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 1,173 483
Epilepsy 726 401
Headaches 185 88
Fibromyalgia 121 78
Cluster headaches 102 54
Pain 74 32

Show all 241 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
356
Mild
281
None
381

Commonly reported side effects and conditions associated with Topiramate

Side effect Patients
Weight loss 95
Memory problems 55
Brain fog 54
Hands tingling 53
Word fishing 52
Feet tingling 48

Show all 418 reported side effects

Dosages

Based on patients currently taking Topiramate

Dosage Patients
100 mg daily 61
100 mg twice daily 41
50 mg twice daily 37
200 mg daily 37
25 mg twice daily 33
50 mg daily 32
25 mg daily 26
200 mg twice daily 21
400 mg daily 20
150 mg daily 13

See all 41 dosages

Why patients stopped taking Topiramate

Multiple reasons could be selected

Reason Patients
Side effects too severe 396
Did not seem to work 263
Doctor's advice 218
Other 109
Expense 38
Personal research 34
Course of treatment ended 30
Change in health plan coverage 11
See all 757 patients who've stopped taking Topiramate

Duration

Currently taking Topiramate

Duration Patients
Less than 1 month 2
1 - 6 months 26
6 months - 1 year 26
1 - 2 years 46
2 - 5 years 100
5 - 10 years 112
10 years or more 82

Stopped taking Topiramate

Duration Patients
Less than 1 month 130
1 - 6 months 203
6 months - 1 year 114
1 - 2 years 104
2 - 5 years 134
5 - 10 years 59
10 years or more 18
Adherence
Adherence Evaluations
Always 1083
Usually 135
Sometimes 23
Never taken as prescribed 35
Burden
Burden Evaluations
Very hard to take 49
Somewhat hard to take 92
A little hard to take 181
Not at all hard to take 954
Cost per month
Cost per month Evaluations
$200+ 19
$100-199 12
$50-99 35
$25-49 104
< $25 591
Not specified 515

What people switch to and from

Patients started taking Topiramate after stopping:

Treatment Patients
Sumatriptan (Imitrex) 13
Gabapentin (Neurontin) 12
Propranolol (Inderal) 11
Lamotrigine (Lamictal) 10
Divalproex sodium (Depakote) 8

Show all 49 treatments patients report switching from

Patients stopped taking Topiramate and switched to:

Treatment Patients
Gabapentin (Neurontin) 15
Divalproex sodium (Depakote) 12
Lamotrigine (Lamictal) 12
Amitriptyline (Elavil) 6
Botulinum Toxin Type A (Botox) 6

Show all 47 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: 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
Last updated:
Showing 3 of 116 patient evaluations for Topiramate