![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1681 to 1705 of 1838. Go back in thread:
Posted by fierycelt on February 6, 2006, at 21:47:30
In reply to Re: Topomax and redheads... » fierycelt, posted by stresser on February 6, 2006, at 21:26:30
thank you "stressor" I feel lucky knowing people like you, Rainy & Kat aka Storm Rider are out there...I shouldn't be going beyond a dosage of 100mg. I hope your daughter hasn't lost too much hair...it's hard enough being a kid.
I will be switching to the "social page" for my "stories"...Dr. Bob has imparted reason into my ADDHD brain...Thank you Dr. Bob *smile*...Topamax page for Topamax stuff and Social page for social stuff...got it!!! Sorry... be patient with the ADDHD BP. We try hard, but you know we can get distracted!!!
Posted by Aleese on February 10, 2006, at 0:22:07
In reply to Re: topomax, posted by Ellen Brodie on May 12, 1999, at 19:08:30
I was wondering if anyone has experienced loss of appetite with the Topamax and or wieghtloss and if so how many millegrams do you take???
Posted by Aleese on February 10, 2006, at 0:28:43
In reply to Re: topomax, posted by Aleese on February 10, 2006, at 0:22:07
I already posted but i wanted to change my subject.
Does anyone know if there us definate wieghtloss with Topamax and or lowered appetite? if so how many mgs is it suppose to be before it works that way?
Posted by Aleese on February 10, 2006, at 0:31:28
In reply to Re: topamax » fierycelt, posted by stresser on January 29, 2006, at 20:31:10
> Well...so far so good, anyway! My diagnosis was new this time last year, so therefore; I have only been on topomax for one year. I think this is the board for you, because it doesn't matter why you take it. Many of us take it for BP, and many others for other things, but we're all experiencing the same effects from the same medication. You don't have to "ride the storm out anymore". -L
> Have you lost wieght on it?
Posted by redscarlet on February 10, 2006, at 14:08:53
In reply to Re: topamax, posted by Aleese on February 10, 2006, at 0:31:28
Well here's the update from my pdoc appointment yesterday...
After talking to my doctor about how the Zonegran was effecting me ( adding depression & hair loss ) we decided to stop the Zonegran and NOT start the Topamax because we both felt I would NOT have a positive reaction to it and to just stay with the Abilify for my bipolar.
I really do think I would have the same reaction as I did to it the first time I took Topamax. I was tired all the time, my hair loss was MASSIVE and I seemed irritable on it. So I think I will follow my gut feeling and also my pdoc's advice and stay away from it, I feel OK with that at this time.
Best of health to you all and have a good after noon... :-)
Posted by storm rider on February 12, 2006, at 11:47:02
In reply to topomaxwieghtloss, posted by Aleese on February 10, 2006, at 0:28:43
> I already posted but i wanted to change my subject.
> Does anyone know if there us definate wieghtloss with Topamax and or lowered appetite? if so how many mgs is it suppose to be before it works that way?Topomax definitely led to weight loss and suppressed appetite in my case... within a few days of starting to use it I noticed a decrease in weight and the appetite suppression kicked in within the first few days as well...
it definitely shorted out the circuits in my system that caused me to want junk foods and led to a decreased in interest in larger meals and in snacking...
kat
Posted by JaclinHyde on February 12, 2006, at 18:05:49
In reply to topamax - name change, posted by Storm Rider on January 29, 2006, at 21:11:55
I call this drug the "Food? What the hell is that?" drug :-) It is also the 'can't-seem-to-string-two-words-together' drug. I swear this drug turned my mind into mush when it came to making a sentence. And I'm a writer! Loved the weightloss though.
Posted by Aleese on February 12, 2006, at 19:26:11
In reply to Re: topamax - name change, posted by JaclinHyde on February 12, 2006, at 18:05:49
I was on it for about 2 weeks but had to stop due to lack of money to pay for it-it is soo expensive but I noticed I wanted to do NOTHING I was like a zombie. I never really got to notice the weightloss or lowered appetite because I wasn't on it long enough!! I plan on getting back on it but I wanted to ask about occasional alcohol use...is that harmful with the Topamax???
Posted by Karla on February 13, 2006, at 21:22:21
In reply to Re: topomax, posted by Aleese on February 10, 2006, at 0:22:07
I was up to 900mg and it didn't have any weight loss effect on me. But my motabolism is different than yours. My dr said at 200mg is where you may start to see your weight effected.
