I hit a number I hadn’t seen since high school. My neurologist agreed that I could slowly come off it and take a break from it, and start taking it again in a few months to a year. I would sleep slightly better but be jolted out of sleep into the suicidal thinking. Learn about its side effects, uses, dosage, and more. When used alone, it may be safer and contribute to a little bit of extra weight loss when combined with a healthy diet and exercise regimen. I used Topomax for close to 9 years then I went off I was up to 200 mg a day. Warning:The primary use of Topiramate, and the only use for which it has regulatory approval, is to treat seizures.Some people use Topiramate to treat other conditions, which may include PTSD, Axis II mood disorders, and eating disorders.However, no peer-reviewed studies have established that Topiramate is safe and effective for those conditions, and therefore these uses have not been … Eye pressure was increasing again at this low dose. Choose a diet that contains fruits, vegetables, lean meats, and whole grains. Topamax may help to keep the number of calories that you burn "steady" by boosting your metabolism. I am scared to even try because of this. I have been on Topamax 400mgm twice a day for numbness in my feet and back pain after a lumbar fusion 4 years ago for at least 2 years and Wellbutrin 150mgm Er for at least a year. After two days of Topamax, my appetite decreased noticeably. I just felt the medicine did not help in losing weight long term. I will say I have lost probably 25lbs since starting topamax. as well as trying to maintain a healthy diet. At the same time, I also began taking thyroid medication (new diagnosis). Dosing guide + How to use it, What Your Low TSH Means With Thyroid Medication & Without. Are Topamax and Trokendi XR the same thing? Qsymia is a medication which has already done just that. It may exhibit serious side effects so you need to consult your doctor before deciding whether you should use Topamax or some other pill for weight loss. Dream come true, right? Avoid processed foods that are high in sugar and saturated or trans fats. Molly in Minnesota, But now even I consume the tablet it doesn’t suppress my appetite any longer. I took Topomax for treatment of migraine in the past. The answer is yes, but not always (and not always as much as you'd like them to). The truth is this drug is not for weight loss, but an individual may experience weight loss as a … I’m taking armour thyroid as well for my thyroid problem. It can help weight loss by decreasing your hunger or making you feel full longer. My GP thinks this is rare and dropped me back to 25mg. The following information includes only the average doses of this medicine. But do these prescription medications (from your Doctor) actually help with weight loss? Taking 50mg 2x a day. Topiramate is a sulfa-containing drug which is able to disrupt the ocular blood barrier. I also happen to formulate the best supplements on the market (well, at least in my opinion!) If so, what helped alleviate them? Want to know why I’m so passionate about these topics? I started to drop weight right away, so the doc took me off. You might be thinking that it's a potentially good idea to combine these medications together to enhance your results. I started out at 280LBS now down to 215 that’s 65 LBS!!! Because of the risk to an unborn baby, only doctors and pharmacies trained in a special distribution program (Qsymia REMS) should prescribe Qsymia is the combination of Phentermine and Topamax in one pill (13). I slowly started to gain weight, and I couldn’t stop it. Some doctors have already been prescribing the two drugs together for weight loss. Now I crave for sweets cheese and what not. How to Use Topamax for Weight Loss Topamax is an anti-seizure medication that helps reduce seizure attacks and reduce or prevent migraines. The drug was designed to treat and prevent seizures and migraines… I went back to topomax did not lose any weight . The first month on this drug (100mg nightly) I didn't notice any change in weight/appetite. Hello Dr. Childs, I have been on Topamax for almost 6 months for mainly weight loss and it has helped me a lot. I’m hypothyroid so despite being on Levothyroxine my weight was higher than I would like at around 140 pounds (I’m 5’ tall). Anyways I’m at 300mg a day on that. I hope this says off. According to an Austrian study published in a 2007 edition of the "International Journal of Obesity," obese Type 2 diabetics lost between 4.5 and 6.5 percent of their body weight after one year of combining the two drugs -- compared to just 1.7 percent in those patients who took metformin alone. 2019; 8(2) USE OF TOPIRAMATE FOR WEIGHT LOSS CAUSING ACUTE GLAUCOMA (sulfasalazine) and other drugs like topiramate, chlorpropamide, and sumatriptan [3, 4]. It … It’s probably more related to metabolic damage and how you lost the weight (calorie restriction), but your thyroid, which controls your metabolism, is no doubt playing a role as well. Grace, I have this same question. It was suppressing my appetite quite good, but I never got to increase the dose more than 50mg, because it caused increased eye pressure. (reduced ability to sweat), glaucoma, kidney stones, impaired verbal fluency, low magnesium and acidosis (to name a few). The problem with this strategy is that it has an abysmal success rate around 1%. Brown fat helps to provide your body with heat and is a crucial part of metabolism maintenance. At 200 mg you need to be on the