Tahoe replied: "Tegretol can also be prescribed for nerve pain, RLS, etc.
Topomax is for migraines and seizures.
Everyone reacts differently to different meds. There is no way we can tell you over the internet what dose would be effective for you. Depends on your height, weight, etc. And, it also depends on the severity of your bipolar
disorder, too. It is all trial and error."
Anyone on Topamax and if yes dose it seen to make you brain slow down? Do you feel like doing notthing allday?
lilmouseketeer replied: "I am not on it, but I have a very close friend of mine who is on it, she has also complained about feeling tired, moody and worthless all day....She says she feels like a zombie walking through life...she has only been on it for a month...I told her to give it some time because most medicines like that have side affects that will cease after a while"
Sarah M replied: "I took it for a while for bipolar. It made me an idiot! Many people refer to it as "Dopomax". Mayve you should ask your doc about alternative meds. Some bipolar people take it to help them lose weight they gain from their other drugs. It is all a big circle and waste of time I am so glad I finally gave in and started lithium. On Topomax I was very dopey and I kept saying the wrong words - like "I am going to wrap the Christmas Presidents" instead of "I am going to wrap the Christmas presents". It made wok or study imposible. If you take it for bipolar swap to lithium and inositol (see links below). If you take it for something else then I can't uggest alternative drugs but talk to your doc. The cognitive dulling is a very common side efect with Topomax and that is why most people stop taking it."
How long or what dose to you have to be at for Topamax to begin working on migraines? I know they start with a low dose and slowly increase it. At what point does it become helpful?
daddyrx replied: "Topamax (topiramate) works, for some patients, at a dose as low as 25mg/day. The usual dosage for migraine prophylaxis is between 50 - 100mg per day. The maximum dose is 200mg twice a day if it's used to treat seizures. A good side effect of Topamax is weight loss, but an even nastier side effect is memory problems especially at the higher dosages."
Birth control and Topamax? How much does Topamax effect birth control pills? I am currently taking Topamax to manage seizures. I am also on birth control (the pill). I am wondering how much of an effect the Topamax will have on my birth control. I am currently taking a full-dose birth contol pill (50 mcg). My gyno says that this should be enough to counteract the effects of the Topamax, but that there isn't that much research, just that it's known to lower the effectiveness of birth control pills. Is there anyone that can help me find more information? I'd like to find out if I should be using a back-up method, or if just taking the pill is enough protection. Any help would be appreciated. Thanks!
ilse72 replied: "Topamax affects "combined" birth control pills and patches. Those are the birth control pills that contain both estrogen and progesterone. If you have the combined type, your pack is either a 21 or a 28 day pack (this has 21 pills that you must take and then 7 placebos you can take or skip.) .
If you are on progesterone only birth control, this is a 28 day pack where all pills must be taken and they are all the same. This type is not affected by topamax.
If you are on the combined-type of birthcontrol and are worried, then by all means use more protection. However, if you are on the progesterone only, you have nothing to worry about."
What time do you usually take your Topamax? I was started on 25mg of Topamax at night but that wasn't enough for my migraines. I called today and she increased the dose to 50mg. I expected to be taking 25 in the morning and 25 at night but she's got me taking the full dose at night. Part of the problem I was having was a dull headache at night about an hour or so before my next dose was due. Does anyone else take their full dose at night and does this work for you?
girlcop1 replied: "I take 100 mg and I take the entire dose in the morning. It does the dull the appetite and if your headaches occur in the afternoon it would be best tto take it at lunch time. I have found that this works best for me."

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