What is Topamax?

Category: Prescription Drugs

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Generic name: Topiramate

Topamax®, a brand name for 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 687 240
Epilepsy 290 158
Headaches 114 53
Fibromyalgia 81 57
Pain 54 16
Bipolar disorder 52 27

Show all 149 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
Severe 125
Moderate 178
Mild 154
None 190

Commonly reported side effects and conditions associated with Topamax

Side effect Patients
Weight loss 54
Hands tingling 41
Feet tingling 38
Brain fog 35
Word fishing 24
Numbness and tingling with pins and needles 18

Show all 274 reported side effects

Dosages

Based on patients currently taking Topamax

Dosage Patients
100 mg daily 30
200 mg daily 19
100 mg twice daily 18
50 mg twice daily 15
50 mg daily 13
25 mg twice daily 12
25 mg daily 10
200 mg twice daily 10
400 mg daily 7
300 mg daily 6

See all 28 dosages

Why patients stopped taking Topamax

Multiple reasons could be selected

Reason Patients
Side effects too severe 225
Did not seem to work 133
Doctor's advice 111
Other 55
Expense 25
Personal research 18
Course of treatment ended 17
Change in health plan coverage 7
See all 418 patients who've stopped taking Topamax

Duration

Currently taking Topamax

Duration Patients
1 - 6 months 7
6 months - 1 year 14
1 - 2 years 15
2 - 5 years 45
5 - 10 years 48
10 years or more 39

Stopped taking Topamax

Duration Patients
Less than 1 month 64
1 - 6 months 119
6 months - 1 year 67
1 - 2 years 52
2 - 5 years 72
5 - 10 years 35
10 years or more 10
Adherence
Adherence Evaluations
Always 554
Usually 63
Sometimes 14
Never taken as prescribed 16
Burden
Burden Evaluations
Very hard to take 28
Somewhat hard to take 52
A little hard to take 85
Not at all hard to take 482
Cost per month
Cost per month Evaluations
$200+ 12
$100-199 6
$50-99 19
$25-49 59
< $25 296
Not specified 255

What people switch to and from

Patients started taking Topamax after stopping:

Treatment Patients
Sumatriptan (Imitrex) 6
Divalproex sodium (Depakote) 5
Gabapentin (Neurontin) 5
Lamotrigine (Lamictal) 3
Pregabalin (Lyrica) 3

Show all 33 treatments patients report switching from

Patients stopped taking Topamax and switched to:

Treatment Patients
Gabapentin (Neurontin) 9
Lamotrigine (Lamictal) 5
Botulinum Toxin Type A (Botox) 4
Divalproex sodium (Depakote) 4
Amitriptyline (Elavil) 2

Show all 33 treatments patients report switching to

Last updated:

74 patient evaluations for Topamax

Jun 4, 2017 (Started May 26, 2017)

  • Effectiveness
    Slight (for post-traumatic stress disorder)
  • Effectiveness
    Slight (for Moodiness)
  • Effectiveness
    Slight (for borderline personality disorder)
  • Side effects
    Mild (Dry mouth, Feeling hot)
  • Adherence
    Usually
  • Burden
    Not at all hard to take
Dosage: 50 mg Daily
Advice & Tips: No weight gain so far
Cost: < $25 monthly

  • 0 helpful marks

May 9, 2017 (Started Feb 18, 2010)

  • Effectiveness
    Moderate (for Treat my mood condition(s))
  • Effectiveness
    Major (for Migraine headaches)
  • Effectiveness
    Moderate (for bipolar disorder)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 200 mg Daily

Dec 4, 2010 (Started Feb 18, 2010)

  • Effectiveness
    Moderate (for Treat my mood condition(s))
  • Effectiveness
    Moderate (for bipolar disorder)
  • Effectiveness
    Moderate (for Migraine headaches)
  • Side effects
    Severe
  • Adherence
    Always
  • Burden
    Somewhat hard to take
Dosage: 200 mg Daily

  • 1 helpful mark

Apr 25, 2017 (Started Jul 01, 2010)

  • Effectiveness
    Major (for Migraine headaches)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 45 mg Daily

  • 0 helpful marks
Last updated:
Showing 3 of 74 patient evaluations for Topamax