Posted by Aleese on February 14, 2006, at 11:46:56
In reply to Re: topomax, posted by Karla on February 13, 2006, at 21:22:21
Karla-did you need to loose though?? maybe you didn't and thats why???
Posted by Storm Rider on February 14, 2006, at 13:15:17
In reply to Re: topamax - name change, posted by JaclinHyde on February 12, 2006, at 18:05:49
> I call this drug the "Food? What the hell is that?" drug :-) It is also the 'can't-seem-to-string-two-words-together' drug. I swear this drug turned my mind into mush when it came to making a sentence. And I'm a writer! Loved the weightloss though.
I work as a writer too... in news and broadcast as well as free lance... and have not had any real problems other than the usual where did that word go syndrome that I have always had...
but it is vital, I repeat VITAL, to go slowly on Topomax...
too often people are started on too high a dose and increased too quickly....almost all the time actually....
I was so fortunate to be involved with a doctor who was involved with the original studies of the med as it affected weight loss... he is the one who linked it to weight loss... he was assessing its effect on epileptics and discovered the use for weight loss and did studies
as well as another neuro who uses it extensively for headache treatment...
and was guided well from the start...of course the guy who did the studies is now involved in studying the form of epilepsy I have...
and as a lab rat, I have to admit that I am not all that excited at the testing phases...
happy that someone else was a guinea pig for topomax but not willing to let them experiment on me for someone else's benefit...nasty, aren't I???
meanwhile, take the topomax dosage slowly and titre up slowly and it should not be as devastating...
also the mind jumble seems to wear off after a few weeks according to those I have talked withkat
Posted by Storm Rider on February 14, 2006, at 13:26:38
In reply to Topamax Alcohol, posted by Aleese on February 12, 2006, at 19:26:11
> I was on it for about 2 weeks but had to stop due to lack of money to pay for it-it is soo expensive but I noticed I wanted to do NOTHING I was like a zombie. I never really got to notice the weightloss or lowered appetite because I wasn't on it long enough!! I plan on getting back on it but I wanted to ask about occasional alcohol use...is that harmful with the Topamax???
My sister-in-law was prescribed topomax to deal with spasms in her back...she broke it dramatically a few years ago and has rods and wires and baler twine holding her together so she can walk... some crazy glue too as well as prescription for morphine to cope with the pain...
she tried the topomax and found it controlled the spasm attacks that went with her pain but was told that alcohol was not an option...
no one warned me about it, but then I am not inclined to really like the stuff anyway...
one day she arrived at the door with about four months' supply of topomax... she didn't think doing without a few drinks now and again was worth the relief from spasms...
she had been with friends a couple of nights before and had three or four beers... for her, an alcoholic actually, that was a quiet evening...
the next day she thought she was dying...
the effect of the topomax with the beer...
that was the end of topomax for her..
she had no other side effects...The one time I forgot her warning we were out for dinner to celebrate an anniversary or something and I had a glass of wine, a very light wine as I really do not like wine at all, and liqueur after dinner... the next morning I was sure that I was in the beginning of statis epilepticus...
and anyone who has experienced statis will know how I felt...so my advice would be not to mix the two...
unless one wants to feel really rotten afterwards...it gives the term hangover a whole new meaning !!!
kat...
Posted by Aleese on February 14, 2006, at 13:45:08
In reply to Re: Topamax Alcohol » Aleese, posted by Storm Rider on February 14, 2006, at 13:26:38
Thank You Kat for all your words of wisdom!! My Dr. really should have told me all this so I am glad I found this site!!
Happy Valentines Day!
Posted by bridgey1128 on February 14, 2006, at 14:29:33
In reply to Re: Topamax Alcohol, posted by Aleese on February 14, 2006, at 13:45:42
Hi Kat! I am back on 100mg but really for losing the weight I gained back. I gained 30lbs back that I had lost after starting it. It has done nothing for my BP this go round. I have noticed a definite decrease in my appetite in a higher dosage whereas I didn't last time. Apparently it DID whether or not I noticed since I lost 30lbs. I am doing Anything Goes this year and I wanted to lose some..it's not working as fast..ugh. I have not noticed any problems mixing it with alcohol but it's usually because I only have one or two mixed drinks and food with that and take the meds a couple hours later. Anyway, I am here. :) Hope you all have a great Valentine's Day!
