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Re: low dose topamax theo

Posted by headachequeen on May 22, 2004, at 13:06:44

In reply to Re: low dose topamax shadows721, posted by theo on May 22, 2004, at 10:35:39

> I just started low dose Topamax myself, 25mg at bedtime, moving to 50mg in about 5 days and if needed to 75mg max.


oh dear, the fast track has been shown over and over again to be the fast track to unpleasant side effects... just ask Bridgey and me about the blurred vision and so on...
most neurologilsts will tell you to increase the doses no faster than by two week increments... and not to increase them faster than that if you are not comfortable...
the usual dosage charts tell you to start at 25 mg in the evening for two weeks then go to 50 then to 75 and so on until 200 mg and then to start at an additional 25 mg in the morning if needed... or if only 200 mg total is needed, the suggestion may be to stop at 100 in the evening and start an extra 25 in the morning and so on... and only start the next dose when you feel ready...
not to charge ahead at five days....
this is when the unpleasant side effects kick in... fools rush in where angels fear to tread someone once sang and I think the song referred to topomax <GGG>
take it slowly and then things will go well...

I am an epileptic on high doses of topomax and on 400 twice daily of the demon tegretol and I have no occurrence of glaucoma although I did hit the panic button a year or so ago about the dread disease... before I heard of topomax actually... turned out to be pressure from entropion... and that has been dealt with...
glaucoma is apparently a rare side effect but it is checked out regularly needless to say...

topomax does its job with a lot of fear from the side effects it can and does create...

so we take it easy and slowly, drink lots of water, take our vitamins and biotin, and share our concerns and discoveries and hold each others' hands <gggg>

kat


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URL: http://www.dr-bob.org/babble/20040521/msgs/349657.html