What is Topiramate?

Category: Prescription Drugs

Most popular types: Topamax Trokendi XR Topamax Sprinkle Show all

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Topiramate is an anti-convulsant and is used with other medications to treat certain types of seizures in patients with epilepsy or Lennox-Gastaut syndrome. It is also used to prevent migraine or cluster headaches.

Reported purpose & perceived effectiveness
Purpose Patients Evaluations Perceived Effectiveness
Migraine headaches 1262 548
Epilepsy 732 408
Headaches 185 91
Fibromyalgia 122 78
Cluster headaches 113 62

Show all 234 reasons taken


  • Major
  • Moderate
  • Slight
  • None
  • Can't tell

Side effects

Side effects as an overall problem

Side effects as an overall problem
Severity Evaluations Percentage
Severe 285
Moderate 386
Mild 310
None 425

Commonly reported side effects and conditions associated with Topiramate

Side effect Patients Percentage
Weight loss 109
Decreased appetite 65
Hands tingling 64
Brain fog 61
Memory problems 60
Feet tingling 59

Show all 337 reported side effects

Dosages

Based on patients currently taking Topiramate

Dosage Patients Percentage
50 mg daily 24
50 mg twice daily 24
100 mg daily 22
25 mg daily 19
25 mg twice daily 18
100 mg twice daily 17
200 mg daily 15
200 mg twice daily 15
150 mg daily 8
150 mg twice daily 8

See all 28 dosages

Why patients stopped taking Topiramate

Multiple reasons could be selected

Reason Patients Percentage
Side effects too severe 428
Did not seem to work 276
Doctor's advice 237
Other 114
Expense 40
Personal research 37
Course of treatment ended 31
Change in health plan coverage 12
See all 810 patients who've stopped taking Topiramate

Duration

Currently taking Topiramate

Duration Patients Percentage
Less than 1 month 2
1 - 6 months 7
6 months - 1 year 13
1 - 2 years 28
2 - 5 years 64
5 - 10 years 50
10 years or more 42

Stopped taking Topiramate

Duration Patients Percentage
Less than 1 month 148
1 - 6 months 213
6 months - 1 year 113
1 - 2 years 112
2 - 5 years 150
5 - 10 years 65
10 years or more 21
Adherence
Adherence Evaluations Percentage
Always 1192
Usually 148
Sometimes 23
Never taken as prescribed 43
Burden
Burden Evaluations Percentage
Very hard to take 55
Somewhat hard to take 105
A little hard to take 195
Not at all hard to take 1051
Cost per month
Cost per month Evaluations Percentage
$200+ 20
$100-199 12
$50-99 36
$25-49 106
< $25 638
Not specified 594

What people switch to and from

Patients started taking Topiramate after stopping:

Treatment Patients Percentage
Gabapentin (Neurontin) 17
Sumatriptan (Imitrex) 15
Lamotrigine (Lamictal) 13
Divalproex sodium (Depakote) 11
Propranolol (Inderal) 11

Show all 54 treatments patients report switching from

Patients stopped taking Topiramate and switched to:

Treatment Patients Percentage
Gabapentin (Neurontin) 17
Divalproex sodium (Depakote) 14
Lamotrigine (Lamictal) 14
Botulinum Toxin Type A (Botox) 10
Amitriptyline (Elavil) 7

Show all 58 treatments patients report switching to

Last updated:

119 patient evaluations for Topiramate

Dec 8, 2019 (Started Jul 01, 2013)

  • Effectiveness
    Slight (for weight loss)
  • Effectiveness
    Moderate (for mood swings)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 150 mg Daily
Cost: < $25 monthly

Jul 8, 2018 (Started Jul 01, 2013)

  • Effectiveness
    Moderate (for mood swings)
  • Effectiveness
    Moderate (for weight loss)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 150 mg Daily
Cost: < $25 monthly

  • 0 helpful marks

Feb 12, 2019 (Started Jul 01, 2017)

  • Effectiveness
    None (for mood swings)
  • Side effects
    Severe (hair loss)
  • Adherence
    Never taken as prescribed
  • Burden
    Not at all hard to take

Jan 15, 2019 (Started Jul 01, 2017)

  • Effectiveness
    Slight (for mood swings)
  • Side effects
    Severe (hair loss)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 50 mg Twice daily

  • 0 helpful marks

Sep 19, 2018 (Started Jan 01, 2004)

  • Effectiveness
    Can't tell (for epilepsy)
  • Side effects
    Mild (tremor in hands, brain fog, word fishing)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 75 mg Twice daily
Advice & Tips: the side effects may be poor balance. Drink with plenty of water. That is a must.
Side effects: word fishing, tremor in hands, brain fog

Nov 23, 2009 (Started Jan 01, 2004)

  • Effectiveness
    Slight (for epilepsy)
  • Side effects
    Moderate (tremor in hands, brain fog, word fishing)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 75 mg Twice daily
Side effects: word fishing, tremor in hands, brain fog

  • 0 helpful marks
Last updated:
Showing 3 of 119 patient evaluations for Topiramate