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 1,220 511
Epilepsy 731 405
Headaches 185 89
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 265
Moderate 368
Mild 295
None 401

Commonly reported side effects and conditions associated with Topiramate

Side effect Patients
Weight loss 98
Decreased appetite 59
Memory problems 57
Hands tingling 56
Brain fog 55
Word fishing 53

Show all 420 reported side effects

Dosages

Based on patients currently taking Topiramate

Dosage Patients
100 mg daily 59
100 mg twice daily 46
50 mg twice daily 40
50 mg daily 34
25 mg twice daily 30
25 mg daily 28
200 mg daily 21
200 mg twice daily 19
150 mg daily 15
400 mg daily 14

See all 41 dosages

Why patients stopped taking Topiramate

Multiple reasons could be selected

Reason Patients
Side effects too severe 413
Did not seem to work 270
Doctor's advice 227
Other 109
Expense 39
Personal research 35
Course of treatment ended 31
Change in health plan coverage 12
See all 781 patients who've stopped taking Topiramate

Duration

Currently taking Topiramate

Duration Patients
Less than 1 month 1
1 - 6 months 16
6 months - 1 year 37
1 - 2 years 50
2 - 5 years 116
5 - 10 years 98
10 years or more 62

Stopped taking Topiramate

Duration Patients
Less than 1 month 141
1 - 6 months 207
6 months - 1 year 113
1 - 2 years 105
2 - 5 years 141
5 - 10 years 62
10 years or more 18
Adherence
Adherence Evaluations
Always 1127
Usually 141
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 185
Not at all hard to take 1001
Cost per month
Cost per month Evaluations
$200+ 20
$100-199 12
$50-99 35
$25-49 105
< $25 609
Not specified 548

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) 7
Zonisamide (Zonegran) 7

Show all 50 treatments patients report switching to

Last updated:

117 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: 50 mg 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 117 patient evaluations for Topiramate