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 1,238 524
Epilepsy 732 406
Headaches 185 89
Fibromyalgia 124 80
Cluster headaches 108 60
Pain 75 34

Show all 242 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 266
Moderate 374
Mild 300
None 411

Commonly reported side effects and conditions associated with Topiramate

Side effect Patients
Weight loss 99
Decreased appetite 61
Hands tingling 57
Memory problems 57
Brain fog 55
Word fishing 53

Show all 339 reported side effects

Dosages

Based on patients currently taking Topiramate

Dosage Patients
100 mg daily 53
100 mg twice daily 48
50 mg twice daily 42
50 mg daily 34
25 mg twice daily 29
200 mg daily 28
25 mg daily 20
150 mg daily 17
200 mg twice daily 17
300 mg daily 12

See all 40 dosages

Why patients stopped taking Topiramate

Multiple reasons could be selected

Reason Patients
Side effects too severe 415
Did not seem to work 272
Doctor's advice 228
Other 109
Expense 39
Personal research 36
Course of treatment ended 31
Change in health plan coverage 12
See all 784 patients who've stopped taking Topiramate

Duration

Currently taking Topiramate

Duration Patients
Less than 1 month 2
1 - 6 months 16
6 months - 1 year 25
1 - 2 years 42
2 - 5 years 120
5 - 10 years 106
10 years or more 64

Stopped taking Topiramate

Duration Patients
Less than 1 month 142
1 - 6 months 207
6 months - 1 year 113
1 - 2 years 106
2 - 5 years 142
5 - 10 years 62
10 years or more 18
Adherence
Adherence Evaluations
Always 1143
Usually 144
Sometimes 23
Never taken as prescribed 41
Burden
Burden Evaluations
Very hard to take 49
Somewhat hard to take 97
A little hard to take 187
Not at all hard to take 1018
Cost per month
Cost per month Evaluations
$200+ 20
$100-199 12
$50-99 35
$25-49 105
< $25 620
Not specified 559

What people switch to and from

Patients started taking Topiramate after stopping:

Treatment Patients
Gabapentin (Neurontin) 16
Sumatriptan (Imitrex) 13
Lamotrigine (Lamictal) 11
Propranolol (Inderal) 10
Divalproex sodium (Depakote) 8

Show all 51 treatments patients report switching from

Patients stopped taking Topiramate and switched to:

Treatment Patients
Gabapentin (Neurontin) 16
Divalproex sodium (Depakote) 15
Lamotrigine (Lamictal) 13
Botulinum Toxin Type A (Botox) 8
Zonisamide (Zonegran) 7

Show all 50 treatments patients report switching to

Last updated:

118 patient evaluations for Topiramate

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

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 118 patient evaluations for Topiramate