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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
With me iam on 200mg twice daily @1st i had no desire for food,ive bn on it now for 2yrs and i do get the hunger, but i lost 50lbs n the1st 5months n can eat what ever i want n not gain a lb bk, so just stick w it, itll take a few months to start its job and the weightloss,oh btw i started out on 25mg2xs a day n didnt change a thing n my life,no exercise, i live w chronic pain n go to a pain mgt dr monthly, and i didnt change eating habits.  You just have to give it time. And to anyone else interested n my experience w Topamax, i hope it gets better for u
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Avatar universal
I was on Topamax for over 3 years, I took myself off , I was having memory loss, double vision, and hard time thinking about what I wanted to say, since ive been off I have been hungry all the time... and I have gained weight, can I just start back up taking them again...  
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5498282 tn?1368840943
I noticed that I posted a comment back in October of last year which is when I was first put on Topiramate. I take 50mg, twice a day. I have lost weight, but I also have been on a regime of Green Coffee Bean and a Raspberry Extract, as well as Garcina Cambogia. What scares me, is the fear that if I get taken off the medication and if all the weight that I have lost has been due to the topimax and not the other supplements I have been taking. I started taking the other supplements in August and lost 15lbs the first month before taking the topomax, so hopefully I will still be able to keep it off. The other thing I fear too though is that I am totally loosing my appetite. Each day that goes by I almost always have to make myself eat. Today it was 4:00 before I ate anything. I'm 53 and it isn't attractive to start looking gaunt at an old age. I also fear loosing hair and getting ill from malnutrition. I still have mild migraines, not totally disabling as they were, bit still frequent. I see my Neuro the 22nd so I will discuss some of these thoughts with her. Have any of you come off of the meds and stayed off and what has been your experience doing so?
Helpful - 0
5443242 tn?1368037083
They start u low so your body can gradually get used to it , that way u know how your body will react to each dose and how far u can go. Its ideal. I am beginning on 25 also. two a day.. Everyone's body will react differently to it. It may be a month and at 100 mg before u feel any thng or it could be within 2 weeks at 50 mg... follow your body.
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5370415 tn?1367006718
My name is Jen, and I had started taking topomax (topomitrate) a couple of months ago, and I had run out and just not called my doctor for a refill because I had not seen very many results. My doctor has just put me back on it for migraine prevention. I get migraines almost daily, so she is hoping that this will work. I had been looking up this drug online, and saw that it weight loss is a side effect. That actually appealed to me, as well as the migraine prevention. I am only 5'4 and weigh about 150 pounds or so. So I am definitely looking to lose weight. I haven't tried any supplements to lose weight, besides Green Coffee Bean Extract, which actually worked very well for the first two months or so.

So there are two questions that I would really like answered. For anyone who has chronic migraines, has the helped prevent them?
And to anyone who has taken topomax for any reason, have you lost weight? And at what milligram. The milligram that I am on right now is 50 mg twice per day, to 100 mg a day. Do you think that I should talk to my doctor about upping my milligram for more aggressive results? Both for migraine prevention, and weight loss.  
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Avatar universal
A couple of things here...

Don't play with your dosage without discussing it with a doctor/nurse.

Topamax is not like aspirin or ibuprofin - you don't just take an extra one because you feel that you need it. Also, if a pill is not scored (has a small line of indention marking where it should be split) then it is not meant to be split. Scored pills are (supposedly) manufactured to have the same amount of medication in each half of the pill. Not scored = definite crap shoot on how much med you are getting. Also, if a pill is coated and you split it, you've just messed around with absorption rate.

~ ~ HAIR LOSS ~ ~
I was on Topamax for several years. After I'd been taking it for... maybe 4 years, I started losing my hair. I've always had tons of hair, used to joke that I shed like a dog, I'm used to having a lot of hair in my hairbrush every morning. But it seemed like I was starting to lose a bit more every day. I started losing hair in the shower. You know how at the end of the shower you have to pull that little wad of hair out of the drain? I started having to do that once during the shower, between shampoo and conditioner. Then I had to start doing it twice, after the initial rinse and again after the shampoo. This continued on until it got to the point where I was having to pull out that wad of hair 4-5 times per shower as it would completely block up the drain. I came off the Topa. I continued losing hair for about a year after quitting. When I would go to get my hair done I'd need to explain that a medication was making my hair fall out so it needed to be cut really unevenly (but in a cool way) When my hair was in a bob you could tell that some areas were sparse as it makes the hair hang at different lengths. It wasn't until about 3 1/2 years later that it really started coming back in. Before then it would grow in but often be so weak and brittle that it would just break off.

At this point I'd say that maybe 2/3 of it has come back. I think it's a safe bet that I'll never get full regrowth. My hair had always been strong and thick. I once actually flossed my teeth with a strand of my hair. (don't ask) But now, my hair is so thin and fine, it kind of reminds me of cobwebs. For me, it was very hard to watch so much of myself (hair) being rejected by my body. I've never been vain, hardly ever look in the mirror in the bathroom when I'm washing my hands, but for me my hair was (apparently) a big part of my personal identity.
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