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Doctor insights on: Naltrexone Topamax For Weight Loss

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Is topiramate good for weight loss?

Is topiramate good for weight loss?

OK: But in fact most weight loss specialist don't recommend topiramate as a medication for weight loss alone. Most typically it is used in combination with a stimulant like phentermine. In fact there is a medication for weight loss known as Qsymia (phentermine and topiramate) that is available as a combination of the two in one pill. ...Read more

Dr. Heidi Fowler
2,007 Doctors shared insights

Losing Weight (Definition)

Many people resolve to lose weight in the New Year for different reasons. For those who are overweight or obese, there are many health benefits to losing weight. It can help decrease your chances of developing diseases including diabetes, heart disease, high blood pressure, osteoarthritis, and even certain types of cancer. Low-calorie diets combined with increased physical activity are thought to be most effective long term. The healthiest weight loss regimen, therefore, is one that consists of making lifestyle changes that incorporate a balanced diet ...Read more


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Is topiramate effective for weight loss?

Is topiramate effective for weight loss?

Yes: For some patients if is very effective for weight loss, especially effective for binge eaters and persons with strong sugar cravings, it is effective for other cravings as well, also effective for alcohol cravings.
Not for everyone, it can have bothersome side effects, mood and memory disturbances. I start with very low dose, 25 mg. Works best with comprehensive weight loss program. ...Read more

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Was just put on topamax (topiramate) for weight loss and migrains. However just took 1st pill and now have a major headache. Is this normal?

Was just put on topamax (topiramate) for weight loss and migrains. However just took 1st pill and now have a major headache. Is this normal?

Pain is never normal: As with most migraine medications, topamax (topiramate) can give you transitory headaches. Do not stop taking topamax (topiramate) without first talking to your doctor. Take care. ...Read more

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Can I take topamax (topiramate) (50mg) for two weeks safely to assist weight loss. Was prescribed for my hemicrania but I disliked side effects with long term use.

Safe- will it work?: It is safe to use topamax (topiramate) for this, but it is not helpful for most people for weight loss. It is better as a preventer for seizures or headaches. ...Read more

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Is taking topamax (topiramate) and water pills for weight loss generally considered safe?

Topiramate & weight: Topiramate (topamax) is often used to suppress binging or snacking. The new obesity medication Qsymia (phentermine and topiramate) is a combination of long acting topamax with Phentermine and is very effective. However, topamax can cause kidney stones so taking it with a diuretic (water pill) could be harmful. Water pills alone are not weight losers, and deplete your body of much needed minerals- sodium, potassium, magnesium. ...Read more

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Can using metformin and topamax (topiramate) together for pre diabetes help with weight loss?

Can using metformin and topamax (topiramate) together for pre diabetes help with weight loss?

Metabolic acidosis: Both can cause metabolic acidosis which can be dangerous. Diet, exercise and metformin are safer. If a personal choice is made to use both topamax (topiramate) and metformin together, your doctor will monitor you and check your labs to make sure no harm is being done. ...Read more

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What vitamins should I take daily to help with energy and feeling better and weight loss that are safe to take with topamax (topiramate)?

What vitamins should I take daily to help with energy and feeling better and weight loss that are safe to take with topamax (topiramate)?

None.: Vitamins do not help with energy unless you are deficient and they do not do anything for weight loss. They are all safe to take with Topamax (topiramate) but not necessary. Save your money. ...Read more

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Is there anything that I can take are do to be able to continue to take Topiramate, (for migraines and weight loss) to stop the dizzy symptoms?

Is there anything that I can take are do to be able to continue to take Topiramate, (for migraines and weight loss) to stop the dizzy symptoms?

No: We don't treat medication side effects with more meds. Dizziness is a serious thing. Check up with a doctor to make sure you are OK. ...Read more

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What is the maximum dosage of Topamax (topiramate) and phentermine for weight loss? I am on 15 phentermine 1x/day and 50 topamax (topiramate) 2x/day.

