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What dosage of Topamax causes weightloss?

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!!!!!!!!!  :)
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Avatar universal
12 months on Topamax (brand) and Teva generic. Started  at 75mgs, now at 125, along with 300mgs bupropion (Wellbutrin), for mood stabilization. So far I've lost over 80lbs, I'm now 120 at 5'2". No hair loss, no 'word loss', no vision issues, no foginess, zero taste loss. In fact, I've suffered no negative side affects. Now, that said, you need to know: I'm a redhead: we have an extra protein in our blood and metabolize medication differently. We usually need higher doses of everything in order to get the usual benefits other people enjoy. Hope this helps.......have a healthy day!
Helpful - 1
Avatar universal
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
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Jvying, what is your dosage?
194584 tn?1477595313
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.
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2 Comments
Does it help for nerve pain alone?
why?? why did your dr scream at you, Kivalina? thats not nice.
Avatar universal
I'm on Topamax 25mg and I lost 18lbs in just a month it definitely works but you have to change your eating habits along with it portion control very important and I also eliminated soda and junk food
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2 Comments
So it is not the medicine, but the changing on your eating habits that made you loose weight...
good. i was on topamax for neuropathy. it helped some, plus i lost some weigth because im an emotion eater. topamax aeemed to calm my nerves so that i didnt seek comfort foods near as much. im a cancer survivor and the neuropathy is residual pain, the leftovers of a cancer plantin drug. iam grateful for these meds, and good medical care. However,,, i want to be in charge! i quit the topamax, tried to convince myself "i am cured"! next thing i knew, the pain was back and the weigth back on ,,, errr,,, i cannot take anti-inflamatorys. they relieve the pain and make me sick at my stomach, and make my emotional eating worse. yuk!  so hear i go, after 7+ mts im slowly going back on topamax with added respect for what my dr prescribes.
Avatar universal
I've been on 100mg of the generic for almost 4 months. In many ways, it's been a wonder drug. My migraines were almost completely gone, from daily to 4 days per month. It cured my vertigo, travel sickness and tremor. I also lost 30lbs in 3 months.

The past month the daily migraines returned. Before I started the drug I wasn't sure that my daily headaches were actually migraines as they are not as severe as the ones I get at my period and ovulation.

Topirimite basically just changed my migraines from headaches and vertigo into visual auras. Instead of getting daily headaches I started to get daily visual auras. A million times easier to cope with. The auras continued along when the headaches came back.

I went back to the doc he's raising my dose to 200mg over 8 weeks. I'm on 125mg now and already it's helping with the headaches. Not many auras, only if I wake early to use the bathroom. Hoping the high dose will help with my chronic back pain as I'm on max dose of tramadol and it's not helping much.

Side effects - gastric distress!! Everything I eat seems to run through me. Dopamax brain. Forgetting how to spell the simplest of words - like Friday! Anxiety and sleepless nights because of a feeling of impending doom. This is only when I'm raising the dose. Tingling. Facial twitch. Hair loss, but I think this is more due to the weight loss than the pills. Irritability.

Anyone know if the weight loss effect returns when the dose is increased? The weight loss stopped after the third month, right about when it stopped working for the migraines. I still need to lose 15lbs from Cymbalta and Amytriptline. If not, at least I know I won't gain on it :)
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Avatar universal
When I stopped Zoloft, I dropped 40 lbs immediately.  But, I started Topomax about a year later for a tumor on my spine.  At 25 mg I was having good success with pain control, but not great.  I was increased to 50 mg.  On this dosage now for 2 years and I have lost a total of 96 lbs.  I don't exercise, but I don't eat junk food either.  At this point I am quite concerned because for some reason, the more I eat, the more weight I lose.  I am down, today, to 117 lbs.  I lost 6 lbs this past week.  I need  to find a way to maintain a healthy weight so I can continue to take the topomax and use it for pain support. Any ideas?
Helpful - 1
1 Comments
I have same problem ,drink shakes,lots in between meals do not skip meals,you will want to but force feed yourself.I cut myself back to 25 mg just to reach my 100 pounds so doctor will shut up .When she does its back to my 50.

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