I had been up to 100mg in a split dose but I woke with double vision and determined that I would reduce the dose. It was around the time I was taking Topiramate, but I’m not sure that was the cause. After being on it for 2 years and experiencing the typical side effects i.e. That was the good now for the bad….when I woke up after that energy spurt I had the most horrible migraine I had ever experienced and I’ve had them for probably 20 years or so. I have wanted to tell this story for almost 2 years and I’m happy to finally have the opportunity to do just that! Find the dosage that works for you. I was also prescribed Topamax starting with 50mg twice a day and my neurologist increased the dosage to 200mg twice a day. After that, I backed off the dose to 150 mg, and I was fine, for a while. If you have had stones in the past, this is your WARNING. Trying to deal with the side effects and still dealing with migraines, so I’m not sure if it’s going to work for me, but I’m seeing *some* improvement. The bottom line with topiramate is that going up slowly in dosage and taking your time is really vitally important. I have had a reduction of the pins and needles/burning sensations on the 75 mg dose. This isn’t the choice everyone will want to make, but I am glad I was given that choice and we could plan accordingly.
One of the first things my Neurologist said to me about Topamax was: But still I remained positive that I was only going to suffer supermodel anorexia and none of the other possible reactions. “And this drug can interfere with the contraceptive pill, so you don’t want to get pregnant!” My Neurologist also assured me that most of the side effects would wear off and the scary ones, like going blind (I’m exaggerating for dramatic effect), would be apparent very quickly. I ran to Mum and, between lapping up water like a dog from the two jugs of water I was holding, said: He explained it actually takes some time for Kidney stones to develop, and as I’d only been on the drugs for 2 weeks it was unlikely. By now you might also have guessed the second bizarre side effect I was suffering. In the end it turned out Dad was right, I was not dying of Kidney stones. But the thirst was to such an extent that I could do nothing else all day but lie in bed and drink. Was I really going to be the first person to die from water explosion? Incidentally, I looked again at the side effects of Topamax and sure enough “Increased thirst and drinking abnormally large amounts of fluid” was listed. I do realize that of all the listed side effects, I was pretty lucky.
Epilepsy Home > Topamax Weight Loss. Topamax Weight Loss. Among the possible side effects of Topamax, weight loss is one of the most common. Topamax and Weight Loss: An Overview. Healthcare providers do, on occasion, prescribe Topamax as a weight loss medicine. How Common Is Topamax Weight Loss? Weight loss is a common side effect of Topamax. In clinical studies, weight loss was reported as a Topamax side effect in up to 16 percent of adults and up to 21 percent of children. Using Topamax for Weight Loss. Topamax is not approved as a weight loss medication by the U.
Topamax - generic topiramate - is an anticonvulsant medication approved by the US Food and Drug Administration (FDA) for use in treating epilepsy and migraine headaches. While Topamax has been and continues to be studied for use in the treatment of bipolar disorder , it is not FDA approved for such use. Topamax use is associated with this condition, in which the blood becomes too acidic. The approved label for Topamax recommends measuring blood acidity when beginning treatment and periodic testing. Since Topamax is cleared from the body through the kidneys, dosage may need to be adjusted in patients with renal impairment, particularly in those aged 65 and older. With Lamictal (lamotrigine), the level of Topamax increased 15%, and with Depakote (valproic acid), both drugs' concentrations were lowered 11-14%. However, Topamax and Depakote combined create a risk for a condition called hyperammonemic encephalopathy. There is a risk of decreased contraceptive protection and breakthrough bleeding when taking Topamax with contraceptives containing estrogen. Topamax and Pregnancy/Breast-Feeding. Animal studies showed a significant danger to the fetus from Topamax, and in humans, there is a significantly increased risk of birth defects known as oral clefts . Common Side Effects of Topamax and Topiramate. Topamax and Weight Loss. "FDA Approved Labeling Text dated 6/29/05 for Topamax® (topiramate) Tablets and Topamax® (topiramate capsules) Sprinkle Capsules."
