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 1,212 504
Epilepsy 731 405
Headaches 185 88
Fibromyalgia 123 80
Cluster headaches 107 58
Pain 75 33

Show all 248 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 263
Moderate 366
Mild 295
None 396

Commonly reported side effects and conditions associated with Topiramate

Side effect Patients
Weight loss 97
Decreased appetite 59
Memory problems 57
Brain fog 54
Hands tingling 54
Word fishing 53

Show all 419 reported side effects

Dosages

Based on patients currently taking Topiramate

Dosage Patients
100 mg daily 64
100 mg twice daily 45
50 mg twice daily 41
50 mg daily 36
25 mg twice daily 30
25 mg daily 28
200 mg daily 24
200 mg twice daily 21
400 mg daily 16
150 mg daily 15

See all 45 dosages

Why patients stopped taking Topiramate

Multiple reasons could be selected

Reason Patients
Side effects too severe 411
Did not seem to work 269
Doctor's advice 225
Other 109
Expense 39
Personal research 35
Course of treatment ended 31
Change in health plan coverage 12
See all 778 patients who've stopped taking Topiramate

Duration

Currently taking Topiramate

Duration Patients
Less than 1 month 4
1 - 6 months 17
6 months - 1 year 39
1 - 2 years 54
2 - 5 years 119
5 - 10 years 105
10 years or more 67

Stopped taking Topiramate

Duration Patients
Less than 1 month 140
1 - 6 months 206
6 months - 1 year 113
1 - 2 years 105
2 - 5 years 140
5 - 10 years 62
10 years or more 18
Adherence
Adherence Evaluations
Always 1121
Usually 138
Sometimes 22
Never taken as prescribed 39
Burden
Burden Evaluations
Very hard to take 48
Somewhat hard to take 95
A little hard to take 184
Not at all hard to take 993
Cost per month
Cost per month Evaluations
$200+ 19
$100-199 12
$50-99 35
$25-49 105
< $25 608
Not specified 541

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
Zonisamide (Zonegran) 8
Amitriptyline (Elavil) 7

Show all 49 treatments patients report switching to

Last updated:

116 patient evaluations for Topiramate

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

Mar 22, 2017 (Started Jan 04, 2017)

  • Effectiveness
    Moderate (for nerve pain (neuralgia))
  • Side effects
    Mild (very tired right after treatment)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 50 mg Daily
Advice & Tips: this medication may make you VERY tired. I tried 50 mg in the morning and slept for hours. Dr discontinued the daytime dose. Be careful with daytime dosing.
Cost: < $25 monthly

  • 0 helpful marks
Last updated:
Showing 3 of 116 patient evaluations for Topiramate