I have been on the generic toprimate and the pins and needles sensation in my hands and feet took me several months so go away. My body adjusted to the side effects over time. But what it also did was prevent my body from sweating, and I still feel cold all the time. Also side effects from the medications. I didn't lose any weight unfortunately, I was kinda hoping for one good perk out of dealing with all the tingling. sometimes the sensation was so strong it was painful.
I also take Topamax, and have for years. I know exactly what you mean about the tingling. It does get better. Mine did, and now I can only feel it a tiny bit if my feet are in the same position for a long time (i.e. computer chair rail). It definitely has a side effect of weight loss. In fact, some doctors prescribe it specifically for that reason. (In people who are overweight, and don't suffer from migraine.) I lost weight almost immediately.
I take topomax 200mg 2x a day I was just wondering if there was a good chace it would help with weight loss. I don't take it for that reason it would be a plus though....