What dosage of Topamax causes weightloss?

[tiff423]

I just started Topamax.  I'm on 25mg/day and will increase by 25mg/week until I reach 100mg.  I heard the weightloss effect depends on the dose.  So, what dose did everyone here have their success?  And what type of diet/eating plan and exercise plan did you do to help it along?  I'm desperate to lose 40 lbs (half of which I gained on Zoloft-no longer taking).  PLEASE respond if you had any weightloss on this drug, I'm very curious.  THANK YOU THANK YOU THANK YOU!!!!!!!!!  :)

[Raife1]

I have lost 2 stone on topamax, I don't really want to loose anymore but I still want to keep taking them as it helps with my migraines, if I carry on taking them will i just keep loosing more weight or will my body eventually get used to it

[LRom84]

Currently working my way up on Topamax, on my third week and at the 75mg dosage. I’ve lost 3 pounds so far but mostly because everything tastes awful or I’m just not hungry any more. I suffered a very bad concussion 4 months ago and most days since I’m in bed with a migraine my neurologist is predicting is a chronic condition now after some test results have come back less than favorable. I have about 20 pounds to lose so that would be nice but I don’t do much anymore and so far the Topamax has had ZERO affect on my migraines but I’m trying to be patient and hope that as the higher dosages come, so does some relief. Good luck to everyone!

[Thankyoutopa]

I didn't loose any weight until I reached the 200mg dose (100 am 100 pm) in fact I gained on the lower doses... once I reached the higher doses my appetite went away and so did my bulimia! It's a miracle drug so worth the side effects I feel like a noral human again. Have lost 3kg in a week.

[rn_tracy1_rn]

Boy, a lot of the comments here seem like they could be MY story.  First I will start with a negative story. My sister is a hypochondriac. She cannot read anything medical because right away, she has it. I don't believe she has migraines, because, like my mom says, she is the only person I know who can function perfectly with a "killer migraine" as she says. She went on Topamax 25mg, and she called me and said she couldn't see. I was like, "what do you mean you can't see?" kind of not believing her.  She said, "All I see is shadows.  I can't see anything. Like I am blind." Part of me thought she was making it up, but as a nurse, I knew exactly what it could be. I told her, "stop taking the Topamax right away and call your doctor right now."  She asked what it was, I told her not to worry.  She had increased intraocular pressure (fluid pressure in her eyes) from the Topamax. It is very rare, but of course it happened to her. Now is more paranoid than ever. I originally started with Amitriptyline for migraines. I gain quite a bit of weight with that.  I had been thin all of my life, so that was hard to deal with. When I started Topamax, I started with 25mg and increased it until I reached 300mg per day (150 x2). I noticed probably around 75mg that I was losing weight, and lost about 30 lbs total. I never changed my eating, in fact, I think I ate more. I had the tingling in my fingers, hair loss, terrible leg cramps, memory loss, can't think of the words I want to say, the "it's on the tip of my tongue" problem. I felt tired all the time, no energy. It was worth it though, I liked the weight loss. Eventually that stopped. I cut back on the Topamax due to the side effects and I gained weight again. I increased the dosage, but no weight loss. I started on Nutrisystem to lose the weight and have been eating healthy, with fruits, veggies, yogurt, etc. I was able to cut back on the Topamax to 100mg (50 x2) and my headaches are actually less than ever. I have more energy, and feel great.  I still have the leg cramps and hair loss though.  I would like to get off of this drug altogether eventually. There are ways to take off weight more permanently.  This is not the answer. It is a one shot deal. It is a nice side effect if you need the medication, but I would NOT use it solely for the purpose of weight loss.

[jvying]

i take it for nerve pain, neuropathy in my feet, drives me crazy. iam more mobile, especially when im outdoors. walking my dog, etc, when im Not in pain. thats a win win. my drs are so good to me. i dont like your dr,,, oops, sorry

[Evelyn0404]

Jvying, what is your dosage?

[Kivalina]

I lost on 50 mg had to cut back to 25 cause doctor screamed at me. I need it for nerve pain now I have nothing.I DO NOT want the meds that cause weight GAIN..no  no no.

[Evelyn0404]

Does it help for nerve pain alone?

[jvying]

why?? why did your dr scream at you, Kivalina? thats not nice.