages 2 to 15 years took Topamax with other medications for epilepsy. The most common side effects in these studies were:

  • fatigue
  • sleepiness
  • loss of appetite

In clinical studies involving children ages 12 years and older who took Topamax for migraine, the most common side effects were:

Children who take Topamax are less likely than adults to have speech problems, slow reactions, and trouble concentrating.

Serious side effect in children

One possibly serious side effect is more common in children than in adults. Children taking Topamax are more likely than adults to have fever and reduced sweating. These problems can lead to hyperthermia (high body temperature), which may need treatment in a hospital.

It’s important to monitor your child in hot weather. If they sweat less than usual or develop a high temperature, call your doctor for advice. A high temperature for children ages 2 years and older is one that’s above 99.5°F (37.5°C) when taken orally.

Side effect details

You may wonder how often certain side effects occur with this drug or whether certain side effects pertain to it. Here’s some detail on certain side effects this drug may or may not cause.

Allergic reaction

As with most drugs, some people can have an allergic reaction after taking Topamax. However, it isn’t known how often this side effect may have occurred in clinical studies.

Symptoms of a mild allergic reaction can include:

  • skin rash
  • itchiness
  • flushing (warmth, swelling, or redness in your skin)

A more severe allergic reaction is rare but possible. Symptoms of a severe allergic reaction can include:

  • swelling under your skin, typically in your eyelids, lips, hands, or feet
  • swelling of your tongue, mouth, or throat
  • trouble breathing

Call your doctor right away if you have an allergic reaction to Topamax, as the reaction could become severe. Call 911 or your local emergency number if your symptoms feel life threatening or if you think you’re having a medical emergency.

Hair loss

Some people may have hair loss or hair thinning while taking Topamax.

In one clinical study, hair loss was reported in 3% to 4% of people ages 16 years and older who took Topamax for epilepsy. It’s not known how often this side effect may have occurred in people who took a placebo. Hair loss wasn’t reported in people who took Topamax for migraine.

If you’re concerned about hair loss with Topamax, talk with your doctor. They may be able to suggest ways to help manage this side effect or suggest other treatment options.

Kidney stones

Topamax can raise the risk of developing kidney stones. In clinical studies, kidney stones were reported in an average of 1.5% of adults who took Topamax for epilepsy, depending on the dose.

Topamax was compared with a placebo in some studies. It’s not known how many people experienced kidney stones. But people treated with Topamax had 2 to 4 times more kidney stones than those not treated with Topamax.

It’s not known how many people who took Topamax for migraine may have had kidney stones during clinical studies.

Kidney stones were also reported in children taking Topamax for epilepsy or migraine, though it’s not known how often this occurred.

Symptoms of kidney stones

Symptoms of kidney stones can include:

If you have any of these symptoms while taking Topamax, call your doctor right away. You may need treatment to help your body get rid of any kidney stones.

During Topamax treatment

It’s important to drink plenty of fluids while you take Topamax. This can reduce your risk for developing kidney stones.

While taking Topamax, you’ll also have tests to check the level of acid in your blood. Kidney stones can be a sign that you have metabolic acidosis (a high level of acid in your blood).

If you have metabolic acidosis, your doctor may lower your Topamax dose. If this doesn’t help, you may need to switch to a different treatment.

Eye side effects

Topamax may cause eye side effects. These may include vision changes, such as decreased or blurry vision, and secondary closed-angle glaucoma (sudden raised pressure in your eye). Glaucoma can lead to permanent blindness if not treated.

In clinical studies of people ages 16 years and older, they were given either Topamax or a placebo. This was in addition to one or two other epilepsy drugs. Abnormal vision, such as blurry vision, occurred in:

  • 13% of people in the Topamax group
  • 2% of people in the placebo group

In clinical studies of adults with migraine, they were given 50 milligrams (mg) or 100 mg of Topamax, or a placebo. Blurry vision occurred in:

  • 4% of adults who used 50 mg of Topamax
  • 2% of adults who used 100 mg of Topamax
  • 2% of adults who used a placebo

It’s not known how often glaucoma occurs with Topamax.

Symptoms of eye side effects

Symptoms of eye side effects can include:

If you have symptoms of eye side effects while taking Topamax, talk with your doctor. They may refer you to an eye specialist, who can check the pressure in your eyes. If you have glaucoma, you may need treatment for it. However, eye side effects usually get better after you stop taking Topamax.

If you have eye side effects, your doctor will typically recommend that you stop taking Topamax and switch to a different treatment. Ideally, Topamax should be stopped gradually. Your doctor will explain how to do this. To read more about stopping Topamax treatment, see the “Topamax withdrawal and dependence” section below.

