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Wellbutrin update question on Topamax dosage

Posted by chicago77 on October 25, 2003, at 23:16:07

In reply to Re: Tomamax for weight loss, posted by Wrain on September 8, 2003, at 8:51:22

I am also very curious about the dosage for Topamax for weight loss. I currently take Wellbutrin for depression and have no side effects that I am aware of. AND, if you didn't know, they came out with once-a-day dosing... Wellbutrin XL (which is great for me b/c I kept forgetting to take the evening dose, or I'd be somewhere w/out my meds).
Anyway, I also have migraines, although I haven't had a full-blown attack in about a month. However, I am a grad student and was talking to a lecturer that spoke on migraines. I asked her if the prodrome/aura symptoms (visual disturbences in particular) are indicative of a neurological disorder, just as if I was experiencing full-out attacks. Her belief is that migraines are just as much of a neurological disorder as epilepsy (and she works at Diamond Headache Clinic- very famous). So, it would make sense that migraines at treated in a similar way.
As far as the Wellbutrin/Topamax combo, since Wellbutrin typically lowers seizure threshold (making it more likely that you MIGHT have a seizure), I would think that adding on an anti-seizure med (which Topamax is) would be a good idea!
So, back to my original questions... what is the typical dosage of Topamax for weight loss, because I've seen posts that range from 50 mg once a day to 200 mg twice a day! Has anyone noticed drowsiness to be a side effect of Topamax? If so, has taking the med at bedtime made any difference, or does the drowsiness seem to persist thoughout the day? (Geez- can you tell I'm studying for a medical profession?!) I have an appointment with my psychiatrist this coming Thursday (it's Saturday night), and would really appreciate any advice before then so I seem well informed. I will let everyone know how it goes and, if I get a Rx, will update my progress. Thanks everyone!!


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poster:chicago77 thread:50878
URL: http://www.dr-bob.org/babble/20031025/msgs/273489.html