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Doctor insights on: Topiramate And Anxiety

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Is topamax (topiramate) effective for anxiety relief?

Is topamax (topiramate) effective for anxiety relief?

NOT INDICATED: Topamax (topiramate) is in the class of anti-convulsant medications, so used for seizures. Also used for migraine prophylaxis. Not too sure about use for anxiety as that is very off labile. Lots of other medications are indicated. ...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


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Is gabapentin 300mg normally prescribed for prurigo nodularis? Is it ok to combine with topiramate used for depression/anxiety disorder?

Is gabapentin 300mg normally prescribed for prurigo nodularis? Is it ok to combine with topiramate used for depression/anxiety disorder?

No: Neurontin (gabapentin) is good for neuritic pain. However, it has also been used for seizures. Topamax (topiramate) is primarily for seizures but is being used for migraine and by some psychiatrists for mood. This makes things complicated. Too many of these meds may cause complications. Both can cause sleepiness and feeling dopey and can cause nausea and depression. ...Read more

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I have epilepsy and take 200mg topamax (topiramate) twice daily. Is it ok to take Adderall or Adderall XR with my topamax (topiramate) to assist with my anxiety/focus?

I have epilepsy and take 200mg topamax (topiramate) twice daily. Is it ok to take Adderall or Adderall XR with my topamax (topiramate) to assist with my anxiety/focus?

Adderall (dextroamphetamine and racemic amphetamine) XR treats: Symptoms of adhd, but can increase anxiety, as can any stimulant. I could not find any studies on the efficacy of Adderall (dextroamphetamine and racemic amphetamine) for reducing topamax's side effects of difficulty with word-retrieval, loss of train-of -thought & loss of memory, so i'll refer your question to adult psychiatrists on the panel. Both meds can cause weight loss. There is no adverse drug interaction listed. ...Read more

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I worry all the time and have really bad anxiety. I take celexa 40 mg a day and topamax (topiramate) for mood swings but still worrying like crazy. I can't sleep. What should I do?

I worry all the time and have really bad anxiety. I take celexa 40 mg a day and topamax (topiramate) for mood swings but still worrying like crazy. I can't sleep. What should I do?

As above: Medication can work 45 percent of time and therapy can work 35 percent of the time, but medication and therapy can work 85 percent of the. Time, see a good therapist. ...Read more

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I'm on 50mg of Zoloft & 10mg of amitryptiline for head pain & anxiety. Was on topamax (topiramate), (topiramate) wasn't thinking straight. Want to go back on topamax (topiramate) bipolar ma?

I'm on 50mg of Zoloft & 10mg of amitryptiline for head pain & anxiety. Was on topamax (topiramate), (topiramate) wasn't thinking straight. Want to go back on topamax (topiramate) bipolar ma?

Not clear...: Sorry but the structure of your questions left me wondering which meds left your thinking 'coudy'. Generally, bipolar patients are not left on an antidepressant very long due to the risk of triggering a manic episode. Topomax has been noted to help with weight loss but not so great at stabilizing mood in bipolar 'swinging'. May read up on Depakote or Lamictal as alternatives & discuss with your dr. ...Read more

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I just got prescribed medication to deal with my depression anxiety and anger. Is 50mg of topamax daily and 5 mg of Abilify (aripiprazole) safe?

I just got prescribed medication to deal with my depression anxiety and anger. Is 50mg of topamax daily and 5 mg of Abilify (aripiprazole) safe?

Depression: Yes. These are excellent medications that can improve your mood and stabilize your emotional swings. Talk therapy is an important addition to the medications. Be patient as these medications can take time to have an effect on your emotions. ...Read more

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Bipolar 2 disorder. Extreme anxiety bad sleep cycles. On wellbutrin, topamax, abilify, (aripiprazole) clozazepam, temazepam, zopliclone? What now?

Bipolar 2 disorder. Extreme anxiety bad sleep cycles. On wellbutrin, topamax, abilify, (aripiprazole) clozazepam, temazepam, zopliclone? What now?

Options: There are other options for your bipolar 2 condition. Wellbutrin won't help anxiety, and may stimulate it in some. Topomax is not a particularly robust mood stabilizer, but does work for some (apparently not you?). Seroquel may help this, anxiety, and your sleep issues. Latuda (lurasidone) is another option. Hoping you're working with a psychiatrist as you try these various medications -- psychotherapy too! ...Read more

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How to tapper off from topiramate?