Personality or mood changes

Topamax can sometimes cause personality changes that affect the way people behave, react, feel, or interact with others. For example, the drug may cause agitation, aggression, or other behavior problems. Topamax may also cause mood changes, such as anxiety, mood swings, and depression. In addition, the medication may raise your risk for suicidal thoughts or behaviors.

All antiepileptic drugs (medications used to treat seizures due to epilepsy) are known to slightly raise the risk of suicidal thoughts and behaviors. These drugs can increase the risk regardless of what condition they’re treating.

Clinical studies looked at people taking an antiepileptic drug for any condition. The people had about twice the risk of suicidal thoughts or behaviors than people taking a placebo. In these studies, suicidal behavior or thoughts occurred in:

  • 0.43% of people taking an antiepileptic
  • 0.24% of people taking a placebo

Symptoms of depression

It’s important for you, your friends, and your family to watch for symptoms of depression while you take Topamax. These symptoms can include:

  • having thoughts about suicide or harming yourself
  • feeling sad or hopeless
  • having trouble sleeping
  • losing interest in usual activities
  • feeling agitated or restless
  • feeling anxious or having panic attacks
  • being irritable, aggressive, or violent
  • having other changes in your mood or behavior

If you have any symptoms of new or worsening depression while taking Topamax, talk with your doctor right away. They can suggest ways to ease this condition. They may also recommend that you switch to a different medication.

If you need to stop taking Topamax, your doctor will explain how to taper off the drug gradually. To read more about stopping Topamax treatment, see the “Topamax withdrawal and dependence” section below.

Weight gain (not a side effect)

Topamax isn’t known to cause weight gain. This side effect wasn’t reported in clinical studies with Topamax. However, weight gain has been reported with some anticonvulsant drugs that are in the same class as Topamax. (A drug class is a group of medications that work in a similar way.)

Topamax can cause weight loss. To read more about this, see the “Topamax for weight loss” section below.

Sours: https://www.medicalnewstoday.com/articles/topamax
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Topamax to treat alcohol dependence

Side effects reported in studies on alcohol dependence include tingling in the extremities, memory and thinking problems, weight loss, fatigue, insomnia, diarrhea, changes in the ability to taste food, and itching. Here are some additional risks and suggestions about how to minimize them:

Decreased sweating. Topiramate can make it more difficult for your body to cool down when it gets very hot. Avoid exposure to heat, drink plenty of fluids, and tell your doctor if you have decreased sweating or increased body temperature.

Eye problems. In rare cases, nearsightedness and glaucoma—a blockage of fluid that causes increased pressure in the eye—were also reported but resolved with discontinuation of the drug. Tell your doctor if you've ever had glaucoma, and report any sudden decrease in vision, eye pain, or redness while taking the drug.

Confusion, difficulty concentrating, dizziness, and drowsiness. Don't drive a car or operate machinery until you know how it affects you.

Drug interactions. Topiramate interacts with many drugs and can decrease the effectiveness of birth-control pills. Tell your doctor what prescription and over-the-counter medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take.

Kidney stones. Drink six to eight glasses of water a day to reduce your chances of getting these, which can be excruciatingly painful.

Too much acid in the blood (acidosis). This is more likely if you have kidney disease, respiratory problems, or diarrhea, or if you consume a high-fat, low-carbohydrate diet. Tell your doctor if you have any of those conditions before or during treatment, and don't follow a high-fat, low-carb diet while taking the medication. Your doctor should do a blood test before treatment and then periodically during treatment to monitor your body's acid balance.

Suicide. Topiramate might increase the risk of becoming suicidal. Call your doctor right away if you experience panic attacks, anxiety, depression, sleep problems, aggression, preoccupying thoughts about death, or any other unusual changes in behavior or mood.

In addition to the conditions specified above, tell your doctor if you've ever had liver problems, osteoporosis, or mood disorders, or if you are pregnant, planning to become pregnant, or breast-feeding.

Don't stop taking topiramate without first talking to a doctor. Suddenly discontinuing the drug can cause serious problems.

Bottom line. Topiramate is one of several drugs currently recommended in national and international guidelines for the treatment of alcohol dependence. But further studies are needed to determine its long-term safety, efficacy, and potential role in the treatment of alcoholism. Our advice: Talk with your doctor about all available treatments for your condition, including counseling, 12-step programs, the management of withdrawal symptoms, and medication for dependence. If approved medications aren’t effective or you can’t tolerate them, or if you are unable to abstain from alcohol during treatment, consider topiramate after its risks and benefits have been thoroughly explained to you. The NIAAA publishes a useful guide to each of the medications. You should know, too, that you might respond better to one type of treatment than another.

For referrals to treatment specialists and programs, contact:

Sours: https://www.consumerreports.org/cro/2012/04/topamax-to-treat-alcohol-dependence/index.htm

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