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Re: topamax

Posted by katie on April 26, 1999, at 13:16:19

In reply to Re: topamax, posted by Toby on April 26, 1999, at 10:49:35

In my case (I weigh around 150) my doc started me at 50 mg and I have been on 100 mg for about 5 days. (I've noticed w/ p.m. dose that I have to stay awake for a good hour before going to bed because I reach a dream state before I'm actually sleeping and it freaks me out.) I'll be taking the Eskalith down a notch(450 mg) this week. I'll try to keep you posted next month on how I'm doing.
***another note--in the a.m.-- very groggy--may or may not be indicative of the topamax.

> What kinds of doses are working for you ladies? I've seen everything from 100 mg per day to 600 mg per day in the studies, but the studies also indicate that the higher doses make people cognitively dull. I have only one patient on it now (at 100 mg) and she's still got a little bit in the way of hypomania so we're slowly going to go up to 150 mg. She's very bright and in graduate school so I'm being cautious because I don't want to dull her intellect or creativeness, but at the same time when she's manic she doesn't get a whole lot of useful activities done either. I'm hoping we can find a happy medium with the Topamax.




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