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How Topamax Works for Weight Loss. Although the drug never lasted in clinical trials for weight loss, many doctors are knowledgeable that patients taking Topamax are likely to lose some weight. Below is a list of factors that may influence how Topamax works to promote weight loss. Factors that influence weight loss on Topamax. There are other factors that may influence weight fluctuation as a result of Topamax treatment. It is known that this drug tends to help people lose weight, and there is a relationship between weight loss and the dosage taken. Those that have been on the drug for an extensive period may notice that weight loss stops once tolerance is developed. Any medications that make you more inclined to eat typically offset the weight loss effects of Topamax. In other words, since you will be on multiple medications that can cause weight loss, the amount of weight you lose will be more significant than if you were just taking Topamax as a standalone treatment. Many people that struggle with seizures and are overweight typically are taking the drug primarily for seizure reduction, but may be pleasantly surprised when they also lose weight. That said, it is estimated that weight loss is among the most common side effects of the drug Topamax. Most evidence suggests that weight loss occurs among 11% and 26% of those taking the drug. Those that are taking the medication for the purpose of treating a condition like Bipolar disorder may not like the weight loss. Lost your appetite) and other potential lifestyle factors that may have also contributed to your weight loss.
How Does Topamax Help Weight Loss? Topamax is an anti-seizure drug that can cause weight loss. Many Topamax users have experienced quick success when taking Topamax for weight loss. While the specific mechanism of how Topamax brings about weight loss is not yet understood, doctors and researchers have several theories. During clinical trials of Topamax, one of the most common side effects was significant weight loss. Topiramate has never received FDA approval for the treatment of weight loss, and all weight-loss treatment is off-label. Weight loss was one of the most common side effects of Topamax, occurring in between 11 and 26 percent of patients taking the drug. According to Ortho-Mc Neil's Topamax website, some patients lose weight while taking Topamax, and the amount of weight loss varies according to the dosage taken. Brian Loftus states that some patients lose as much as 15 to 20 percent of their body weight while taking between 100 and 200 mg Topamax, and they report that the weight loss is effortless. The specific mechanism of weight loss resulting from topiramate is unknown; however, there are some common theories about how Topamax helps to facilitate weight loss. In some patients, this change in taste may be so severe that they lose the pleasure associated with food, which may lead to weight loss. Another theory supported by the American Diabetes Association discusses how Topamax may act on blood glucose and insulin secretion, which can lead to weight loss through ketosis.
The adverse reactions in the controlled trial that occurred most commonly in adults in the 400 mg/day TOPAMAX® group and at an incidence higher ( ≥ 5 %) than in the 50 mg/day group were: paresthesia, weight decrease, anorexia , somnolence , and difficulty with memory (see Table 5). Table 5 also presents the incidence of adverse reactions occurring in at least 2% of adult and pediatric patients treated with 400 mg/day TOPAMAX® and occurring with greater incidence than 50 mg/day TOPAMAX®. Table 5: Incidence (%) of Treatment-Emergent Adverse Reactions in Monotherapy Epilepsy Where the Incidence Was at Least 2% in Any TOPAMAX® Group and the Incidence in the 400 mg/day TOPAMAX® Group Was Greater Than the Incidence in the 50 mg/day TOPAMAX® Group for Adults ( ≥ 16 Years) and Pediatric (6 to < 16 Years) Patients in Study TOPMAX-EPMN-106. Table 9 also presents the incidence of adverse reactions occurring in at least 1% of pediatric patients treated with TOPAMAX® and occurring with greater incidence than placebo. Table 6 lists the incidence of adverse reactions that occurred in at least 1% of adults treated with 200 to 400 mg/day TOPAMAX® (and also higher daily dosing of 600 mg to 1000 mg) in controlled trials and that was numerically greater with TOPAMAX® than with placebo. Table 9 lists the incidence of treatment-emergent adverse reactions that occurred in at least 1% of pediatric patients treated with 5 to 9 mg/kg TOPAMAX® in controlled trials and that was numerically greater than the incidence in patients treated with placebo. Table 6: Incidence of Treatment-Emergent Adverse Reactions in Placebo-Controlled, Add-On Epilepsy Trials in Adultsa,b Where Incidence Was ≥ 1% in Any TOPAMAX® Group and Greater Than the Incidence in Placebo-Treated Patients. C Adverse reactions reported by at least 1% of patients in the TOPAMAX® 200-400 mg/day group and more common than in the placebo group are listed in this table. The most commonly observed adverse reactions associated with the use of TOPAMAX® that were seen at an incidence higher ( ≥ 5%) than in the placebo group were : paresthesia, nervousness, somnolence, difficulty with concentration/attention, and fatigue (see Table 7). Table 7: Incidence of Treatment-Emergent Adverse Reactions in Study 119a,b Where Incidence Was ≥ 2% in the TOPAMAX® Group and Greater Than the Rate in Placebo-Treated Patients. C Adverse reactions reported by at least 2% of patients in the TOPAMAX® 200 mg/day group and more common than in the placebo group are listed in this table. Table 10 includes those adverse reactions reported for patients in the placebo-controlled trials where the incidence in any TOPAMAX® treatment group was at least 2% and was greater than that for placebo patients. Table 10: Incidence (%) of Treatment-Emergent Adverse Reactions in Placebo-Controlled, Migraine Trials Where Incidence Was ≥ 2 % in Any TOPAMAX® Group and Greater Than the Rate in Placebo-Treated Patientsa,b.
The Food and Drug Administration has approved only one drug—the antidepressant fluoxetine (Prozac and generic)—for the treatment of an eating disorder (bulimia nervosa). "Topiramate is most effective for people who are overweight or obese with binge-eating disorder or bulimia nervosa, and the additional benefit is that they can lose some weight," he says. Also, many people with bulimia nervosa are flirting with anorexia nervosa, and topiramate may cause unwanted additional weight loss." But the drug is recommended only when other medications have been ineffective, and is problematic for bulimic people of normal or low body weight. For those with binge-eating disorder, the APA finds topiramate effective for binge reduction and weight loss, but the side effects might limit its usefulness for many people. In the medication trials reviewed, the Agency for Healthcare Research and Quality found topiramate to be superior to placebos in reducing the number of binge and purge days and easing obsessions related to body weight, food preoccupation, anxiety, and body dissatisfaction in people with bulimia nervosa. The agency reported that topiramate reduced binge frequency and body weight and eating-related obsessions and compulsions in people with binge-eating disorder. The ones who took topiramate plus CBT experienced greater weight loss and a higher rate of abstention from binging during treatment. What are the risks and warnings? 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. Small, short-term, controlled trials suggest that topiramate might reduce binges and purges and promote weight loss in overweight or obese people with binge-eating disorder.
Topamax® (topiramate) is one of the more versatile AEDs. Like all other AEDs studied in head to head trials, there is no AED which is more effective than any other AED when used as initial therapy for the correct seizure type. Topamax lacks many of the more serious side effects seen with the older AEDs. Other side effects include a change in taste, particularly with carbonated drinks, tingling in the extremities, and at times interference with mental function. Loftus has participated in multiple double-blind placebo controlled studies with Topamax and has lot of experience in its use for indications other than epilepsy. Among the most common uses of Topamax is the prevention of migraines . The medication works as well for prevention of migraines as other first class agents meaning it works well for 50% of the patients who take the medication. For those patients that are not sulfa allergic, it is common to use Zonegran® or Zonisamide before topiramate as it has fewer side effects and similar weight loss. Some patients lose weight, as high as 15-20% of their body weight in his practice, and other patients do not lose any weight. The weight loss is generally painless for the patients and they tend to come to a new weight and stabilize there. Less commonly than some of the other AEDs, Topamax is used for neuropathic pain relief. In some groups of patients, diabetics for example, the potential of weight loss is desirable and may therefore be a major reason for trying this medication for the treatment of diabetic neuropathic pain. There have been some positive and some negative results for treatment of diabetic neuropathic pain with Topamax. This is partially because it is a difficult indication to treat and partially because the side effect of tingling in the extremities is sometimes confused by patients with their neuropathy which also has a tingling quality in some patients.
