![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by MrChris on October 24, 2001, at 11:25:18
Hi. I'm on Zyprexa 10mg, Neurontin 900mg, and my pdoc just added Topamax 50mg for weight control. I've read some disturbed reports about cases were glaucoma was caused by topamax -- I am noticing changes in my vision, should I be concerned? things aren't fuzzzy -- they just look different, it's hard to describe. Things are clear, but different. how do I know when I should be concerned? what exactly does blurred vision mean? does it mean things become fuzzy? less clear?
I'm sooooooooooooo paranoid over this!~ HEELP!!!Peace Out.
-MrChris
Posted by JohnX on October 24, 2001, at 11:52:38
In reply to Topamax and Vision HELP!, posted by MrChris on October 24, 2001, at 11:25:18
Hi,
I don't have experience on topomax, but a lot
of the anti-convulsants including lamictal and
neurontin have had effects on my vision. there
could be potentiating interactions with the
neurontin and topomax. Anyways, my blurry vision
usually goes away fast. Wellbutrin was the only
anti-depressant that caused blurry vision. Curiously
for me blurry vision was a precursor symptom to
complete depression remission for the few times I
was fortunate to have this happen.Others hopefully have more info about dangerous
blurry vision. I now this is a severe concern
with a med called vigabatrin, but haven't heard
it about topomax. My doctor told me kidney stones
was more a concern on topomax (although those can
be blasted out of your system).What are you taking the topomax for?
regards,
john
> Hi. I'm on Zyprexa 10mg, Neurontin 900mg, and my pdoc just added Topamax 50mg for weight control. I've read some disturbed reports about cases were glaucoma was caused by topamax -- I am noticing changes in my vision, should I be concerned? things aren't fuzzzy -- they just look different, it's hard to describe. Things are clear, but different. how do I know when I should be concerned? what exactly does blurred vision mean? does it mean things become fuzzy? less clear?
> I'm sooooooooooooo paranoid over this!~ HEELP!!!
>
> Peace Out.
> -MrChris
Posted by MrChris on October 24, 2001, at 11:59:14
In reply to Re: Topamax and Vision HELP! » MrChris, posted by JohnX on October 24, 2001, at 11:52:38
Taking the Topamax to hopefully counteract the weight gain from Zyprexa -- tried Meridia - worked great but it raised my blood pressure too high so have to try something else. I've only been on topamax since last friday (less than a week) and so far nothing...so i guess we'll see.
Peace out.
-MrChris
Posted by Greg on October 24, 2001, at 12:04:30
In reply to Topamax and Vision HELP!, posted by MrChris on October 24, 2001, at 11:25:18
MrChris,
I had the same concerns recently and brought them up with my psych. He wasn't aware of the glaucoma reports, your doc may not be either. You should let him know about any changes in your vision, especially blurred vision and tell him about the report. My blurred vision was things at a reasonable distance were becoming out of focus for me. I made an appt with my eye doc and was tested for glaucoma and everything was fine. We made an adjustment to my reading glasses and the blurriness has cleared up. You might want to consider a visit to the eye doc if you're really concerned about this, better safe than sorry.
I hope you'll let us know what happens.
Greg
> Hi. I'm on Zyprexa 10mg, Neurontin 900mg, and my pdoc just added Topamax 50mg for weight control. I've read some disturbed reports about cases were glaucoma was caused by topamax -- I am noticing changes in my vision, should I be concerned? things aren't fuzzzy -- they just look different, it's hard to describe. Things are clear, but different. how do I know when I should be concerned? what exactly does blurred vision mean? does it mean things become fuzzy? less clear?
> I'm sooooooooooooo paranoid over this!~ HEELP!!!
>
> Peace Out.
> -MrChris
Posted by Sunnely on October 24, 2001, at 19:59:19
In reply to Topamax and Vision HELP!, posted by MrChris on October 24, 2001, at 11:25:18
Recently, the maker of topiramate (Topamax), Ortho-McNeil Pharmaceuticals, Inc., sent out a "Dear Healthcare Professional" letter to all doctors and prescribers informing them of the potential for the serious form of eye disease called glaucoma.
As of August 17, 2001 there have been 23 reported cases of glaucoma (in more than 825,000 patients) due to Topamax. Twenty-two of these patients are adults and 1 pediatric patient.
