Doctor insights on:
Topiramate And Anxiety
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
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
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
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'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
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?
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
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
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
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
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
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
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
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
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
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
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
Topamax/Grapefruit: No interactions listed.Get a more detailed answer ›
Topamax (topiramate): Safe. Some side effects are nausea, headaches, sedation, cramps, etc. ...Read more
Probably: There are several adverse interactions that might occur. However, with careful monitoring by your doctor it it likely safe. ...Read more
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