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"I was prescribed Topmax for migraines but I have had weight loss being on it. I take 50mg at night for 2 weeks then 50mg in the morning and 50 mg at night for a total of 100 mg. I've read a lot of the reviews on here and I hope I have good experience with loosing weight. I have started out on 25 in the morning and 25 at night. My doctor weaned me off the abilify and put me on Topomax for mood swings and to loose weight. The struggle is real and I feel for everybody going through this pain. I have been on it now for 21 days and have lost 15 pounds. Finally decided to deal with this weight issue once and for all. A couple of years later I now take 200mg in the morning and 200mg at bedtime and since February I have lost 51 lbs. Topamax (topiramate): "This was prescribed for binge eating as I have mood disorder and I need to lose weight.
Her YMRS score was 1, and her BPRS score was 18. Her YMRS score was 0, and her BPRS score was 18. Her weight before topiramate was 284 lb (128 kg), which decreased to 242 lb (109 kg) at 1-month, 240 lb (108 kg) at 2-month, and to 228 lb (103 kg) at 3-month follow-up. Her weight was 176 lb (79 kg) before topiramate was added, and she had a DSM-IV diagnosis of bipolar disorder. Her YMRS score was 4, and her HAM-D score was 8. Her YMRS score was 8, and her HAM-D score was 7. Her YMRS score was 0, and her HAM-D score was 6. Her weight prior to topiramate treatment was 176 lb (79 kg), which decreased to 165 lb (74 kg) at 1-month, to 162 lb (73 kg) at 2-month, and to 156 lb (70 kg) at 3-month follow-up. Her weight was 180 lb (81 kg) before topiramate was added, and her DSM-IV diagnosis was schizoaffective disorder. She reported feeling depressed and was concerned about her weight. Her weight before topiramate treatment was 196 lb (88 kg). Her YMRS score was 3, her BPRS score was 19, and her HAM-D score was 6. Her YMRS score was 1, and her HAM-D score was 2.
Adults 17 Years of Age and Over - Partial Onset Seizures, Primary Generalized Tonic-Clonic Seizures, or Lennox-Gastaut Syndrome. The recommended total daily dose of TOPAMAX® as adjunctive therapy in adults with partial onset seizures is 200 to 400 mg/day in two divided doses, and 400 mg/day in two divided doses as adjunctive treatment in adults with primary generalized tonic-clonic seizures. In the study of primary generalized tonic-clonic seizures, the initial titration rate was slower than in previous studies; the assigned dose was reached at the end of 8 weeks [see Clinical Studies (14.1) ]. The recommended total daily dose of TOPAMAX® as adjunctive therapy for pediatric patients with partial onset seizures, primary generalized tonic-clonic seizures, or seizures associated with Lennox-Gastaut syndrome is approximately 5 to 9 mg/kg/day in two divided doses. Dose titration should be guided by clinical outcome. In the study of primary generalized tonic-clonic seizures, the initial titration rate was slower than in previous studies; the assigned dose of 6 mg/kg/day was reached at the end of 8 weeks [see Clinical Studies (14.1) ]. The recommended total daily dose of TOPAMAX® as treatment for adults and adolescents 12 years of age and older for prophylaxis of migraine headache is 100 mg/day administered in two divided doses (Table 3). The recommended titration rate for topiramate for migraine prophylaxis to 100 mg/day is: Table 3: Migraine Prophylaxis Titration Schedule for Adults and Adolescents Patients 12 Years and Older. Dose and titration rate should be guided by clinical outcome.
Topiramate and Weight Loss. Unfortunately, weight loss, along with other gastrointestinal problems, is a side effect of the medication. Weight Loss. Not surprisingly, some individuals experience weight loss while taking topiramate. Prescribed for Weight Loss. Qsymia is sometimes prescribed, along with diet and exercise, to treat obesity and promote weight loss.
If you have any questions, ask your doctor or pharmacist. It may take several weeks or months to reach the best dose for you and to get the full benefit from this medication. Do not stop taking this medication without consulting your doctor. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. If you notice other effects not listed above, contact your doctor or pharmacist. Call your doctor for medical advice about side effects. In Canada - Call your doctor for medical advice about side effects. Before taking topiramate, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This drug may make you dizzy or drowsy or impair your judgment. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately talk to your doctor about the benefits and risks of using this medication during pregnancy. If you are taking this drug to treat seizures, note that untreated seizures are a serious condition that can harm both a pregnant woman and her unborn baby, so do not stop taking this medication unless directed by your doctor. Drug interactions may change how your medications work or increase your risk for serious side effects. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist.
