Posted by SLS on October 31, 2013, at 17:10:16
In reply to Re: can topamax stabilize one's mood?, posted by chinaboy on October 31, 2013, at 3:48:49
> Thank you for your reply! What do you think of maintaining on 2oo mg per day?
I think 200 mg/day is a good dosage, but your friend might find that 100 mg/day works equally well. I initially set 200 mg/day as my target dosage. I then tested for metabolic acidosis (blood bicarbonate). Everything was normal. Metabolic acidosis is dose-dependent, so it makes sense to find the minimum effective dosage. I would probably try going up to 200 mg/day first in order to save time and determine the maximum therapeutic effect. At that point, she can reduce the dosage gradually and see if she can be maintained on 100 mg/day.
I can't guarantee that someone won't experience cognitive and memory side effects, but these can be minimized, and possibly completely avoided by using the dosage titration schedule I suggested in my previous post.
Of course, your friend will work with your doctor to create a treatment plan.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1053361
URL: http://www.dr-bob.org/babble/20131025/msgs/1053453.html