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 1,212 504
Epilepsy 731 405
Headaches 185 88
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 263
Moderate 366
Mild 295
None 396

Commonly reported side effects and conditions associated with Topiramate

Side effect Patients
Weight loss 97
Decreased appetite 59
Memory problems 57
Brain fog 54
Hands tingling 54
Word fishing 53

Show all 419 reported side effects

Dosages

Based on patients currently taking Topiramate

Dosage Patients
100 mg daily 65
50 mg twice daily 46
100 mg twice daily 44
50 mg daily 36
25 mg twice daily 31
25 mg daily 27
200 mg daily 24
200 mg twice daily 18
400 mg daily 17
150 mg daily 15

See all 41 dosages

Why patients stopped taking Topiramate

Multiple reasons could be selected

Reason Patients
Side effects too severe 411
Did not seem to work 269
Doctor's advice 225
Other 109
Expense 39
Personal research 35
Course of treatment ended 31
Change in health plan coverage 12
See all 778 patients who've stopped taking Topiramate

Duration

Currently taking Topiramate

Duration Patients
Less than 1 month 5
1 - 6 months 16
6 months - 1 year 40
1 - 2 years 54
2 - 5 years 119
5 - 10 years 106
10 years or more 67

Stopped taking Topiramate

Duration Patients
Less than 1 month 140
1 - 6 months 206
6 months - 1 year 113
1 - 2 years 105
2 - 5 years 140
5 - 10 years 62
10 years or more 18
Adherence
Adherence Evaluations
Always 1121
Usually 138
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 184
Not at all hard to take 993
Cost per month
Cost per month Evaluations
$200+ 19
$100-199 12
$50-99 35
$25-49 105
< $25 608
Not specified 541

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
Zonisamide (Zonegran) 8
Amitriptyline (Elavil) 7

Show all 49 treatments patients report switching to

Last updated:

116 patient evaluations for Topiramate

Apr 8, 2009 (Started Mar 04, 2009)

  • Effectiveness
    None (for fibromyalgia)
  • Effectiveness
    None (for nerve pain (neuralgia))
  • Effectiveness
    Slight (for migraine headaches)
  • Side effects
    Moderate (sleepiness, hands tingling, feet tingling, tremor in hands, nausea)
  • Adherence
    Usually
  • Burden
    Very hard to take
Dosage: 75 mg Daily
Advice & Tips: I will ask to quit this because for me it hasn't prevented the migraines enough....ended up at doctor's office yesterday for a shot for one.....and the side effects lost me a month of activity.
Cost: $25-49 monthly
Side effects: feet tingling, hands tingling, tremor in hands, nausea, brain fog, sleepiness

  • 4 helpful marks

Mar 1, 2010 (Started Jul 30, 2009)

  • Effectiveness
    None (for fibromyalgia)
  • Side effects
    Severe
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 200 mg Daily
Advice & Tips: Made me very tired and gave me diarrhea.
Cost: < $25 monthly

  • 2 helpful marks

Oct 27, 2010 (Started Jan 01, 2004)

  • Effectiveness
    Moderate (for epilepsy)
  • Side effects
    Severe (unexplained itching, hearing problems, blurry vision, weight loss)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 mg Daily
Advice & Tips: Hearing loss is becoming more obvious, vision problems are rapidly becoming a problem also. itching of my larger skin areas is an unusual and new problem that could maybe be due to Topamax or the antidepressant Prozac, unsure about this. I have had terrible crying jags and depression over inappropriate issues in the last year or so that was assumed to be due to my aging process, but was recently debunked by a hormonal test. I therefore believe that the Topamax is a more likely suspect.
Cost: < $25 monthly
Side effects: weight loss, blurry vision, hearing problems, unexplained itching, unexplained itching

Feb 15, 2010 (Started Jan 01, 2004)

  • Effectiveness
    Major (for epilepsy)
  • Side effects
    Moderate (hearing problems, blurry vision, weight loss)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 400 mg Daily
Advice & Tips: The side effects of Topamax are really tough, but not as tough as others, and certainly not as tough as beating the heck out of yourself and frying your brain during a seizure. I never miss a dose, if I do, I could really end up hurting myself. I take it as exactly to the minute as I can, I do the same with all my meds, and for the last several years since I have been doing this, my seizures have been much less invasive into my life. I also NEVER NEVER take generic epilepsy medication. It must be brand always! Generic is NOT the same, no matter who insists that it is. I can take generic on other medication, but generic Topamax allowed me to have 3 months of severe cluster seizures last year.
Cost: < $25 monthly
Side effects: weight loss, blurry vision, hearing problems, unexplained itching, unexplained itching

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