Topiramate for Weight Loss. It can be an effective tool that together, with diet and exercise, can be used for weight loss. Topiramate Weight Loss Mechanism: Topiramate mechanism for weight loss is not completely know. How to Use Topiramate for Weight Loss: Topiramate Dosage for Weight Loss: Topiramate 25 mg for Weight Loss: Topiramate 50 mg for Weight Loss: Use of topamax for weight loss is off-label, but some doctors prescribe this as weight loss medicine. Have you used this topiramate tablets for weight loss? Do you know any other information about this topiramate for weight loss?
Topamax is the brand name of topiramate, an anticonvulsant drug used to prevent seizures and reduce the frequency of migraines . The Food and Drug Administration (FDA) approved Topamax to treat seizures in 1996. Topamax and Weight Loss. Pregnancy and Topamax (Topiramate) Topamax (Topiramate) Side Effects. Some side effects of Topamax may disappear after your body gets used to the medication. Topamax (Topiramate) and Alcohol. This is not a complete list of the side effects associated with Topamax. Q: What is Topamax, and what are the side effects of this drug? These are not all the possible side effects of Topamax. Also fatigue and sedation are common with Topamax.
DRUG CLASS AND MECHANISM: Topiramate is an oral drug that is used to prevent the seizures of epilepsy . Seizures are due to the abnormal activity ("firing") of nerves in the brain, and the abnormal activity spreads to smaller or larger portions of the brain. By altering the production or action of the neurotransmitters, topiramate may suppress the abnormal activity of the nerves in the brain that cause the seizures or may prevent the abnormal activity from spreading to other nerves. Other studies suggest that topiramate may suppress the nerves directly (i.e., not by altering neurotransmitters) and make them less likely to fire. The FDA approved topiramate as a tablet in 1997. Topiramate also is used in patients 2 years of age and older with seizures associated with the Lennox-Gastaut syndrome, a severe form of epilepsy which accounts for up to 10% of all cases of childhood epilepsy. Topiramate also is approved for the prevention of migraine headaches in adults.
Topamax Dosage for Weight Loss. What is the proper Topamax dosage for weight loss? When considering Topamax dosage for weight loss, one must take into account the risks of the medication vs. While the above may sound like a dream come true for people desperate to lose weight, Topamax is a powerful drug, and weight loss may come at a price. What Is the Right Topamax Dosage for Weight Loss. The Topamax dosage for weight loss can be as low as 25 mg per day or as high as 800 mg per day-usually split into two doses. When considering Topamax for weight loss, you may want to factor the following into your decision: The use of Topamax for weight loss is an off-label use. It is very likely that relatively small doses of Topamax can cause weight loss in many patients. It is important to note, however, that the FDA has not approved Topamax for the treatment of weight loss.
and they will know how to adjust for the headaches that come with adjusting it. This is my 2nd time on it and I have had NO weight loss and put on 10 lbs since going off of it the last time. The meds also keep me from sleeping so I have been been prescribed Trazodone 100mg for that and anxiety. I have been on the generic Topomax (topamax) for a couple of years now but only 100mg a day and my migraines were not getting any better. I didn't have time to read through all the posts, but want to add that it can take 8 weeks for your body to adjust to the topamax and for you to stop experiencing side effects. I've been on 25 mgs of Topamax for a week and the only side effect has been that I have lost 6 lbs! I have went from 25 mg to now 200 mg in the am and 200 mg in the pm. I now weigh about 105 and I can't gain weight for the life of me. Just about all the side affects you can have I do, but my seizures are under control and for that I am grateful. I have been perscribed topirimate for bulimia and it's the only thing that helps me. That 75 in the morning and 75 at night. I'm taking this for the unbearable migraines and this is working completely! PS - When she was on topamax last time she had no weight loss and was a bit disappointed, but more happy that the seizures stopped : ) I have the hair loss as well, and I'm working with a chiropractor now to reduce the need for topamax at all.
