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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by lymom3 on October 2, 2006, at 9:29:16
Has/does anyone else take Topamax alone or in conjunction with other meds for BP? When I increased my dose from 50mg to 100mg the change was great. My weepiness was gone. My ranting and raving mood swings were gone and my general ability to deal with life and it's associated challenges was so much better.
For the most part that is still true but the weepiness is back after only about a month at this dose. That was the reason I initially about threw in the towel on this med. I can't just burst into tears for no reason. At home it's one thing...they just roll their eyes at me but I still have to work for a living.
Has anyone had success with increasing the dose to a point where it actually sticks? I'm so darn tired all the time now that I truly can't imagine what upping the dose much more would do to me. Also do take Lamictal 50mg. That did have some beneficial mood stabilizing effect but can't increase the dosage due to negative side effects. I do take 60mg of Ritalin LA also for my ADHD and while that does help my focus, it doesn't touch the tiredness.
Anyone been in the same boat?
Posted by SLS on October 2, 2006, at 9:44:11
In reply to Topamax BPII, posted by lymom3 on October 2, 2006, at 9:29:16
> Has/does anyone else take Topamax alone or in conjunction with other meds for BP? When I increased my dose from 50mg to 100mg the change was great. My weepiness was gone. My ranting and raving mood swings were gone and my general ability to deal with life and it's associated challenges was so much better.
> For the most part that is still true but the weepiness is back after only about a month at this dose. That was the reason I initially about threw in the towel on this med. I can't just burst into tears for no reason. At home it's one thing...they just roll their eyes at me but I still have to work for a living.
> Has anyone had success with increasing the dose to a point where it actually sticks? I'm so darn tired all the time now that I truly can't imagine what upping the dose much more would do to me. Also do take Lamictal 50mg. That did have some beneficial mood stabilizing effect but can't increase the dosage due to negative side effects. I do take 60mg of Ritalin LA also for my ADHD and while that does help my focus, it doesn't touch the tiredness.
> Anyone been in the same boat?
I would continue increasing the dosage of Topomax. Perhaps you can move up by 25mg at a time. I would not stop until you hit 200mg.What are the side effects of Lamictal that you have difficulties with?
- Scott
Posted by Phillipa on October 2, 2006, at 10:41:46
In reply to Re: Topamax BPII, posted by SLS on October 2, 2006, at 9:44:11
If not for the salivation I'd probably still be on lamictal. No other side effects. Love Philliipa
Posted by lymom3 on October 2, 2006, at 11:18:17
In reply to Re: Topamax BPII, posted by SLS on October 2, 2006, at 9:44:11
to > I would continue increasing the dosage of Topomax. Perhaps you can move up by 25mg at a time. I would not stop until you hit 200mg.
>
> What are the side effects of Lamictal that you have difficulties with?
>
>
> - ScottWhen I went from the 50mg to 100mg of Lamictal, I had severe bruising problems, pinpoint purple spots and chest pains. Had the chest pains checked out with my internal medicine doc and no problems found there. All symptoms go away at 50mg. I don't know if the Lamictal truly continues to have any benefit as I have the Topamax added to it. I did feel initial benefit from the Lamictal though.
I don't mind adding more Topamax because I had a great month there but the sleepiness is another huge factor. I can't even imagine functioning with double the Topamax in my system. I am totally willing to give it a chance if I'm not going to have to up my dose to infinity but I just don't know how to address the issue of non functionality during the day.
Any ideas there? Do you think Provigil is an option?
Posted by SLS on October 2, 2006, at 15:15:24
In reply to Re: Topamax BPII, posted by lymom3 on October 2, 2006, at 11:18:17
> Do you think Provigil is an option?
I don't see why not.
If the Topamax is a good match for you, you might be surprised as to how energizing it might be.
- Scott
This is the end of the thread.
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