Posted by Storm Rider on February 14, 2006, at 21:38:57
In reply to Re: topomax, posted by Karla on February 13, 2006, at 21:22:21
> I was up to 900mg and it didn't have any weight loss effect on me. But my motabolism is different than yours. My dr said at 200mg is where you may start to see your weight effected.
I don't know about the 200 mg... I began to notice the weight change within a week of starting the topomax...
it was only a little but it was a real jump start to my attitude and self esteem after having come to terms with the weight gain... I had always been extremely slender... all right, thin :(
my husband always told people he married me out of pity because someone had to feed me <g>
When we married I was the same 5'6" I am now and weighed under 100 pounds...
suddenly thanks to the meds I was on to help me deal with the emotional roller coaster I was on because of the change in the epilepsy, I weighed double and I was not pleased...when the neurologist told me that there was a second side effect to the topomax, it caused weight loss, I said I would have to think about it..
and five seconds later said I would try it LOL
anything to eliminate the migraines and control the seizures that were escalating (tegritol on its own was not doing the job and his initial response was to increase the dosage to some grotesque amount until I mentioned the migraines... never thought I would be grateful for blinding headaches!!!!)The topomax had a definite effect on appetite in my case, almost from the start...
I wonder if it is a mental thing? Because the doctor said it would affect weight, I expected it to cause me to lose weight therefore it did???At any rate, I am now strongly addicted to protein, chicken and salmon, and salads... I don't eat grains at all as I have discovered an allergy to them and am a lot healthier since that...
Today's jean and skirt size is a three...
and the doctors, the orthopaedist and gp, are worried about my weight...
seems to me we have been here and done that at the other extreme...
the words anoraexia are being bandied about again... sounds like my twenties all over again...
but it is just a matter of not wanting to eat the heavy meals and the junk stuff...
sort of a mental conditioning...
I am no longer able to eat large meals and no longer want the junky foods... but protein foods call my name...
I'll swear I hear them <GGG>I tried to diet and follow the nutritionist's regimens but it didn't work, the weight would come off for a while then pile right back as I found myself back at the refrigerator or snack food counter...
it hasn't happened -- yet...I have been told by the mri techs who worked on the study with the one neurologist that if I stop taking the topomax the weight will come back...
that is certainly a worry of sorts, although the bigger worry would be the return of the constant seizures...and that is not an option... since my last stay in hospital we finally have the day time nonsense stopped and the clock returned to its normal patterns of nighttime seizures...
for that matter, I have not had a seizure in ten days...
I feel as though I have wond a gold medal at the Olympics!!!
At the moment I am on 600 mg of topomax.. half in the morning and half in the evening....and for the person who was on 900....
apparently the literature available indicates it is safe up to 1600 mg a day but only therapeutic up to 800 mg a day...makes one wonder why it would be prescribed at doses over 800 mg doesn't it...
One of the doctors in ER was doing some research on it the last time I was in and told me that when he increased my dosage to 300 in the morning...
he also told me he thought I should go right from 200 to 300...
when I was stable enough to argue, I explained why that was not a good idea...
figured it might help someone else down the road...
and besides, I cannot pass up a chance to argue... it meant I was feeling much better <s>kat
Posted by Storm Rider on February 14, 2006, at 21:47:50
In reply to Re: Topamax Alcohol, posted by bridgey1128 on February 14, 2006, at 14:29:33
> Hi Kat! I am back on 100mg but really for losing the weight I gained back. I gained 30lbs back that I had lost after starting it. It has done nothing for my BP this go round. I have noticed a definite decrease in my appetite in a higher dosage whereas I didn't last time. Apparently it DID whether or not I noticed since I lost 30lbs.
Hi Bridgey!It will take longer to work the second time around... or so the techs told me...
I had to go off it for one of those wretched intensive tele whatsis tests ... and they warned me that the weight would come back and fast and would be slower to start coming off again...
I had visions of ballooning from 130 to 3000 pounds in a couple of weeks the way the one tech spoke...
but I gained ten pounds and managed to lose it again in a month or so...
It is frustrating though to work your way through the weight thing and have it come back...
self esteem and weight are so intertwined, especially for women and then there is the physical health issue...
when the BP or ADD or other emotional/mental health issues are added into the equation, life becomes extremely complicated.
