What is Topiramate?

Category: Prescription Drugs

Most popular types: Topamax Topamax Sprinkle Trokendi XR 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 1,142 468
Epilepsy 725 399
Headaches 183 87
Fibromyalgia 119 78
Cluster headaches 99 53
Pain 74 32

Show all 265 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 257
Moderate 352
Mild 276
None 367

Commonly reported side effects and conditions associated with Topiramate

Side effect Patients
Weight loss 95
Brain fog 67
Memory problems 57
Hands tingling 54
Word fishing 52
Feet tingling 49

Show all 420 reported side effects

Dosages

Based on patients currently taking Topiramate

Dosage Patients
100 mg daily 53
200 mg daily 41
100 mg twice daily 40
50 mg daily 37
50 mg twice daily 32
25 mg twice daily 26
25 mg daily 25
200 mg twice daily 20
400 mg daily 17
150 mg daily 14

See all 42 dosages

Why patients stopped taking Topiramate

Multiple reasons could be selected

Reason Patients
Side effects too severe 393
Did not seem to work 260
Doctor's advice 217
Other 109
Expense 38
Personal research 34
Course of treatment ended 30
Change in health plan coverage 11
See all 749 patients who've stopped taking Topiramate

Duration

Currently taking Topiramate

Duration Patients
Less than 1 month 1
1 - 6 months 21
6 months - 1 year 26
1 - 2 years 47
2 - 5 years 104
5 - 10 years 97
10 years or more 83

Stopped taking Topiramate

Duration Patients
Less than 1 month 129
1 - 6 months 203
6 months - 1 year 114
1 - 2 years 101
2 - 5 years 133
5 - 10 years 57
10 years or more 17
Adherence
Adherence Evaluations
Always 1062
Usually 134
Sometimes 22
Never taken as prescribed 34
Burden
Burden Evaluations
Very hard to take 49
Somewhat hard to take 92
A little hard to take 178
Not at all hard to take 933
Cost per month
Cost per month Evaluations
$200+ 19
$100-199 12
$50-99 35
$25-49 104
< $25 578
Not specified 504

What people switch to and from

Patients started taking Topiramate after stopping:

Treatment Patients
Gabapentin (Neurontin) 12
Sumatriptan (Imitrex) 12
Lamotrigine (Lamictal) 9
Divalproex sodium (Depakote) 7
Propranolol (Inderal) 7

Show all 49 treatments patients report switching from

Patients stopped taking Topiramate and switched to:

Treatment Patients
Gabapentin (Neurontin) 13
Divalproex sodium (Depakote) 12
Lamotrigine (Lamictal) 12
Amitriptyline (Elavil) 6
Levetiracetam (Keppra) 5

Show all 46 treatments patients report switching to

Last updated:

116 patient evaluations for Topiramate

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 25, 2017 (Started Apr 10, 2017)

  • Effectiveness
    Can’t tell (for Support mental / emotional health)
  • Effectiveness
    Can’t tell (for Dissociation)
  • Side effects
    Severe (Word fishing, Numbness and tingling with pins and needles, Dizziness and feeling faint)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 200 mg Twice daily

  • 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 116 patient evaluations for Topiramate