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 696 246
Epilepsy 289 157
Headaches 115 54
Fibromyalgia 81 57
Pain 54 16
Bipolar disorder 50 26

Show all 150 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 124
Moderate 180
Mild 153
None 196

Commonly reported side effects and conditions associated with Topamax

Side effect Patients
Weight loss 55
Hands tingling 41
Feet tingling 38
Brain fog 35
Word fishing 25
Numbness and tingling with pins and needles 18

Show all 273 reported side effects

Dosages

Based on patients currently taking Topamax

Dosage Patients
100 mg daily 33
100 mg twice daily 18
25 mg twice daily 17
50 mg twice daily 16
200 mg daily 15
50 mg daily 13
25 mg daily 9
200 mg twice daily 8
400 mg daily 7
300 mg daily 6

See all 29 dosages

Why patients stopped taking Topamax

Multiple reasons could be selected

Reason Patients
Side effects too severe 224
Did not seem to work 135
Doctor's advice 110
Other 55
Expense 25
Personal research 18
Course of treatment ended 17
Change in health plan coverage 7
See all 419 patients who've stopped taking Topamax

Duration

Currently taking Topamax

Duration Patients
Less than 1 month 1
1 - 6 months 12
6 months - 1 year 7
1 - 2 years 13
2 - 5 years 45
5 - 10 years 50
10 years or more 42

Stopped taking Topamax

Duration Patients
Less than 1 month 64
1 - 6 months 118
6 months - 1 year 66
1 - 2 years 53
2 - 5 years 74
5 - 10 years 35
10 years or more 10
Adherence
Adherence Evaluations
Always 558
Usually 63
Sometimes 15
Never taken as prescribed 17
Burden
Burden Evaluations
Very hard to take 28
Somewhat hard to take 52
A little hard to take 86
Not at all hard to take 487
Cost per month
Cost per month Evaluations
$200+ 12
$100-199 6
$50-99 19
$25-49 60
< $25 299
Not specified 257

What people switch to and from

Patients started taking Topamax after stopping:

Treatment Patients
Sumatriptan (Imitrex) 7
Divalproex sodium (Depakote) 6
Gabapentin (Neurontin) 5
Lamotrigine (Lamictal) 3
Pregabalin (Lyrica) 3

Show all 34 treatments patients report switching from

Patients stopped taking Topamax and switched to:

Treatment Patients
Gabapentin (Neurontin) 10
Lamotrigine (Lamictal) 5
Botulinum Toxin Type A (Botox) 4
Divalproex sodium (Depakote) 4
Amitriptyline (Elavil) 2

Show all 34 treatments patients report switching to

Last updated:

74 patient evaluations for Topamax

Sep 19, 2017 (Started Jul 09, 2012)

  • Effectiveness
    None (for post-traumatic stress disorder)
  • Effectiveness
    None (for migraine headaches)
  • Side effects
    None
  • Adherence
    Never taken as prescribed
  • Burden
    Not at all hard to take
Cost: < $25 monthly

Jul 1, 2015 (Started Jul 09, 2012)

  • Effectiveness
    None (for post-traumatic stress disorder)
  • Effectiveness
    None (for migraine headaches)
  • Side effects
    None
  • Adherence
    Sometimes
  • Burden
    A little hard to take
Dosage: 25 mg Daily
Cost: < $25 monthly

Aug 29, 2010 (Started Jul 09, 2012)

  • Effectiveness
    Moderate (for post-traumatic stress disorder)
  • Side effects
    Mild
  • Adherence
    Sometimes
  • Burden
    Somewhat hard to take
Advice & Tips: 1. I feel groggy for about 12+ hours after taking this medication. I usually have to resort to taking Caffeine pills as a small "pick-me-up". 2. No unexpected benefits 3. Too sleepy to function to full capability.
Cost: < $25 monthly

  • 0 helpful marks

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
Last updated:
Showing 3 of 74 patient evaluations for Topamax