Topamax for Weight loss. Topiramate (Topamax) is used "off-label" as a weight loss pill. Weight loss > /=5% of baseline weight was achieved by 18% of subjects in the placebo arm vs 54, 61, and 67% of patients receiving topiramate 96, 192, and 256 mg/day, respectively. Weight loss > /=10% was achieved by 6 vs 29, 40, and 44%, respectively. How long will it take for topiramate for weight loss results? In clinical trials on weight loss and obesity topiramate was used at doses 96-250 mg per day. Mechanism of action: how Topiramate causes weight loss. The combination of phentermine and topiramate produces significant weight loss (up to 10%) in obese people over the course of one year, according to researchers at Duke University Medical Center 15 . Efficacy and safety of topiramate in obese subjects. The rationale and use of topiramate for treating neuropathic pain. The effect of topiramate on body weight and ghrelin, leptin, and neuropeptide-Y levels of prepubertal children with epilepsy. Weight loss and metabolic effects of topiramate in overweight and obese type 2 diabetic patients: randomized double-blind placebo-controlled trial. Topiramate, nutrition and weight change: a prospective study. The effect of topiramate on weight loss in patients with type 2 diabetes.
How to Take Topamax for Weight Loss. A common side effect of taking Topamax is weight loss, induced by the drug's tendency to suppress the appetite. If you are still interested in trying Topamax, and all other methods of losing weight have not worked for you, then here's what to do. Be ready to state your argument about how other, more traditional, methods of losing weight have not worked for you in the past, and that you are aware of the side effects of Topamax but are willing to try it anyway. While some doctors will deny your request, arguing that the Food and Drug Administration (FDA) has not approved Topamax as a weight loss medication, others will be open to it, knowing that the FDA's lack of approval only means it can't be advertised as a weight loss product by its manufacturer. See if your doctor is open to the idea. Tell your doctor about any prescription or non-prescription medications, including birth control pills, that you are currently taking, because Topamax could interfere with their effectiveness. Follow your physician's directions exactly if he or she does prescribe Topamax for your weight loss intentions. You will only open yourself up to the possibility of more severe side effects, which in turn will most likely cause your doctor to cancel your treatment. Drink plenty of fluids while taking Topamax, because the drug raises your susceptibility of developing kidney stones. While some will disappear on their own after the first eight weeks or so, it is still important to report them to your doctor so he or she can evaluate whether you should stay on Topamax.
TOPAMAX® may cause eye problems. TOPAMAX® may cause decreased sweating and increased body temperature (fever). TOPAMAX® can increase the level of acid in your blood (metabolic acidosis). If left untreated, metabolic acidosis can cause brittle or soft bones (osteoporosis, osteomalacia, osteopenia), kidney stones, can slow the rate of growth in children, and may possibly harm your baby if you are pregnant. Your healthcare provider should do a blood test to measure the level of acid in your blood before and during your treatment with TOPAMAX®. If you are pregnant, you should talk to your healthcare provider about whether you have metabolic acidosis. TOPAMAX® can harm your unborn baby. If you take TOPAMAX® during pregnancy, your baby has a higher risk for birth defects called cleft lip and cleft palate. Tell your healthcare provider right away if you become pregnant while taking TOPAMAX®. You and your healthcare provider should decide if you will continue to take TOPAMAX® while you are pregnant. Talk to your healthcare provider if TOPAMAX® has caused metabolic acidosis during your pregnancy. If you become pregnant while taking TOPAMAX®, talk to your healthcare provider about registering with the North American Antiepileptic Drug Pregnancy Registry. TOPAMAX® can slow your thinking and motor skills and may affect vision. These are not all the possible side effects of TOPAMAX®.