Topiramate: I don't know if this being prescribed to you by a psychiatrist or a neurologist. I worry when I see this type of question, as it might mean that someone is considering coming off of a medication without fully discussing with the prescribing provider. I encourage you to discuss this with your physician. ...Read more

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Please describe the medication: topiramate?

Please describe the medication: topiramate?

Versatile: 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.
Occasion usage in psychiatry. ...Read more

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Side effects to topamax (topiramate)?

Topamax (topiramate) side effects: I agree 100%. We have seen some dramatic weight loss in some patients on topamax (topiramate) and I have several patients whose type ii diabetes has resolved from the associated weight loss. My poster child for topamax (topiramate) lost about 150 lbs. Not everyone tolerates it and it has be be tapered up very slowly. About 40% of patients eem to get some significant weight loss from our experience. ...Read more

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Is topiramate safe for a 15 year old?

Yes: Used appropriately and properly monitored, topiramate is quite safe. ...Read more

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How does topiramate effect concentration?

How does topiramate effect concentration?

Side effect: Short term memory loss/troubles with concentration is a known side effect of topiramate. The exact mechanism of action of topiramate is unknown. ...Read more

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Can topiramate be taken to reduce weight?

Yes: Yes, by prescription only and with continuing medical supervision. But you better learn how to eat properly because topiramate induced weight loss is limited, and often while remaining on the drug for long periods, weight may be regained. Never discontinue this drug rapidly because you might experience seizures. ...Read more

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Does topamax (topiramate) cause hairloss?

Does topamax (topiramate) cause hairloss?

Yes: While not a common side effect, it can occur more commonly in adults compared to children. ...Read more

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Can you take 5HTP and Topamax (topiramate)?

Yes, you can: The serotonin precursor oxitriptan may be useful for refractory depression and chronic pain. Topamax (topiramate) is antiepileptic drug have proven effectiveness in migraine prophylaxis. No interaction between these two drugs. Always talk with your doctor before changing or adding a new medication. ...Read more

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Why would topamax (topiramate) help headaches?

Prophylaxis: Anticonvulsants and antiseizure medications are frequently prescribed for pain problems including headaches. These medications will change biochemical concentrations in the central nervous system. Other mechanisms may also be involved. ...Read more

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What does topamax (topiramate) do for migraines?

Prevention: Topomax, like many other seizure medications, is used to prevent or decrease the severity and frequency of migraine headaches. ...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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Can you use topiramate/topamax for fibromyalgia?

Can you use topiramate/topamax for fibromyalgia?

Wishfully, yes: ? re Topamax (topiramate) for fibromyalgia (FM). FDA approves 3 drugs for FM. All others are shots in the dark. Chemicals have side effects that mask side effects of other chemicals. So avoid them all & go natural w. non-toxic treatments directed at multiple-factors that incite FM. Beyond Topamax (topiramate) are therapies of yoga, aqua therapy, biofeedback, medicinal cannabis, and mindfulness therapies. Study survivors. ...Read more

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Can you have a drink while taking topiramate 25mg?

Topamax (topiramate): Not great idea. Alcohol intensified sedation and causes more tremors and stomach upset. ...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

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What are the side effects from topamax (topiramate)?

Numbness, stones: The most common is nubness and tingling which respond by adding potassium

next is kidnet stones, need extra hydration

third is speech difficulty need to start with 25 mg and double every 2 weeks, very slow introduction

and the best of all is weight loss which is very desirable for obesity, as a matter of fact they are making topomax and Phentermine for weight loss. ...Read more

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Taking topamax (topiramate) with fioricet, is this okay?

Taking topamax (topiramate) with fioricet, is this okay?

Yes, but wean down: Yes, the Fioricet will stop headaches that occur, while the topamax (topiramate) will keep them from coming on in the first place. That being said, if you are still using the Fioricet on a regular basis, you should definitely look into alternative medications- Fioricet has been shown to greatly increase the risk of medication overuse headache, which is very difficulty to treat. ...Read more

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Is taking topiramate safe and what are the side effects?

Topamax (topiramate): Safe. Some side effects are nausea, headaches, sedation, cramps, etc. ...Read more

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Can you take zonegran and topamax (topiramate) together?

Probably: There are several adverse interactions that might occur. However, with careful monitoring by your doctor it it likely safe. ...Read more

Dr. Heidi Fowler
3,299 Doctors shared insights

Anxiety (Definition)

Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more


Topamax (Definition)

Topiramate is a seizure agent which is a kind of ...Read more