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 66
50 mg twice daily 40
100 mg twice daily 39
200 mg daily 35
25 mg twice daily 31
50 mg daily 29
25 mg daily 25
400 mg daily 20
200 mg twice daily 19
150 mg daily 14

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 30
6 months - 1 year 22
1 - 2 years 45
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

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

Feb 2, 2017 (Started Jul 01, 2014)

  • Effectiveness
    Major (for migraine headaches)
  • Side effects
    Mild (carbonated drinks taste flat)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 200 mg Twice daily
Advice & Tips: I'd tell them it makes soda, beer, & champagne taste funny but to me it's worth it. I went from nearly constant migraines to almost none!
Cost: < $25 monthly

  • 0 helpful marks

Dec 16, 2016 (Started Jun 30, 2016)

  • Effectiveness
    Can’t tell (for epilepsy)
  • Side effects
    Severe (paresthesia)
  • Adherence
    Sometimes
  • Burden
    Very hard to take
Dosage: 50 mg Three times daily
Cost: < $25 monthly

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