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Dosage of topamax for weight loss. Common Questions and Answers about Dosage of topamax for weight loss. I have been taking Topamax for weight loss for almost two months and have lost 20 pounds and feel great. After that the weight loss slowed and then stopped. I would not recommend Topamax or any other drug for weight loss , particularly if the need is minimal. I read that one of the side effects of topamax is weight loss . I take topamax to control seizures and I must say that I am surprised doctors prescribe it for weight loss alone, and that you are willing to put up with the side effects of it just for weight loss when there are other weight loss drugs out there. Has anyone had any experience in determining what is the most effective dose of topamax for weight loss ? She told me that Topamax is responsible for about a 10 lb weight loss and that is it. My understanding from the drug handout is that it is normally prescribed for migraines, seizures and weight loss . What is the relationship between dosage and weight loss ? Does any one taking topamax for migraines have the problem of memory loss ?
The New Silver Bullet for Weight Loss. Qnexa is a new, potent, effective and safe weight-loss drug that will help in the fight against obesity; it is poised to become the first FDA-approved weight-loss pill in 13 years. Qnexa is a combination pill of two medicines already on the market: phentermine and extended-release topiramate. It is now estimated that 2 of every 3 people are overweight, and about 30% of the population is obese. The studies that looked at Qnexa showed 9.8-14.7% weight loss, depending on the dose and the amount that you are overweight. At the time, we were using both phentermine and topiramate for weight-loss – but individually. Their side effects are quite different so that some patients did better on one drug and some did better on the other. For some, the phentermine’s effect is incomplete and adding topiramate has really helped. For most, adding the second drug boosts the appetite-suppressant effect and there is less hunger.
Topamax Dosage for Weight Loss. The Truth About Topamax Dosage for Weight Loss. Health care providers have started prescribing certain Topamax dosage for weight loss but only for certain situations. But because Topamax is not recommended or even recognized as drug or medication for weight loss by the US Food and Drug Administration (US FDA), this becomes an “off label” prescription or use of drug. Prescription of a minimum amount of Topamax dosage for weight loss falls under an “off label” prescription. Topamax has been prescribed for treatment of weight loss and obesity and to assist in the decrease of the occurrence of binge eating. However, prescription of Topamax for weight loss has also resulted in several undesirable side effects. This is the reason why Topamax will not be approved by the US Food and Drug Administration as a recommended prescription drug for weight loss because there is no balance. Because of this, despite the result, any amount of Topamax dosage and weight loss is not a good combination.
In FDA trials of Topamax side effects were evaluated at 50 mg/day and 400 mg/day, the studies show that 6% of patients on 50 mg/day experienced weight decrease, in people taking 400 mg/day 16% experienced weigh decrease. Cognitive-Related Dysfunction and Psychiatric/Behavioral Disturbances are the most concerning issues with Topamax. In clinical trials for Topamax as adjunctive treatment for epilepsy somnolence and fatigue were the adverse reactions most frequently reported during clinical trials of adjunctive epilepsy. For the migraine population, fatigue and somnolence were dose-related and more common in the titration phase. I used to take Topamax 400 mg/day for migraine- I did lose weight and had other significant side effects. I've been all the way up to 400 mg (200 mg twice a day) and yeah, it does cause weight loss. If you're worried about the healthy part of it then monitor your weight loss. If you notice your weight starting to decrease and your appetite decreasing signifigantly you need to talk to your Dr. Some people have to be taken off of the medication because it causes them to lose too much weight and become unhealthily thin. Discover the secrets of "How Much Faster and Easier You Lose Weight" +) The exact reason why it’s so much more difficult for you to lose weight and keep it off compared to men.
TOPAMAX® may cause decreased sweating and increased body temperature (fever). TOPAMAX® can increase the level of acid in your blood (metabolic acidosis). If left untreated, metabolic acidosis can cause brittle or soft bones (osteoporosis, osteomalacia, osteopenia), kidney stones, can slow the rate of growth in children, and may possibly harm your baby if you are pregnant. Your healthcare provider should do a blood test to measure the level of acid in your blood before and during your treatment with TOPAMAX®. If you are pregnant, you should talk to your healthcare provider about whether you have metabolic acidosis. TOPAMAX® can harm your unborn baby. If you take TOPAMAX® during pregnancy, your baby has a higher risk for birth defects called cleft lip and cleft palate. Tell your healthcare provider right away if you become pregnant while taking TOPAMAX®. You and your healthcare provider should decide if you will continue to take TOPAMAX® while you are pregnant. Talk to your healthcare provider if TOPAMAX® has caused metabolic acidosis during your pregnancy. If you become pregnant while taking TOPAMAX®, talk to your healthcare provider about registering with the North American Antiepileptic Drug Pregnancy Registry. TOPAMAX® can slow your thinking and motor skills and may affect vision. These are not all the possible side effects of TOPAMAX®.
