About Topamax

3.5 rating based on 87 ratings
Rating: 3.5 Reviews: 87
About Topamax


1 capsule contains topiramate 15 mg, 25 mg or 50 mg;

Indications for use


Method of administration and dose

For optimal control in both adults and children, it is recommended to start treatment with a small dose with the subsequent gradual selection of an effective dose.

Topamax can be taken regardless of food intake. Topamax capsules can be swallowed entirely. Patients who have difficulty swallowing capsules (such as children or elderly patients) may take Topamax as follows:
Capsules gently open, pour the contents of capsules into small amounts (about 1 teaspoon) of soft food. The resulting mixture should be swallowed immediately without chipping, and maybe inquires with sufficient fluid. You should never store a drug that was mixed with food until the next dose.

Pregnancy and lactation

Studies in which Topamax was used to treat pregnant women have not been conducted. Therefore, in the pregnancy, Topamax should only be used if its potential positive effect exceeds the potential risk to the fetus. Isolation of topiramate with breast milk has not been studied in controlled trials.

Effect on the ability to drive and operate machinery.

Like all other antiepileptic drugs, Topamax acts on the central nervous system and may cause drowsiness, dizziness and other similar symptoms. These side effects are mostly weakly or moderately expressed but may be potentially dangerous for patients who drive a car or for those who work with machinery, especially when the patient does not yet have an individual experience with the drug.

Potential Topamax side effects may include:

Topamax used to treat the following diseases:

  1. Harold B. Williams says:
    4.0 rating

    Topamax for Epilepsy

    My son has been taking this medicine for 3 months now. His general condition has improved significantly since taking TOPIRAMAT. Unfortunately, his drinking has been getting worse and worse since taking it. He used to drink up to 3 liters a day. When taking topiramate his drinking volume has reduced to just under 1 liter a day and now he has not been drinking for 3 days. If this does not change, we will unfortunately have to sell TOPIRAMAT again.

  2. Melissa J. Bennett says:
    2.5 rating

    Topamax for Cluster headache; Migraine

    Unbearable life with permanent strong headache has unfortunately brought me to take this drug. It definitely helps, however, the side effects are devastating, extreme drowsiness but a dose of more than 25 mg, fatigue, heaviness and blurred vision as well as nightmares. So unfortunately that also leads to incapacity for work! Would like more information about the drug.

    Side effects: Blurred vision; Dizziness; Fatigue
  3. Jill R. Sizemore says:
    1.0 rating

    Topamax for Cluster headache

    take 2 days of this drug and every time after taking strong pain in the forehead

  4. Bernice M. Jones says:
    4.5 rating

    Topamax for Cluster headache

    Since the diagnosis in 2001 I am receiving preventive treatment with this drug. The application depends on the attack frequency and has already 1000mg daily dose means. Without this treatment, I would be a case of care and from the bed and out of the apartment did not come out. Only through a clear diagnosis of UNI Münster in person Professor Dr.Dr. Evers gave me another chance to shape my life. This treatment concept includes u.a. the standard treatments for cluster headache. Except for an initial weight loss and difficulty concentrating, with slight gait fluctuations and fears, I had no significant side effects with Topamax.

  5. Agnes S. Kearney says:
    3.0 rating

    Topamax for Mood swings; Migraine

    Actually, I did not have any, but when I tried to reduce the dose it came to weaning, such as twitching and migraine-like headache

  6. Nelly M. Jackson says:
    3.0 rating

    Topamax for High blood pressure; Migraine

    Since Topamax, the number of migraine attacks has dropped significantly. I have tingling in my arms and legs, sometimes in my face. After a banana go again. Partly I’m very tired, I also lost about 3.5 kg – which I think is not bad. Striking, however, is a quick irritability with me. I did not complain of interactions with the other meds.