The symptoms have typically occurred within the first month of treatment, with patients reporting an acute onset of decreased visual acuity (blurred vision) and/or ocular (eye) pain.
If the patients develop this symptoms, the primary treatment to reverse the symptoms is discontinuation of Topamax as rapidly as possible, according to the judgment of the treating patient. If this condition is left untreated, it can lead to serious complication including permanent blindness.
Patients taking Topamax should notify their doctor immediately if they experience blurred vision or eye pain.
If you notice things becoming fuzzy, less clear or having eye pain since you started taking Topamax, notify your doctor ASAP. You may need an eye exam done.
> Hi. I'm on Zyprexa 10mg, Neurontin 900mg, and my pdoc just added Topamax 50mg for weight control. I've read some disturbed reports about cases were glaucoma was caused by topamax -- I am noticing changes in my vision, should I be concerned? things aren't fuzzzy -- they just look different, it's hard to describe. Things are clear, but different. how do I know when I should be concerned? what exactly does blurred vision mean? does it mean things become fuzzy? less clear?
> I'm sooooooooooooo paranoid over this!~ HEELP!!!
>
> Peace Out.
> -MrChris
Posted by MrChris on October 25, 2001, at 8:08:45
In reply to Re: Topamax and Vision HELP! » MrChris, posted by Sunnely on October 24, 2001, at 19:59:19
Thank you! That does clear things up for me.
However, I'm very worried the dosage isn't going to control the weight gain associated with zyprexa.....but that's a whole other issue.....
thanks,
chris
Posted by JohnX2 on October 27, 2001, at 20:47:56
In reply to Re: Topamax and Vision HELP!, posted by MrChris on October 25, 2001, at 8:08:45
You may already know that there is a new alternative
to Zyprexa, Geodon, that doesn't have the weight
gain side effect.-john
> Thank you! That does clear things up for me.
> However, I'm very worried the dosage isn't going to control the weight gain associated with zyprexa.....but that's a whole other issue.....
> thanks,
> chris
Posted by MrChris on October 27, 2001, at 21:00:39
In reply to Re: Topamax and Vision HELP! » MrChris, posted by JohnX2 on October 27, 2001, at 20:47:56
yes, im aware of the alternative, but i've heard it's not nearly as effective and also the heart stuff. so.....
Posted by JohnX2 on October 28, 2001, at 1:57:56
In reply to Re: Topamax and Vision HELP!, posted by MrChris on October 27, 2001, at 21:00:39
i haven't read the specific reviews on this
newsgroup about geodon, but I'll have to admit
that I picked zyprexa when I talked to my pdoc
solely based off the headers of the reviews on
this news group.How about adding in a 1/2 dose of Wellbutrin
for the weight loss? Say 150 mg/day?-john
> yes, im aware of the alternative, but i've heard it's not nearly as effective and also the heart stuff. so.....
Posted by MrChris on October 28, 2001, at 10:46:01
In reply to Re: Topamax and Vision HELP! » MrChris, posted by JohnX2 on October 28, 2001, at 1:57:56
I will discuss that with my pdoc. I've had trouble with blood pressure with Meridia -- so I might have trouble with Wellbutrin when it comes to blood pressure, but I would DEFINATELY want to give it a try. My pdoc said he was going to try adrafinil next, and then if that didn't work he was giong to try glucophage........but im toally not willing to wait that long. I want results NOW!
Posted by JohnX2 on October 29, 2001, at 1:05:06
In reply to Re: Topamax and Vision HELP!, posted by MrChris on October 28, 2001, at 10:46:01
Meridia is a close cousin of Effexor which can
increse blood pressure. Most of the data on
Wellbutrin is benign with regards to blood pressure.
In fact I think it may go the other way (lower)
from the clincial trial but not statistically significant
from the scientists data points. Blood pressure was most
definately a statistically significant side effect
of Effexor.Good luck. I'm getting a bit fat on Zyprexa.
Of well. Boy do a crave a #2 biggie size Wendy's
meal...-john
> I will discuss that with my pdoc. I've had trouble with blood pressure with Meridia -- so I might have trouble with Wellbutrin when it comes to blood pressure, but I would DEFINATELY want to give it a try. My pdoc said he was going to try adrafinil next, and then if that didn't work he was giong to try glucophage........but im toally not willing to wait that long. I want results NOW!
This is the end of the 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.