Comment from: chrisca562, 25-34 Female on Treatment for 1-2 years (Patient) Published: January 16. Comment from: katydid, 45-54 on Treatment for 1-6 months (Patient) Published: June 26. Comment from: jlyons506, 45-54 on Treatment for 6 months - 1 year (Patient) Published: November 29. Comment from: HAWKEYE, 45-54 Female on Treatment for 6 months - 1 year (Patient) Published: June 07. Comment from: Joy4u2, 55-64 on Treatment for 1-2 years (Patient) Published: September 26. I was put on Topamax for depression and for weight problems last year at this time I weighed 220 I'm now at 165 I eat well and more healthy not wanting junk food any more. Comment from: 25-34 on Treatment for 1-2 years (Patient) Published: October 21. Comment from: mercury013, 25-34 on Treatment for 1-2 years (Patient) Published: March 04. I took Topamax for over a year, but not for the usual use. I eased off of it about a year sober and am soooo thankful this was around for me to take. Comment from: Alpaige, 25-34 on Treatment for 5-10 years (Patient) Published: September 21. My daughter and I both take Topamax for mood stabilization. I think this may not be the med for her at all. Comment from: papergirl, 35-44 on Treatment for 1-2 years (Patient) Published: January 06. If you can bear with the side effects for the first two months, it is so worth it.
Topamax dosage for weight loss. Common Questions and Answers about Topamax dosage for weight loss. I have been taking Topamax for weight loss for almost two months and have lost 20 pounds and feel great. After that the weight loss slowed and then stopped. I am more concerned that it works for the headache than weight loss at this point for me. I would not recommend Topamax or any other drug for weight loss , particularly if the need is minimal. I read that one of the side effects of topamax is weight loss . I have tried topamax several times for weight loss . She told me that Topamax is responsible for about a 10 lb weight loss and that is it. I have also been prescribed topamax for pain, mood stabilizer and weight loss so I have been looking a lot on the net. My understanding from the drug handout is that it is normally prescribed for migraines, seizures and weight loss . What is the relationship between dosage and weight loss ? Does any one taking topamax for migraines have the problem of memory loss ?
Before wading into the muddy waters of whether Topamax is effective for bipolar disorder, let’s look at one thing that everybody can agree on: Topamax causes weight loss. In terms of efficacy, TCR‘s reading of the literature is that Topamax is probably not effective as monotherapy for acute mania, but that it works pretty well as adjunctive therapy for treatment resistant bipolar disorder. While TCR often slams drugs that have no better quality of evidence than this, we have to admit that there is an impressive number of published trials, and that the results are pretty consistently positive for Topamax (1). The typical result is that Topamax add-on results in improvement in 50-60% of patients. Susan Mc Elroy and her colleagues at the University of Cinncinatti devised a study to see whether adding Topamax to the existing regimens of bipolar patients would make any difference (2). These patients were then regularly assessed with standard rating scales, and the mean duration of treatment was about 7 months; the average final dose of Topamax was 245 mg QD. The results were fairly dramatic, in that adjunctive Topamax worked great for the 63% of patients who entered the study with hypomanic, manic, or mixed symptoms, but it didn’t do much of anything for most of the patients with bipolar depression. The bottom-line from the Mc Elroy study: use Topamax as add-on for your bipolar patients when they have some manic component to their presentation; it’s unlikely to be helpful when they are depressed. A nice chart review published by Marcotte and colleagues reviewed the results of adding Topamax to the regimens of 58 treatment refractory patients, most of whom had either bipolar disorder or schizoaffective disorder, and 44 of whom were rapid cyclers (3).