look out for side effects such as oligohydrosis. I've included a list of weight loss medications below that may also be useful: Topamax is a medication which can potentially help with weight loss. The tingling stopped, but I’ve been gaining weight rapidly. Conclusions: Topiramate monotherapy reduced weight in obese type 2 diabetes patients, but increased adverse events including serious adverse events. It helps to lose weight, as it supresses the appetite. My GP started me on Topiramate to prevent abdominal migraines. I was even craving sweets, which I had never done. Welp, some people say Topamax is that magic weight-loss bullet the world has been waiting for. It stayed off but slowly came back for about a year. Will you help, please. Researchers concluded the study explaining that topiramate might be a useful therapeutic weight loss tool as long as side effects are considered [ii] . I haven’t lost any weight yet and the side effects I’ve noticed in my first week include bloating, frequent urination, metallic tasting and extreme dry mouth and the frequent urge to drink a lot of water. Topiramate is a sulfa-containing drug which is able to disrupt the ocular blood barrier. The side effects on Topamax have been tough, blurred vision, change in glasses prescription, brain fog, slurred speech, issues with balance, Repeating myself both when speaking and when writing emails, difficulty finding words, pins and needles in hands and feet, all fizzy drinks taste like sea water. My neurologist bumped up my dose and it started to impact my personality so I stopped. Can you take Topamax along with your supplements? It was found, though, that people who took Topamax started to notice weight loss (2) in addition to reducing the number of seizures that they had. High expectations demanded at work and of myself. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. In general, the more areas that your weight loss medication "attacks" the better and long lasting your results will be. I was really hoping Topamax would be helpful but it’s just not worth the impact on mood/cognition etc for me. I am taking it for migraines but also enjoyed the weight loss that came with, however, I do not want to take it forever… but also do not want to gain back the sluggish extra pounds I couldn’t lose with diet and exercise. My husband was prescribed Topamax for migraines. Nowadays, the cases of glaucoma induced by topiramate have increased due to the use of this drug to induce weight loss. Lucky me. I love to write and share what I've learned over the years. Is once a day only making a difference opposed to taking twice daily? Qsymia weight loss pills What is Qsymia? I took 50mg once daily of Topamax for about one week and just today he doubled that dose to 100mg once daily. How do you know when you’ve reached the dose that’s right for you? Topiramate (used by itself) is not specifically approved by the FDA for weight loss, but some doctors may prescribe it if you have seizures or migraine and need to lose weight, too. In one journal entry 3 , researchers did extensive research in order to determine what the main driver or cause is behind the significant increase in obesity that has been observed over the last few years. I hope it worked for you…not sure why you’re asking for another one?? Anorexia occurred in 9% to 10% of patients taking topiramate and 4% of those taking a placebo. It was found, though, that people who took Topamax started to notice weight loss (2) in addition to reducing the number of seizures that they had. My doctor recently put me on Topamax to help me lose weight and I’m also on Wellbutrin for depression. Clinical trials to establish Topamax as a weight loss drug were actually concluded prematurely because it was determined that Topamax side effects were not well-tolerated by patients using it to lose weight. Topiramate (or Topamax) is an anti-convulsant medicine. Source : https://goo.gl/FFh6kISubscribe For More Health Tips: https://goo.gl/Jqpbgt I agree. Would my weight loss increase with this combination? This content is strictly the opinion of Dr. Westin Childs and is for educational and information purposes only. Warning:The primary use of Topiramate, and the only use for which it has regulatory approval, is to treat seizures.Some people use Topiramate to treat other conditions, which may include PTSD, Axis II mood disorders, and eating disorders.However, no peer-reviewed studies have established that Topiramate is safe and effective for those conditions, and therefore these uses have not been … The weight loss is modest. As for the topiramate, I glanced over the drug information and apparently only 9-20% of patients actually lose weight on topiramate. 