A 51-year-old male asked:
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How long should it be before you start losing weight on topamax (topiramate) and what dose do you need for it to start?

1 doctor answer
Dr. Frances Dyro
53 years experience in Neurology
Weight loss: Is variable in amount and time. This is a seizure drug with many side effects and must be monitored. Starting dose is usually 25mg twice a day for a week, increasing to 50 mg twice a day. Weight loss is actually a side effect caused by the drug's changes in the body chemistry. Some have reported up to 20 pounds in a month.
Answered on Oct 1, 2013
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Dr. Bennett Machanic
51 years experience in Neurology
Unfortunately, the most loss usually occurs in those who are already thin or underweight.
Sep 25, 2013

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