Based on Qsymia (phentermine and topiramate): Hi. The max dose based on Qsymia (phentermine and topiramate) is phentermine 15 mg/day and topiramate 100 mg/day. ...Read more

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If I go off topamax (topiramate) will I gain weight? Haven't noticed it causing any weight loss in yrs. Was 149 lbs on it (&celexa)but now on wellbutrin which helps!!

Likely outcome- no: Topamax (topiramate) may cause weight loss by several mechanisms, but it is not a very effective weight loss treatment. It appears you were not using it to manage weight. You did not experience weight changes with it. That helps predict the outcome.

When you discontinue topamax, (topiramate) it is not likely you will gain weight. ...Read more

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How does topamax (topiramate) cause weight loss?

How does topamax (topiramate) cause weight loss?

Appetite loss: Weight loss is dose related. Topamax (topiramate) side effects are loss of appetite, nausea, and diarrhea. It also changes taste esp to carbonated beverages. ...Read more

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Can taking topamax (topiramate) cause weight loss?

Can taking topamax (topiramate) cause weight loss?

Yes: It has been studied as part of a weight loss combination pill. Can definitely cause weight loss as a side effect. ...Read more

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Does topamax (topiramate) 25 mg leads to weight loss?

Does topamax (topiramate) 25 mg leads to weight loss?

Possible: Weight loss is a known side effect of topamax (topiramate). Now the dosage effect is a little less understood and well known. But there is reported weight loss with even 25mg of topamax (topiramate). However, it is usually not used for weight loss as it has other primary effects, and should not be taken unless directed by a treating physician. ...Read more

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I want to know the reason why people say that topiramate causes weight loss.

It depends: Topiramate combined with a mild stimulant has actually been approved for weight loss. Some people find their appetite goes down with use. Like most medicines, however, individual differences in responses can occur. Rather than say topiramate causes weight loss I would prefer to say it is associated with weight loss in some patients. The reasons for same I'm not sure anyone knows for sure. ...Read more

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If I have had a cough for the past month is it ok that I am taking topamax (topiramate) prescribed for weight loss?

If I have had a cough for the past month is it ok that I am taking topamax (topiramate) prescribed for weight loss?

Yes: Hi, topamax (topiramate) should not cause any change to your immunity. However can cause dry mouth and nervousness that may exacerbate an underlying vocal tic (cough). I would look for other causes of the cough, but the only way to be sure would be to come off the topamax (topiramate). ...Read more

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I've been taking topamax (topiramate) for 2 months and I don't like the side effects. Except for the weight loss. Can I just stop taking it?

Maybe: Topomax is used for a wide range of medical conditions. Not knowing the specific condition you've been prescribed this medication, it may not be a good idea to stop taking it on your own without the input of the prescribing the doctor. ...Read more

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Is Topamax (topiramate) an effective drug for weight loss? If so at what dose do I start to see results? (I know everyone is different) Am on it for Mania and mood

Off Label Pill: Topamax (topiramate) isn’t approved as a standalone drug for weight loss. Moreover, you may experience drug-related side effects that can contribute to weight gain and not loss. Ask your doctor for more information. ...Read more

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Why is topamax (topiramate) nr1 medicin with weight loss side effects? And is it good for bipolar disorder?

Why is topamax (topiramate) nr1 medicin with weight loss side effects? And is it good for bipolar disorder?

Topamax (topiramate) and wt. Loss: The average weight loss on low dose topamax (topiramate) is 23 pounds. The problem is that it comes back when the medication is stopped. A cochrane review in 2006 concluded that there was no evidence to recommend it for the tx of any phase of bipolar disorder, yet is often prescribed especially in the manic phase when nothing else works, sometimes with good results but it is off-label use. Held og lykke! ...Read more

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How much time does it take for topamax (topiramate) to work for weight loss?

