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new to topamax and extremely terrified
Hey guys, I'm so glad I found this page because I start taking Topamax tomorrow. Ok I think I should give you a little history.I was diagnosed with Bipolar-2 disorder 4 years ago. As of then I've been taking Epilim,Zyprexa and Cymbalta, Seroquel and Abilify, and now just Seroquel XR. So I start taking Topamax at 25mg tomorrow and from what I've read, I'm absolutely terrified. I rarely sleep at night,I take Seroquel @ around 6 in the evening and I usually dose off at around 5 every morning,I can't take it any earlier than that because it does make me fairly sleepy but I just can't seem to go into sleep mode until hours later. I also tried increasing the dosage but I suffer severe restless leg syndrome, which results in me not falling asleep anyway.I've also picked up a depressing amount weight while being on Zyprexa, hence my Psych prescribed a low dose of Topamax and for it to aide in me falling asleep. Almost all of you have been on Topamax for quite a while now, if you could please advise me on how you think I should take it. I could simply ask my Psych but she has knowledge of it in theory, you guys take it, so you know how the side effects feel. I'm currently a student in university, and I can't allow for anymore memory loss and thinking impairment than I already have.. I don't plan on moving onto a higher dose. Do you think I should take it on alternative days to reduce the side effects? Anyone with any suggestions..please help...I'm afraid I may lose all the sanity I have left in me... Thank you in advance
January 19 2012, 01:11:09 UTC 4 months ago
I found the Topamax extremely helpful in terms of mood regulation. I am a strange mixture of Bipolar II and Complex PTSD (which isn't officially recognosed yet). It kept me fairly stable. It also knocked out my frequent migraines and nightmares, which was a blessed relief.
However, even at 25mg, I got the memory and thought process side-effects. I give legal advice over the phone for a living, and I found it difficult, even with my years of legal training, to complete sentences and "find words" to explain things. I adjusted to it fairly quickly, but it was disconcerting. I was also drowsy and slow a lot of the time.
I took Topamax for 6 months and was up to 125mg per day before I came off it. I had a perpetually sore scalp, some hair loss (but not a great deal) and memory damage that has persisted, even though I haven't taken it for more than a year.
Whatever you decide, I wish you luck.
January 19 2012, 13:36:29 UTC 4 months ago
What I can tell you is that each experience is different. I had word finding problems when I took it 7 years ago and couldn't add even simple numbers for about a week until my mind adjusted to it then but I was on a rather large dose and I don't recall being put through the step=up that I was required this time around. once I did adjust I was fine, even with steps up in dosages. On the very rare day now, I'll muddle words up but it's never such a problem that it effects anything big which given my line of work (court documentation) could if I didn't pay close attention to detail when working. I did last night make a blunder in wording that ended up being a running joke among the youth I work with in our community. (I doubt I'll be living that one down for a while).
I will say, this time however I've had a long-running effect on appetite. It's sometimes annoying yes, as it almost feels like a mind form of nausea at it's worst but honestly it's rarely awful and I've never thrown up from it. I have lost close to 40 lbs while on it but keep in mind that if you don't do something to maintain the weight loss your body will adjust and bring it back...
The first few weeks on it I Was pretty tired, my advice to that would be, lay down and sleep if you can, don't fight it. Fight it just sucks that much more out of you later and when you do crash you won't wake up as easily as you might need to. Once I settled into it, I was fine. I sleep better now than I have in years. In fact I enjoy taking naps frequently because I can and still be able to sleep now now where as prior to it I had been suffering from not only the migraines but a long running battle with insomnia that robbed me of all sleep as well that was systematically wearing me down.
January 20 2012, 02:43:16 UTC 4 months ago
Thank you again, your respnonses are much appreciated