Sometimes I think there should be a magic formula or button...
I keep asking my doctor why in an age when we have seen men walk on the moon and cars that can travel twice the speed limit and then some, he doesn't have an instant fix for what ails me...
For a couple of years I was seeing a psychologist to help me adjust to the intensified warfare that my brain was escalating with this epilepsy lark. He didn't have a quick fix either...
That annoyed me...
If I break a leg, the doctor puts a cast on it so it can heal. With an emotional problem, the psychologist tells me that I have to find my own solutions, so we talk about it...
I suppose it made sense, but it frustrated the blazes out of me..
I wanted it fixed and I wanted it fixed right then.
And wrapped up in pretty paper with bows on it...same with these weight issues and ADD....
I often wonder how other people manage to sit and watch a movie ...
I cannot go to the theatre to see a movie. I have to wait until it comes out in video...
cannot imagine sitting still that long...
LOL
kat
Posted by Aleese on February 15, 2006, at 13:45:17
In reply to Re: topomax » Karla, posted by Storm Rider on February 14, 2006, at 21:38:57
I will only be on 100mgs I hope that has an effect on my wieght since its such a low dose.
Posted by SandyWeb on February 17, 2006, at 10:08:54
In reply to Re: topomax, posted by Aleese on February 15, 2006, at 13:45:17
Hi all,
I just started Topamax on the 7th. I take 25mg at bedtime and another 25mg in the morning. I'm not finding any problems with it so far other than:
1. each morning I wake up with a headache!! Crazy, huh? I thought this med was also prescribed for migraines. I'm assuming my body is just adjusting to the new med, and the ibuprofen helps just fine.
2. pop or coffee tastes too sweet. That's a GOOD thing, right? Yeah!! I find I'm drinking a lot more milk and water now.
3. Any sugary foods I tend to "regurgitate" (sorry about that!). So I'm trying to eat just plain, healthy foods now.
And this is just the beginning. Yippee. I can go up to a maximum of 400mg. I am actually replacing Gabapentin because it pooped out on me. Plus the other meds I'm on (especially the Remeron) make me eat and eat and eat.I am finding that I like the way the Topamax makes me feel. I don't know how to describe it. It certainly seems to have an anti-anxiety property to it.
Anyways, I will SLOWLY be titrating my dose upwards. I figured I'd add another 25mg to a nighttime dose on the 22nd. Hopefully I won't ever have that problem of "word-recall" that so many people talk about.
God bless.
Sandra
Posted by Storm Rider on February 17, 2006, at 12:57:29
In reply to Re: topomax, posted by SandyWeb on February 17, 2006, at 10:08:54
> Hi all,
>
> I just started Topamax on the 7th. I take 25mg at bedtime and another 25mg in the morning. I'm not finding any problems with it so far other than:
>
> 1. each morning I wake up with a headache!! Crazy, huh? I thought this med was also prescribed for migraines. I'm assuming my body is just adjusting to the new med, and the ibuprofen helps just fine.
>
> 2. pop or coffee tastes too sweet. That's a GOOD thing, right? Yeah!! I find I'm drinking a lot more milk and water now.
>
> 3. Any sugary foods I tend to "regurgitate" (sorry about that!). So I'm trying to eat just plain, healthy foods now.
>
>
> And this is just the beginning. Yippee. I can go up to a maximum of 400mg. I am actually replacing Gabapentin because it pooped out on me. Plus the other meds I'm on (especially the Remeron) make me eat and eat and eat.
>
> I am finding that I like the way the Topamax makes me feel. I don't know how to describe it. It certainly seems to have an anti-anxiety property to it.
>
> Anyways, I will SLOWLY be titrating my dose upwards. I figured I'd add another 25mg to a nighttime dose on the 22nd. Hopefully I won't ever have that problem of "word-recall" that so many people talk about.
>
> God bless.
>
> Sandra
>I am glad to hear that you are starting at 25 mg doses, but the 50 total is still too much...
the ideal way to start is to start at 25 in the evenings...
then increase by 25 mg after two weeks of adjustment time and again after two weeks and so on
IN THE EVENINGS until you reach the half dose (200 mg) and then start the morning dosages...
this will avoid the nausea and vomiting... been there and done that and didn't want the t-shirt or the cd...
and then re-read the information sheets the neurologist gave me when he gave me the prescription
the part that said, start in the evenings at two-week intervals until half the total dosage has been reached before taking morning dosage....
the part I had skimmed over...
there is a down-side to speed reading obviously...with the evening introduction and waiting to take the morning pills, things balanced and there was not the cognitive problem...
other than today's right and left mix up LOL
It is prescribed for migraines and it works...
but taking it too much too quickly and starting in the mornings for some reason messes up the system...