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 (phentermine and topiramate). It is the combination of Topamax and Phentermine, unfortunately good effective medication, but many side effects. ...Read more

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How long does it take for topamax (topiramate) to work for weight loss at 200mg?

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 to be on the look out for side effects such as oligohydrosis. (reduced ability to sweat), glaucoma, kidney stones, impaired verbal fluency, low magnesium and acidosis (to name a few). Weight loss often requires a several modifications in lifestile. ...Read more

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Is weight loss from Topamax (topiramate) dose dependant? I.E If you increase the dose are you more likely to lose weight?

Ask your doctor: Topamax (topiramate) isn’t approved as a standalone drug for weight loss. Moreover, you may experience drug-related side effects that can contribute to weight gain and not loss. Ask your doctor for more information. ...Read more

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Is Qsymia (phentermine and topiramate) safe for weight loss?

Is Qsymia (phentermine and topiramate) safe for weight loss?

Think long-term.: Short term risks and potential for abuse aside, the biggest flaw that I see with weight loss medications like this is the return of overweight once the pill is stopped. You really can't take these pills forever, and once stopped weight gain usually occurs, sometimes to or beyond your original weight. Again, quick fixes tend not to work in the long term. Be sensible and patient. ...Read more

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Does topamax (topiramate) cause weight loss due to fast metabolism or by loss of appetite? I haven't noticed I've been eating less but seem to be very skinny.

Unknown: The mechanism of how Topamax (topiramate) brings the weight loss is not yet understood. There are several not evidence based theories. The most popular one is that Topamax (topiramate) may reduce leptin present in cortisol. ...Read more

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The doctor prescribed me topamax (topiramate) and phentermine for weight loss. Are these effective?

The doctor prescribed me topamax (topiramate) and phentermine for weight loss. Are these effective?

Yes, in Some: Though Topamax (topiramate) was originally used only as an anti-epileptic & migraine medication, it is becoming popular as a weight loss medication. It's mechanism of action in weight loss is uncertain, but it's efficacy in producing weightloss is well-documented. Combination with phentermine is also becoming more common. Phentermine has been known for years to suppress appetite. ...Read more

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Hi, I am a 21 year old female, height of 5'2 & weighing around 260 pounds. I have struggled with weight loss. I wanted to know your thoughts on qsymia (phentermine and topiramate)?

Hi, I am a 21 year old female, height of 5'2 & weighing around 260 pounds. I have struggled with weight loss. I wanted to know your thoughts on qsymia (phentermine and topiramate)?

Qsymia (phentermine and topiramate): Hi. Qsymia (phentermine and topiramate) is a decent weight loss drug. Your BMI is 47.5, and Qsymia (phentermine and topiramate) has not been shown to be effective in a similar patient population as far as I'm aware. I know your weight makes your life very difficult, and my heart goes out to you. Your weight is a serious health risk to you. It would be worth talking with an experienced bariatric surgery group about options. Good luck! ...Read more

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I just heard the fda approved a weight loss pill called qysmia (phentermine n topamax)so when can drs. Prescribe it if it just was approved?

I just heard the fda approved a weight loss pill called qysmia (phentermine n topamax)so when can drs. Prescribe it if it just was approved?

Approved on Tuesday!: This is the second drug approved by the fda in two months after 11 years. It is moderately effective and does not have the e the plateau associated with Phentermine alone. I anticipate it will be out in december or january. (more bureaucracy in finalizing marketing plans. ...Read more

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What medication can be used along with seroquel weight gain? I've read about metformin and topamax (topiramate) Adderall 5mg caused weight loss before on seroquel

What medication can be used along with seroquel weight gain? I've read about metformin and topamax (topiramate) Adderall 5mg caused weight loss before on seroquel

The best: Solution is diet, exercise and burning off more calories than you take in. You need to discuss any potential medications with your doctor to make sure they're appropriate for you and won't have any harmful interactions. ...Read more

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Hello. I have bipolar depression. Quetiazic 300 increase my appetite and weight. Is there any medicine for weight loss other than topamax (topiramate) and metformin?