  7. Mitzi J. Widman says:
    2.0 rating

    Topamax for Sleep disorders; Mood swings; Borderline; Depression

    I’ve been taking fluanxole for 5 weeks against strong turf, which is part of my borderline disorder. It also works against my depression. I take 0.5 mg in the evening. As a side effect, I notice that I have an increased appetite for sweets, otherwise my mood is extremely positive and it works. Due to extensive experiences with psychotropic drugs, this medicine is for me otherwise quite poor in side effects, it even counteracts my nightmares and keeps me at a distance to my thoughts without giving me a feeling of drowsiness. However, I have noticed that lately I am very awkward and stumble constantly or somewhere stumble, whether that is due Fluanxol I can not say. Therefore, until now, the urge to sweets at night (hence weight gain) and eventual coordination (concentration) disorder as a side effect of me to consider. The citalopram I take for 4 years, after I had already increased abundantly before my weight has increased, but I have taken other medications. Otherwise it helped more or less. However, I often have more depressive episodes. In the beginning dizziness and unrest, but that passed. Otherwise well tolerated. With Topamax I had no problems, I got it for mood swings because I was also a migraine sufferer. There were no side effects. Not even the hoped-for weight reduction that it supposedly should have. I had to increase the dosage again and again in order to achieve an effect, but I’m no longer convinced, because I’m now quite unstable, as far as my mood is concerned. In an attempt to drop it, I got spasm attack, which was extremely unpleasant. Saroten is an attempt to treat sleep disorders with an antidepressant. In that respect, unfortunately, it fails with me. My mood is better and it makes me less. However, my appetite is enormous and I am gaining weight again, otherwise I do not notice any side effects.

    Side effects: Increase in weight
  8. Jessica M. Edmonds says:
    2.5 rating

    Topamax for Borderline; Depression

    My psichiater had the opinion that I should do something for me, he prescribed me cymbalta and topamax. I have lost within 18 months and 30 kilos. have no side effects. At the moment I have the depression under control

    Side effects: Weight loss
  9. Gayle J. Bassett says:
    3.5 rating

    Topamax for Depression; Migraine

    Had 2 1/2 years 150 mg. Tgl.Trevilor taken. One of the most unpleasant NW of this is the complete Dessinteresse on the sex life. Not only for that reason, but much to the delight of my husband, my neurologist and I decided on Elontril. After a one-day break, the immediate change to Elontril took place. I started from a gradual transition. Probably I was wrong. Already on the first day I got circulatory problems and tingling in the limbs. These symptoms then intensified the following day. In addition, and that was far worse for me, my depression came back so much that they put me out of action for the next 3 days. In the meantime I have recovered from it. Since the 5th day I am now plagued by a permanent nausea that actually starts in the morning in the bathroom. Pregnancy is excluded and so bad is my game image so now again not synonymous;)!

    Side effects: Libido loss
  10. Betty A. Smith says:
    4.0 rating

    Topamax for Depression; Epilepsy; Migraine

    After the start of taking Topamax it came pretty quickly to the described weight loss – pleasant – but also to disorientation. Can also be related to previous brain surgery. For the treatment of focal epilepsy and migraine, I can only recommend Topamax. Since SAB with Clip Brain Aneurysm, I have depression that is getting stronger and now being treated with amitriptyline. Now, my brain sometimes runs like a DVD player in fast-forward or I fall asleep at the desk, can no longer assign things, I’m just completely confused. 1 and 2 do not seem to be compatible?

    Side effects: Dizziness; Weight loss; Fatigue
  11. Dustin G. Bain says:
    3.5 rating

    Topamax for Depression; Epilepsy

    In the meantime, he already takes 175 mg Topamax and 60 mg Cipralex per day. He sleeps a lot has frequent headaches otherwise can do little. Seizures are still present. Has no lust for life, is on the ground. Was already in closed psychiatry, brings nothing.

    Side effects: Headache; Depressions; Fatigue
  12. Gordon S. Bradley says:
    3.0 rating

    Topamax for Migraine

    For me, the drug has extreme side effects. So I noticed: (looked at wikipedia) very strong: extremely strong fatigue !!! increased irritability !!! Depression !!! Concentration disorders !!! Disturbed memory capability !!! the feeling that you can no longer learn what you have learned Sleep disorders !!! weak: eating disorders It is not clear if everything came only through the drug, but I suffer from severe depression. It was discontinued over a year ago. Positive effect: (had frequent strong Mirgäne with strong aura … blurred vision … tingling / paralysis etc …) no more migraine attacks since taking the drug and not even after stopping !!! Conclusion: Despite the positive effect of masking migraine, I would advise against any of this drug because of the side effects (which may have left me with significant lasting harm in the form of depression).