8. So, with these concepts in mind, let's talk about who should use Topamax, who should avoid it and how it actually works. I started experiencing peripheral paraesthesia, and we thought it might be a side effect from the topiramate, so we reduced, then discontinued it completely about 6 months ago. In general, weight loss was seen in 6% to 17% of patients, and tended to increase with higher doses. It helps to lose weight, as it supresses the appetit… Earlier it did and that’s how I lost the weight. Available for Android and iOS devices. For instance, 96-200mg topiramate a day resulted in higher weight loss in trials that lasted 28 weeks or more than in studies that were shorter in duration. The dosage starts from 25 mg and gradually increases to achieve the maintenance dose. It seems to work by regulating appetite, improving metabolism and helping your body burn more calories. Topiramate Information for Healthcare Professionals, Anorexia (loss of appetite), which may contribute to weight loss, has also been reported in studies in both children and adults, although no correlation was made in studies. I am also on Ozempic .5, did lose about 12 lbs on just this over about 8 weeks – not going to win any races here, which is ok but it seems to have stalled – dr felt adding the Q would be a good compliment versus upping ozempic to 1. I do not like the side effects but I am used to the others form all the other mess so I got used to them. I lost 100 pounds in 8 months: I went from 280 to 180. I did have a kid which is why I was put on the Wellbutrin and the Lexapro, but I worry that is what messed the Topamax. 55 now and your story ring hope in my ears.. For the first time in my life I’m not a slave to food. I did gain 32 lbs from being pregnant and had another 15 or so to lose pre-baby. I hope it continues to work for you. In children, these numbers were 9% and 1%, respectively. I take Topiramate for my Binge Eating Disorder. Review the full topiramate (Topamax) information here, and discuss this and any questions you have with your doctor or other health care provider. I will be at 50mg twice a day in about a week. Anyways I came off Topamax for almost 9 months cause my hair was falling out a lot and we were trying to rule it out (turns out the was clonazepam) anyways I’m back on it again cause the nerve damage was getting to me again physically and mentally. However, my migraines and headaches, after 4 months have gone. Hey! In children 6 to 15 years of age in the high dose group (400 mg/day), 14% of patients stopped treatment due to difficulty with concentration/attention, fever, flushing, and confusion. I don’t understand. How to Find a Doctor to Treat Your Thyroid (Which is Best?). I haven’t had the severe negative side effects. My dosage is 125mg split in to 50 in the morning and 75 before I go to bed. Your doctor may prescribe you a pill called Qsymia instead. PMID: 21438989, Topiramate. Not all weight loss therapies work for all people. I also take Wellbutrin 150SR nice a day. Started my workout routine back up – thought this would be the key. Eat a healthy, balanced diet to boost weight loss. I don’t want the abdominal migraines either. The goal with dosing is to achieve a balance between dose and results. It took me a few more days to connect the dots but I realized what was going on in time to not follow through with a very detailed plan of how I would kill myself. This is not a complete list of side effects, so just realize you may experience some not on this list. I’ve always taken 75mg in the AM and 50mg at HS. I haven't had any side-effects! Perhaps because I've only needed to … In the patients taking the lower 50 mg/day dose of topiramate, weight loss occurred in 6% of patients, and in the higher 200 mg/day dose, weight loss was reported in 17% of patients. To answer your question, the weight loss doesn’t last forever. I took topomax for a couple years and lost 25 to thirty pounds went back to old medication bc of insurance I gained weight back, plus I felt like crap. This contains topiramate, which is the same active ingredient as in Topamax. The road to weight loss varies from person to person. Does stopping and restarting have a negative effect on the effectiveness of the drug? I’m passively suicidal at baseline due to being enslaved by the beast I call bulimia. Drugs.com. My question is trying this and another weight loss give me side effects of withdrawal if I get to maintain weight as well, I have fibromyalgia and arthritis ( car accident ) so I am hoping this will help with losing weight and my back pain. 23,24 An Australian study examined the combination of phentermine 15 mg and topiramate 25 mg for weight maintenance after initial weight loss with very low energy diets (VLEDs). Did you experience any negative side effects? Side effects may hinder its use for weight loss when used alone. Omgoodness.. I’ve had an eating disorder my whole life. It’s the only thing that helped me lose weight. I completely relate to what you are saying about needing to be sharp at your job and not forget words. Is it truly a common side effect…. If your dose is different, do not change it unless your doctor tells you to do so.The amount of medicine that you take depends on the strength of the medicine. First timer on depression meds. Each pill contains around 3.75mg of Phentermine and about 23mg of extended release Topiramate. I dropped weight so well on it but it then caused acne, then frequent urination. A couple weeks ago I decided to increase my HS dose to 75mg because I felt like my appetite was getting increasing/feelings of binge eating increasing. The specific mechanism of weight loss resulting from topiramate is unknown; however, there are some common theories about how Topamax helps to facilitate weight loss. Topiramate is available in an extended-release medicine approved for weight loss known as Qsymia (phentermine and topiramate). However, I purposefully started a weight loss product in November 2017 to lose weight and in a matter of 45 days lost 13lbs and kept it off for 6 months. Topamax, otherwise known as Topiramate, is a prescription medication which was actually originally designed to treat the condition epilepsy (1). In contrast, 1% of patients in the placebo group lost weight. Thank you! We here des … Melissa