Hello. I have bipolar depression. Quetiazic 300 increase my appetite and weight. Is there any medicine for weight loss other than topamax (topiramate) and metformin?

Bipolar: Medicine for weight loss is OK if done properly. You need to see a dietitian who will advise you. Losing a lot of weight in a hurry is not smart. Contact with a trainer would also be a good idea.
Regarding Quetiazic you should discuss this with the doctor who prescribed it. ...Read more

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As a doctor what's your opinion of the new weight loss drug qsymia (phentermine and topiramate)? Would you/have you used it yet? Results?

As a doctor what's your opinion of the new weight loss drug qsymia (phentermine and topiramate)? Would you/have you used it yet? Results?

Not so new: Dr's have used this drug (combo of 2 generics changed into an er). It's a safe & effective medication when used in the right person for the right amount of time. Note that safe does not mean without side effects. It should be used for no more than a few months along w/ ongoing lifestyle changes (dietary modification, exercise). The key is maintaining that lifestyle change once med stopped. ...Read more

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I have unexplained weight loss; I have lost almost 60 pounds since december. I have been very depressed and am on topamax (topiramate). For the last few days, I have been feeling very tired and have swollen glands. What should I do?

I have unexplained weight loss; I have lost almost 60 pounds since december. I have been very depressed and am on topamax (topiramate). For the last few days, I have been feeling very tired and have swollen glands. What should I do?

Weight loss: Need to see your physician as you have lost significant weight loss especially associated with swollen lymph nodes. Fatigue and weight loss may be from depression but you need to be seen by your physician to do a thorough evaluation. ...Read more

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How does "Topiramate" cause you to lose weight?

Topamax (topiramate): The specific mechanism for weight loss with Topamax (Topiramate) is not well understood. Topamax was originally approved for the treatment of epilepsy. One of the side effects is significant weight loss. Topamax may also lower blood sugar levels which is a benefit for patients with diabetes. Topamax is not FDA approved for weight loss but it is used in an off label capacity. ...Read more

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If I gained 12lbs in 3 weeks from paxil, (paroxetine) will the doc give me a prescription for topamax to lose weight?

If I gained 12lbs in 3 weeks from paxil, (paroxetine) will the doc give me a prescription for topamax to lose weight?

Need a different Med: Topomax will not help your body appropriately compensate for this ssri induced weight gain. Talk with your doctor about switching to a different med. Consider going outside of the ssri class of med, as you may be sensitive to this particular ssri induced side effect with other ssris. ...Read more

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How does topamax (topiramate) help you lose weight?

How does topamax (topiramate) help you lose weight?

It's a side effect: It was not developed for weight loss. It's a side effect (or a few). Decreased appetite, nausea, unpleasant tastes, etc. So, they didn't study 'how' - I personally don't like using an anti-seizure, migraine prevention, anti-depressant drug for unrelated purposes - but I'm not a prescriber. Discuss the issue w/ your doctor. Best! ...Read more

Dr. Jeffrey Wint
24 Doctors shared insights

Lose Weight (Definition)

Many people resolve to lose weight in the New Year for different reasons. For those who are overweight or obese, there are many health benefits to losing weight. It can help decrease your chances of developing diseases including diabetes, heart disease, high blood pressure, osteoarthritis, and even certain types of cancer. Low-calorie diets combined with increased physical activity are thought to be most effective long term. The healthiest weight loss regimen, therefore, is one that consists of making lifestyle changes that incorporate a balanced diet ...Read more


Dr. Colin Sanner
401 Doctors shared insights

Topiramate (Definition)

Is indicated to treat epilepsy, but mainly a second line or adjunctive agent, and also useful to prevent migraine headaches. Has several adverse effects including: kidney stones, narrow angle glaucoma, metabolic acidosis, heatstroke in kids, paresthesias, slowing of speech and cognition, drowsiness. ...Read more