Posted by Madge on April 2, 2003, at 10:12:35
In reply to should I try topomax with Paxil?, posted by Robs2222 on April 1, 2003, at 22:00:56
There is no reason why you can't take Topamax with Paxil. For SOME people, Topamax helps them lose wieght on AD's. It didn't work for me,but for some it does. 25mg is a very small amount of Topamax. The magic dose for weight loss is around 150mg. You must titrate up very slowly so you avoid the cognitive side effects. I would also want to know if you are watching your diet and exercising? I was able to lose weight on Paxil, without any med,but I wasn't on Remeron. Some people can't lose weight on Paxil without help. One other suggestion,if you don't want to try Topamax first because of the side effects, ask your doctor about Phentermine. It is the non-implicated part of Phen phen. It is a dopamine agonist, and acts like an amphetimine but isn't. That may be a better place to start, and if that doesn't work, try the Topamax. You'll see almost immediately if the Phentermine is going to work. With Topamax it takes a long titration and there is some cognitive dulling.
poster:Madge
thread:5053
URL: http://www.dr-bob.org/babble/20030402/msgs/215387.html