I never asked why.. didn't want to admit I had not read the destructions...
sigh...
kat
Posted by SandyWeb on February 18, 2006, at 12:04:51
In reply to Re: topomax » SandyWeb, posted by Storm Rider on February 17, 2006, at 12:57:29
Hi Kat,
Thanks for your response. It's always good to hear from others who have gone there before us!
I'm still doing wonderfully on the 50mg (half and half). The morning headache is gone now, but there are still some taste aversions.
I'll add another 25mg at night at the 2-week mark of Feb. 22nd.
Oh, by the way, my 17-year old son says my eyes look weird. Like I'm on something. I don't notice anything. Then again, I'm the one who is on something. LOL!!! Have any of you had this happen? Does it straighten out?
Take care.
Sandy
Posted by redscarlet on February 18, 2006, at 12:36:28
In reply to Re: topomax, posted by SandyWeb on February 17, 2006, at 10:08:54
Well here's the latest...
After my pdoc appointment on the 9th where we decided to stop the Zonegran and not add anything else I was just not feeling good at all after about three days. I was having some food issues and feeling pretty depressed.
I talked to my pdoc on Thursday and we decided it wouldn't hurt to try the Topamax again.
It's been at least two years since I was on it the first time.
So I started on 25mg last night.
When I got up this morning I had a small headache but took some Motrin and it went away.
I will be on 25mgs until my next pdoc appointment on March 9th so this is three weeks so I plan to go slow with it this time and maybe my hair will not fall out !
Can anyone tell me if Topamax works as well as it did the first time when you go back to it after a long time off the drug ? I hope so, I sure want the weight loss effect again. Other meds have put on a few lbs over the past year and I want them gone. But I'm taking the Topamax for bipolar AND weight, not just weight.Have a good day everyone and I'll keep you posted on how's it going... :-)
Posted by luvdogs on February 19, 2006, at 2:26:47
In reply to Re: Topomax for Migraines, posted by jasperwasper on June 23, 2003, at 18:52:56
Does Topomax help for just migraines or other types of headaches also? I have TMJ, Migraines and also get bad sinus headaches. I have very bad pain in my knees that wakes me at night. Any info would be great. I'm BP, but hoping this will help with the pain, i'm sick of taking daily pain meds.
Thanks!!
Posted by Aleese on February 19, 2006, at 18:08:27
In reply to Re: Topomax for Migraines, posted by luvdogs on February 19, 2006, at 2:26:47
has anyone else lost lots of weight on Topamax? and is it as expensive for everyone else as it is for me?
Posted by luvdogs on February 19, 2006, at 18:30:42
In reply to Re: Topomax for Migraines, posted by Aleese on February 19, 2006, at 18:08:27
I am just starting the topomax and my DR gave me a sample bottle- doesn't it come in generic also??
How much did you pay for it? A lot??
Thanks!!
Posted by challenged on February 19, 2006, at 22:08:32
In reply to Re: Topomax for Migraines- Generic??, posted by luvdogs on February 19, 2006, at 18:30:42
> I am just starting the topomax and my DR gave me a sample bottle- doesn't it come in generic also??
> How much did you pay for it? A lot??
> Thanks!!Hi.......I just had to reply to this, I just picked up a prescrption and I am up to 200 mil a day now and for some reason my prescription was 50 miligram pills??? 60 count and it cost me $231.99 and I got a migrane instantly.....I am now applying for medical because I have been recently put on disability after leaving a very well paying position in the working world and I cannot afford almost 500 dollars a month for my medication. Not having any insurance, I had to get them. I have been taking 100 miligrams for a year and my DR has been supplying them but he now cannot get them for me anymore. That being my first purchase was a shocker but I also need them. I actually had to leave them there for two weeks until I could afford them which made me feel under par, if you will! ...Sorry to have to break this expensive news to you .... hopefully you have insurance. I am 55 and not old enough for medicaire ....... Good Luck!! So in answer to your question>>>>>>> YES ALOT!!!
Go forward in thread:
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.