  13. Leo G. Yocom says:
    2.5 rating

    Topamax for Epilepsy; Migraine

    Topamax Poor tolerability despite varying amounts of dose and time of administration. Extreme side effects: Loss of short-term memory, speech disorders, nosebleeds, numbness of the hands and feet – the entire left arm most affected. Weight gain of 15Kg. Side effects easy: aggressiveness, balance disorders,

  14. Marion J. Ross says:
    3.5 rating

    Topamax for Migraine

    I started with 25mg in the evening and should be slowly dosing. In the first week of taking it, I fell asleep everywhere on the way, constantly getting into the wrong public transport or missed my stations and was therefore everywhere too late. Also, I felt like someone had put a dark bag over my head. I was extremely dizzy throughout and although I had the feeling to see normal, I still did not notice the details in the picture (like cars). I thought that was due to the many medical appointments and I was tired. In the second week I was not busy as scheduled and should therefore work again to 100%. About noon I had to go home to sleep, otherwise I would have fallen asleep at work and would certainly not get any understanding. The doctor had told me that the side effects would be very strong initially and would decrease over time. After about 2 weeks, I dosed up to 50mg and hoped the side effects would disappear over time, I finally wanted to know if it helps against my chronic migraine. I could not think clearly, not only at work but also in everyday tasks, such as shopping or just walking across the street or driving two stops by bus instead of 16 to the final stop. I could not count at all, even simple bills like 5 + 2 were an unsolvable puzzle to me. Even so, I stuck to the idea that the side effects might disappear and took it further. I dosed after about 3.5 weeks to 75 mg up. I got terrible stomach cramps from it and just wanted to sleep all the time. My sense of direction and even the ability to use my brain for thinking and to solve any tasks in the work, was no longer useful. The attempt to reach my neurologist to ask him for dosing advice had failed, so I dosed myself down to 50 mg. I took 50 mg for 2 days, but the stomach cramps that I have had since the 75 mg dose were getting worse. I was no longer able to work at all and otherwise only a miserable misery. Since I still could not reach my neurologist, I set the dosage after 2 days on my own down to 25 mg, because it was unbearable. That did not improve either. Finally, I reached my neurologist and was able to completely stop the medication after one week to 25 mg. Thanks to this drug and my increased need for sleep and constant dizziness, my now almost 6 year old relationship almost broke up. I almost did not speak anymore because I knew that with my brain skill nothing meaningful came out of me and if so, I would not have been able to process or understand the answer at all. I believe a drug with such side effects not only has the short-term effects of side effects on the body and even if you do not perceive them as extreme as I do now, so must something strong, if you take it in the long term, certainly have long-term effects. I do not think it’s worth bringing such medicines for migraine, after all it’s a more pronounced kind of headache and not life-threatening, so it’s not worth stuffing yourself with such crap and ruining your body with it. Dear Migraine as a loss of personality and complete disability. But maybe that’s just my experience. I had the pleasure of playing guinea pigs for migraine medications for 2 years and then had a little rest and got along better with my aspirin, than with any other meds. I have not tolerated a single medication for migraine so far and have tested about 30 so far. Everyone had terrible side effects on me and no improvement at all. Maybe I am an incompatible exception and other migraineurs tolerate the drugs well. Incidentally, I had weight loss, but that was probably less of the drug than that I slept instead of eating lunch and abens as well. However, the feeling of hunger was completely absent. I had sensory disturbances all the time, but they were not as bad as the rest of the side effects. I also had extreme acne and difficulty remembering the past. I also usually had to cry after work when I came home. However, I do not know if I should count this as depression or just a natural feeling when you feel like you can not do anything normal under the influence of such drugs and just be insane. The side effects disappeared 4 days after drug discontinuation, including the problem of being attached to past events

  15. Kathryn G. Kurtz says:
    3.0 rating

    Topamax for Migraine

    In the first two weeks (despite creeping in the drug) strong dizziness, but the dan disappeared completely. Ant tingling in the fingers and in the feet, but only once or twice a day and not bad. Otherwise no side effect!

  16. Tracy S. Walls says:
    3.0 rating

    Topamax for Migraine

    First, I increased the dose of topiramate from 25mg to 100mg daily. In addition to a strong tingling in hands and feet, I also have language and word finding disorders. In addition, I am tired and need much more sleep than before (about 9h). At 100mg, the migraine was gone, but I was also totally depressed. Therefore dose reduction to 50mg per day. Meanwhile, the side effects are so far okay except for the speech disorders and the tiredness and the need for sleep. At least I thought so. Until now it turned out that Topamax is damaging my liver. And pretty massive. Therefore, I can only advise all migraineurs under Topamax to keep an eye on liver enzymes! Conclusion: If the NW are tolerable, Topamax is really good. Otherwise unfortunately less. I have to stop it now. P.S .: Incidentally, I am one of the few who have slightly increased in Topmamax … but still tolerable at 4 kg