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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 not sure if this is of any help, but I have been on Topamax now for almost 5 months and take 50 mg in the morning and 50 mg at night. My doctor has me taking Riboflavin with that dose in the morning and night as well, and I was wondering if anyone else does that as well? I take the Topamax for chronic migraine. I used to get up to 17-18 a month, and I now get maybe 1-2 a month, but those are generally caused I think by me not taking care of myself as well, thinking that since I have medication I can be a little more late with my habits. I am in my early 20s and a girl by the way.
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Avatar universal
yep ive had the same was put on them for migraines stared off on 25mg per day for two weeks now up to 50mg per day
put on weight through bloating not lost it throwing up and still got my migraines been nearly four weeks lost more weight when I wasn't taking them im ready to flush them also very lo on energy and pain in my legs I hate feeling like this
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Avatar universal
My doctor took me off of 50 mg a day not telling me or telling me why but now I'm taking 50 mg a day. I lost from 192 in March to in October to 147. Which I needed to because of my back pain and so many pains that are chronic. When he took me off the other 50 a day it didnt take a month and Ive already gained 13 back and wasnt even trying to and I tried so hard not to eat junk but it made me crave so much stuff I didnt before and I dont even have it in me to do much exercising like I did ask not only did I gain 13 pounds since mid October but Ive lost ALOT of my tone because I just didnt have the ump in me I guess you would call it and just never have an ounce of energy for nothing. And my being short. Any one pound alone makes a HUGE difference! I got down to a size 9-11 on juniors sizes. Im 47 years old BTW.. And now my gut is back and you can see it going over my jeans so now Im gonna have to start wearing sweaters and big ol hoodies to hide all that again which I hate because I was JUST starting to like me after 24 years of being over 200 pounds!!! Im hoping my visit to the doctor tomorrow he puts me back on it twice a day or Im gonna be a very unhappy woman again for years to come. I was happy cause my man was SO HAPPY to see my accomplishments and he loved my toned body and I knew he did by the better looks I got and well... Anyway about the hair loss.. Ive noticed to that when I wash my hair I lose hair every time I wash it and its thinner but you cant really tell it if you didnt know it was coming out. But it does freak me out sometimes because I think wow it coming out like that everyday you would think I wouldnt have any hair but I do. Plus I still have my own natural color of dark brown. And yea I have every now and then I find a grey but I pluck it out and go on. I figured Im 47 fixing to be 48 soon, as soon as I start seeing some real grey I will be hitting the beauty salon and they can get Crayola to take care of me lol I feel pretty good tho cause theres SOOOOOOOO many in my class from school and theres not one yet that weve found that doesnt dye their hair so.. Yeah!! Yall wish me luck they put me back on it because this girl NEVER wants to go back to 247 pounds again which is where I was a year ago and for the past 24 years I've been up and around that number and for a 5 foot girl. Nooooo No and NO. I am NOT gonna feel and get that unhappy again if I have to change doctors again, I will. Thnx yall for your input as well I needed to read all of these.
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3 Comments
I was just prescribed topiramate 5 days ago..extremely low dose to titrate up by a half tab each week. I am taking it for an essential tremor, I addition to another drug. Of course I have not seen any effects yets buts was overjoyed when I found out this drug assists with weight loss. I must say tho, I put my husband and myself on the "Fast Metabolism Diet". Saw a show on the public channel and went out and bought the book and thoroughly read it and made notes and bookmarked pages and purchased all the groceries. My husband who is diabetic and has a lot of edema lost 16 pound...water weight...in 5 days; I've lost 7 pounds. It is an excellent diet except for phase two..three phases to diet each lasting 2 to 3 days. Lots of work organizing but I cud never stick to a diet and this hhas been a breeze..now hearing that topiramate will be a benefit brings me great joy!!!
thank you, for being so candid
i enjoyed you speaking up and telling your story from your heart
Avatar universal
I lost 10 lbs on it but also a beautiful head of hair! Migraines down some. weight only gained due to a med prescribed! Hate this! Ten lbs to go. Can't take migraines anymore. Still 17 a month.
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Avatar universal
Hi, sorry you are feeling so bad. What I have read is: eating high fat foods (fried or not ) like Adkins Diet stuff.. butter, bacon non lean meats. carbonated beverages: regular and diet sodas, sparkling waters and wines  as well as beer and coffee. Sweets seem to be a big culprit in digestive problems.
Maybe take a week off of all these items. Then introduce them one at a time for about 2 days. If the symptoms return, go back to the original list with that one scratched off...then two days later or when you're feeling better...Then try introducing the next thing on the list for two days...and so on. If you get an instant reaction..scratch off!! I am just starting topamax for migraines. My only side effects are increased body tempature, dry and a yucky taste in my mouth. I'm avoiding all of the above food items... I have IBS and this might cause symptoms x10! I will repost if anything positive or  comes from this medicine. Be well soon!! Let us know how you are doing!
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2 Comments
good advise
Increase in body temp?  I am 61 and started taking my temp whenever I felt hot and though my normal temp is 97.1 to 97.8, 2 to 4x a week I got readings from 99.0 to 100.7.  My doctor thinks I need a chest xray and an infectious disease specialist (though I have no viral/bacterial symptoms whatsoever and he reads my chest as being clear).  I have just found out that exercise and/or anxiety & stress can cause abt 2 degrees increase....I have just increased my exercise from 1 hr aerobics/lt wts/resistance training w/hrm at 110-150 bpm to up to 2 hours at a stretch and using a home Total Gym throughout the day doing 2-6 exercises at a time....  I really think it is that.  I refuse to go on any drug that lists weight gain as a side effect as in my 20's I was 300 lbs/personal history of yo-yoing up and down 20, 40, 60 lbs as well as 75% family 50-200 lbs overweight.   I found Topamax helpful in keeping the wt down when I had it prescribed for daily headaches/migraines 3-5x wk but my doctor took me off of it saying it could cause seizures (though I have never had one nor epilepsy!).    Time for a new doctor for my general health (hypothyroid, osteoporosis, reflux, overactive bladder) and maybe a doctor for my chronic pain issues of chronic intractable failed neck pain syndrome (failed cervical fusion) w/chronic daily headaches and migraine disorder, joint hypermobility syndrome (Ehlers Danlos Syndrome), fibromyalgia and arachnoiditis to name a few...  Not sure where to start in the Washington, DC/Northern VA/Bowie, MD area...  Any ideas?  Laura
15909775 tn?1443894168
just taking topomax isnot going to make you loose weight. your appetite should change and you should eat less ..but if you are a habitual, nervous or depressive eater you are not going to loose weight no matter how much topomax you take .. just sayin not playin :)
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2 Comments
This statement is not true. I have been taking topamax for seizures,200mg a day, for about 8 months and without changing anything I do and with a low thyroid disorder and low blood sugar disorder I have lost 64 pounds. It has been only by taking the topamax and by breathing. The only exercising I do is a daily walk and yoga stretching because of the hypoglycemia I cannot do strenuous cardio. I have not changed my diet at all. However, I do also take zonegran for my seizures and the massive weight loss could caused by the combination of these two together. Yet, I have heard plenty of other people on topamax for seizures who have lost significant amounts of weight. Check your facts buddy.
just eat healthy, watch the sugar, eat fruits and veggies. if youre healthy you should do some resistance exercises. maintaining muscle helps to maintain weigth, stability,strength,bone, etc etc, no matter what drug you take.

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