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How does topiramate work

A 35-year-old member asked:
Dr. James Marx
Pain Management 48 years experience
Multiple Mechanisms: The current theory proposes that the excitability of neurons in the central nervous system are reduced by a number of different mechanisms. These theo... Read More

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A 36-year-old member asked:
Dr. Paul Reynolds
Pain Management 35 years experience
Awhile: Topamax (topiramate) is an antineuropathic. Primarily a seizure med it will take time for titration to an effective dose. Starting slow and incrementa... Read More
A 20-year-old female asked:
Dr. Bennett Machanic
Neurology 52 years experience
DOSEAGE A BIT LOW: Topamax (topiramate) dosing for migraine works best at about 50 mg twice daily and higher. It is quite effective at 200 mg twice daily, but side effe... Read More
A 28-year-old female asked:
Dr. Paul Grin
Pain Management 36 years experience
Not likely: The recommended starting dose of Topamax (topiramate) is 15-25 at night increasing very slowly. Based upon tolerability and clinical response, additio... Read More
A 19-year-old male asked:
Dr. John Munshower
Family Medicine 30 years experience
Yes, possibly: Some case reports have described a positive effect of topiramate on tics.
A 23-year-old female asked:
Dr. Osman Farooq
Pediatric Neurology 20 years experience
Get checked: Yes it would be unusual to have daily headaches for 2 mints... But it's not unheard of. If the topamax (topiramate) is not helping, then you likely w... Read More
A 42-year-old member asked:
Dr. Paul Grin
Pain Management 36 years experience
Not recommended: Topamax is a newer anticonvulsant that blocks voltage-gated sodium ion channels and not recommended for weight loss. Ask your doctor about QSYMIA (phe... Read More
A 29-year-old female asked:
Dr. Eric Weisman
Neurology 36 years experience
Topamax (topiramate) for weight: Although many experience some weight loss with topamax (topiramate) there is no guarantee that you will have the same experience. At 200 mg you need t... Read More
A 35-year-old male asked:
Dr. Paul Grin
Pain Management 36 years experience
6-8 weeks: Many of the beta-blocker medications (propranolol) come in long-acting formulations. Compared with propranolol, low-dose Topamax (topiramate) has bet... Read More
A 49-year-old member asked:
Dr. Lynne Weixel
Clinical Psychology 36 years experience
Off label - mixed: Reviews of this - usually in combination with other meds for bipolar generally are positive about the mood stabilizing effects. However, other side ef... Read More

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