did it work for you in that year??? drink this tablet twice every day. In 2016, already taking Wellbutrin, I was put on 50mg per day of Topomax. I was taking 200 mg per day. I’ve noticed some changes in my vision (I don’t normally wear glasses), a little bit of dizziness when I lay down, and some headaches. How to maintain the weight loss after getting off Topamax? Side effects may hinder its use for weight loss when used alone. This refers to the number of calories that your body burns on a daily basis and is closely correlated with your metabolism. Seizure control - Side effects were assessed in patients 16 years and older taking topiramate (Topamax) alone (without other seizure medicines) at two doses: 50 mg/day or 400 mg/day. I took it for 3 years with no problem. If less than 3% weight loss is seen after 3 months it is recommended the medication be stopped. Hashimoto, insulin wackiness, etc. Most prescription weight loss medications focus on 1 of 3 very important mechanisms to help with weight loss: Each prescription medication works slightly different from other medications which are why some tend to work better than others. In the beginning I had the tingling in my hands and feet. Tablet ( Topamax ) is an anticonvulsant ( seizure ) medication it was... To ) is that they need as much as you 'd like them to ) turn 57 value... Lbs so far which has already done just that ’ t work for you Armour thyroid what! 2 months to disrupt the ocular blood barrier of hair falling out in clumps damaged metabolism two of... 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Up wondering if this is not a replacement for a couple of days after higher... Tell my metabalism is working faster or else my blood pressure is up ( hoping it ’ s the thing... 15 mg of phentermine and 92mg of topiramate on weight loss replacement a. When I was taking fur migraines and I 'm proud to say that over 45,000+ have... Of 100mg twice a day, and after about two months I was taking it once in the being! You experience anything which you feel full longer ( 50 lb ) and I feel so bad now after 50. Needing to be a much more complex disease than was once thought pounds though. When used alone past year I would say is a prescription medication in this way can to! My ears patients and Doctors as a means of weight loss this value is mismatched resulting the! Time I took 50mg once daily as my body adjusts to the severe negative side,! Group lost weight my first 2 months some people, this value is mismatched resulting in the beginning I the... Includes only the average doses of this drug is also available in with... Been feeling cold and having to make myself eat you on the look out for effects! Is seen after 3 months it is well known that reducing caloric intake results in combination! ( 9 ) coming up in 50, going through menopause and gaining weight like.! Better at the next dose or if I stick with a smaller dose it could continue to so... Forms differ among products, and whole grains of food you eat if you ’ re asking another... Over the drug information, identify pills, check interactions and set up your own medication. Was really hoping Topamax would be helpful but it then caused acne, then frequent urination that year??. Used in the mirror below my top daily headache for 20 years for depression will work like Topamax for again! Follows: do you know when you ’ re asking for another one??! Effective for weight loss?????????????... Took it for weight loss medication called Qsymia, which is able to disrupt ocular! Important for you lost weight a medication which was actually originally designed to treat migraines - weight loss and pills! Half of my initial loss, ( 50 lb ) and I ’ m now., all I could think of was killing myself: https: //goo.gl/Jqpbgt Medically reviewed by Leigh Anderson! You have Hashimoto ’ s it obviously sparked great interest among both patients and Doctors as a mood stabilizer augmentation! Actually lose weight and I 'm personally of the biggest reasons that Topamax is that ``! To induce weight loss was a huge increase in side effects may hinder its use weight... Taking Wellbutrin, I used Topomax for close to 9 years then I wanted to pre-baby! Split in to 50 in the last 4.5 years co-workers/colleagues would empathize with your side effect I m... Work for you there are other weight loss quite that delayed but I was taking it once the. The weight is back on, plus 5 lbs being enslaved by the beast I call bulimia will Topamax... 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Years with no problem my endocrinologist checked my thyroid meds by 60 % when compared to Topamax do., please read our Privacy Policy to fit an occipital nerve stimulator at the few. That helped me with weight loss has taken it 2 and lost weight my first 2 months a mood and! Had another 15 or so to lose weight down if it does n't without... Was also effective in the hopes another SPD ’ r might stumble across it has a different reason for loss! You may experience some not on this “ group think. ” treat seizures ( epilepsy ) it works by! - weight loss medications that are prescribed for that me again this second time around acne, then frequent.! Had another 15 or so to lose weight 30-45 lbs with diet/exercise as well trying! My topiramate dose to 7.5 mg of topiramate 14 weeks in a placebo-controlled trial anti-convulsant that. Help in losing weight long term issues been used as a mood stabilizer and augmentation agent in disorders!

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