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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 2 of 2. This is the beginning of the thread.
Posted by meds4life on June 2, 2004, at 23:51:45
Hi! I am doing a trial of Topamax for weight loss. I am currently on effexor and continue to gain weight. I was hesistant about taking Topamax for weight loss only, however my pdoc was pushing it and I have become so frustrated with weight gain on SSRIs. My question is...what time of day do you take your dosage. My doctor is having me take it once a day. He started me at bedtime, but was having troubles sleeping. Plus, I was not having any appetite reduction. However, when I switched to am, I did have a reduction in appetite all day and not much drowsiness. Should I be taking twice a day? How much are you all taking? He is getting me up to 100 mg only. Any input would be greatly appreciated!
Posted by Sabina on June 3, 2004, at 9:42:47
In reply to Topamax users please respond, posted by meds4life on June 2, 2004, at 23:51:45
I chose to try Topamax as a mood stabilizer augmentation for my BPII over the others out there because of it's weight loss side effect profile, as I had gained weight on the Seroquel I had been taking for several months already. Seroquel had caused some akathisia (for which I have no tolerance) until I learned to space out my doses and I found myself snacking to cope as it seemed to help.
For me, Topamax was an appetite destroyer at even the smallest of doses. I am currently at 200mg, which I take 100mg in the the am and 100mg in the pm (as a personal choice only, not directed by my pdoc). I have lost about twenty pounds on it.
Good luck to you. I know how frustrating it can feel to have to make the choice between mental health and potential weight gain, and all the negative mental blocks that can accompany it.
This is the end of the thread.
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