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Re: I had dramatic weight loss w/ Tmax

Posted by Madge on January 9, 2003, at 21:38:51

In reply to I had dramatic weight loss w/ Tmax, posted by doggrrl on January 3, 2003, at 16:02:02

> I do not take Topomax for migranes, but for a mild sz disorder and for bipolar disorder (along with lithium and ADs). I have had GREAT luck with it. I lost 22 lbs that I gained due to lithium and neurontin despite intense exercise 5 days a week. Since starting topomax, I have kept the weight off irrespective of my exercise habits, which were curtailed dramatically at one point for 6 months because of a sports injury. I have always been very athletic and had never gained any weight until I started lithium. No matter what I did, I could not shed the extra weight until the Topomax. I realize that I am only one person, and additionally, that I have always been thin. However, I have to say that for me, I am really pleased with Topomax. It also has had a marked AD effect, and has augmented the effects of my other meds. I took it and lithium alone together for months until a number of circumstances necessitated an AD. I take 200 mg/day. The hardest side effect for me was intense sedation. This lessened over time and disappeared but there were days when I thought I would not be able to continue it, especially with my job. I have experienced some naming problems on it -- again hard with my job, which involves lots of cognitive activity, writing, reading, lecturing -- but I can compensate with notetaking. Overall, the benefits -- mood augmentation, weight control -- far outweigh the slight decline in memory. The other side effects I had were fleeting, as I have been on it for over 2 years now and don't remember what they were, except for the horrific fatigue. Good luck to anyone considering this drug, and please write back with any questions. I know everyone is different. I am so sorry for Gorda -- with the hair loss, etc.

goggrrl - At what point did you start to see weight loss with the Topomax? I am currently on 100 mg. I just titrated up to that amount last night and will be at that amount for two weeks when I will go up to 125mg for two weeks before I see my dr. Everytime I titrate up with just 25mg, the sedation is pretty intense for a few days, and then I seem to settle into the new dose. I am taking the Topomax for some mood stabilization but also to counteract the initial weight gain I experienced from taking Remeron.




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