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 1,241 526
Epilepsy 732 407
Headaches 185 89
Fibromyalgia 124 80
Cluster headaches 109 60

Show all 233 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 267
Moderate 375
Mild 303
None 413

Commonly reported side effects and conditions associated with Topiramate

Side effect Patients
Weight loss 100
Decreased appetite 61
Brain fog 57
Hands tingling 57
Memory problems 57
Word fishing 53

Show all 327 reported side effects

Dosages

Based on patients currently taking Topiramate

Dosage Patients
100 mg daily 46
50 mg twice daily 40
100 mg twice daily 36
50 mg daily 33
200 mg daily 27
25 mg twice daily 23
25 mg daily 22
200 mg twice daily 17
150 mg daily 13
300 mg daily 12

See all 38 dosages

Why patients stopped taking Topiramate

Multiple reasons could be selected

Reason Patients
Side effects too severe 417
Did not seem to work 274
Doctor's advice 230
Other 110
Expense 40
Personal research 36
Course of treatment ended 31
Change in health plan coverage 12
See all 790 patients who've stopped taking Topiramate

Duration

Currently taking Topiramate

Duration Patients
Less than 1 month 3
1 - 6 months 16
6 months - 1 year 17
1 - 2 years 41
2 - 5 years 110
5 - 10 years 98
10 years or more 55

Stopped taking Topiramate

Duration Patients
Less than 1 month 144
1 - 6 months 209
6 months - 1 year 113
1 - 2 years 106
2 - 5 years 143
5 - 10 years 62
10 years or more 19
Adherence
Adherence Evaluations
Always 1149
Usually 144
Sometimes 23
Never taken as prescribed 42
Burden
Burden Evaluations
Very hard to take 50
Somewhat hard to take 98
A little hard to take 187
Not at all hard to take 1023
Cost per month
Cost per month Evaluations
$200+ 20
$100-199 12
$50-99 35
$25-49 105
< $25 624
Not specified 562

What people switch to and from

Patients started taking Topiramate after stopping:

Treatment Patients
Gabapentin (Neurontin) 17
Sumatriptan (Imitrex) 14
Lamotrigine (Lamictal) 11
Propranolol (Inderal) 10
Divalproex sodium (Depakote) 9

Show all 53 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) 8
Zonisamide (Zonegran) 7

Show all 51 treatments patients report switching to

Last updated:

118 patient evaluations for Topiramate

Jul 7, 2000 (Started May 28, 2000)

  • Effectiveness
    Slight (for BOTH EPILEPY AND PHYSCOSIS)
  • Effectiveness
    Slight (for epilepsy)
  • Side effects
    Severe (ACUTE PHYSCOSIS WICH HAD TO BE TREATED WITH PROMAZINE 50 MG ORAL OR IM, psychotic symptoms (anxiety depression fear))
  • Adherence
    Always
  • Burden
    Somewhat hard to take
Dosage: 200 mg Daily
Advice & Tips: The impact this drug had on my social and my whole life were unpleasant, it was given me both to treat my epilepsy and physocis I was going through at the time. The only alternative was Carbamazipine which was ruled out due to severe liver damage. I was on a mental health unit at this time and was treated with it whilst in hospital
Cost: < $25 monthly

  • 0 helpful marks
Last updated:
Showing 1 of 118 patient evaluations for Topiramate