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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
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
I have being taking Topomax 25 mill a day  for 12 days so far no weight loss. due to Lyrica and Cyprelex I gain 20 pounds I went from 127 to 145 that's the reason my DR put me on Topomax .I have aggressive fibromyalgia . how long does 25 mill start working  thanks ?
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Avatar universal
Hi, I have the same problem, I gained 30 pounds (130-160 pounds) while simultaneously on 100 mg zoloft and 25 mg Topamax :( I'm 18 and have BPD and also an eating disorder, i did so much and could not lose any of the weight! I finally got off the zoloft and was wondering how long it took everyone to lose all of their excess weight? Thank you!!
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Avatar universal
ive been on 100mg topamax a while and i do the same thing with memory ive even said you know that stuff sticky on one side holds things together, my friends thought i was nuts when one said "you mean tape?' lol now thats bad
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Avatar universal
Call me vain. I rather live with migraines and be a little chubby, than lose my hair, eyebrows and eyelashes...and breakout like crazy! To hell with Topomax!!
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1 Comments
When your migraines are so bad you would rather smash your head head against the wall because nothing takes the pain away and you have have them 21 days out of the month I would rather take the topamax. I suffered for too long finally something is starting to work.

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Arlington, VA
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