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 1,199 493
Epilepsy 726 402
Headaches 185 88
Fibromyalgia 122 79
Cluster headaches 105 54
Pain 75 33

Show all 243 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
258
Moderate
361
Mild
287
None
388

Commonly reported side effects and conditions associated with Topiramate

Side effect Patients
Weight loss 97
Memory problems 56
Brain fog 54
Hands tingling 53
Word fishing 52
Feet tingling 48

Show all 420 reported side effects

Dosages

Based on patients currently taking Topiramate

Dosage Patients
100 mg daily 66
100 mg twice daily 45
50 mg twice daily 44
200 mg daily 35
50 mg daily 34
25 mg twice daily 33
25 mg daily 28
200 mg twice daily 17
400 mg daily 16
300 mg daily 14

See all 41 dosages

Why patients stopped taking Topiramate

Multiple reasons could be selected

Reason Patients
Side effects too severe 404
Did not seem to work 269
Doctor's advice 220
Other 109
Expense 39
Personal research 34
Course of treatment ended 31
Change in health plan coverage 12
See all 768 patients who've stopped taking Topiramate

Duration

Currently taking Topiramate

Duration Patients
Less than 1 month 1
1 - 6 months 22
6 months - 1 year 34
1 - 2 years 54
2 - 5 years 112
5 - 10 years 117
10 years or more 74

Stopped taking Topiramate

Duration Patients
Less than 1 month 140
1 - 6 months 206
6 months - 1 year 109
1 - 2 years 104
2 - 5 years 137
5 - 10 years 61
10 years or more 18
Adherence
Adherence Evaluations
Always 1101
Usually 136
Sometimes 22
Never taken as prescribed 35
Burden
Burden Evaluations
Very hard to take 49
Somewhat hard to take 95
A little hard to take 182
Not at all hard to take 968
Cost per month
Cost per month Evaluations
$200+ 19
$100-199 12
$50-99 35
$25-49 105
< $25 599
Not specified 524

What people switch to and from

Patients started taking Topiramate after stopping:

Treatment Patients
Gabapentin (Neurontin) 14
Sumatriptan (Imitrex) 13
Lamotrigine (Lamictal) 11
Propranolol (Inderal) 10
Divalproex sodium (Depakote) 8

Show all 50 treatments patients report switching from

Patients stopped taking Topiramate and switched to:

Treatment Patients
Gabapentin (Neurontin) 16
Divalproex sodium (Depakote) 15
Lamotrigine (Lamictal) 12
Amitriptyline (Elavil) 8
Zonisamide (Zonegran) 7

Show all 47 treatments patients report switching to

Last updated:

115 patient evaluations for Topiramate

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: 200 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

Mar 17, 2017 (Started Mar 05, 2017)

  • Effectiveness
    Major (for migraine headaches)
  • Side effects
    Moderate (anorexia nervosa, aphasia, stuttering)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 100 mg Twice daily
Advice & Tips: I suffered from crushing migraines for 40 years.... when i got the 100mg dose 2 x day my migraines disappeared, fir that i will put up with aphasia and stuttering and spelling errors to not have crushing pain for 40 years. i can now wean off the narcotics i took norco 10mg /325 to get pain control to 4-5/10 and now i am pain free it is a good trade.
Cost: < $25 monthly

  • 0 helpful marks
Last updated:
Showing 3 of 115 patient evaluations for Topiramate