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Dr. Bob is Robert Hsiung, MD,
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Posted by DanGirl on December 4, 2003, at 22:52:52
In reply to topomax and alcohol, posted by LBcats on November 20, 2003, at 20:56:20
I have been on topamax for 2 years now,for mood stabilization, and I have noticed while taking it that my speech tends to slur. I am a college student, and it just seems that it takes me longer to come up with answers to questions now; ie, I'm not thinking on my toes anymore. Is this just my imagination? My psychiatrist just keeps saying she is sure everything is fine...
Posted by headachequeen on December 6, 2003, at 16:12:25
In reply to Topamax warning for girls only, posted by PC Kes on December 4, 2003, at 18:28:29
> Warning to girls taking any carbonic anhydrase inhibitor (this includes Topamax and Diamox), this class of drugs not only dries up saliva and tears,
Oh, now this is rich.... truly rich....
on top of everything else it dries up tears as well as saliva??? and all the rest of the warning????
I happen to have been diagnosed a year or two ago with a severe dry eye problem as well as blocked tear ducts... they say that people grow to look like their dogs, not I. I take on their ailments... blocked tear ducts and dry eye being a common problem among the breed of dog I choose to work with... and to add to the bizarre links, I happen to have entropion as is common in the breed and am waiting for surgery on my upper eye lids to ease the pain and pressure on my eyes... it is funny to a great degree but it is not at all funny to another degree.
The eye surgeon and the other eye specialist are trying to understand why my eyes are not responding to treatment but remain severely dry... the decision is made to operate and try to open the tear ducts as well but the eyes will not stay lubricated... happy topomax results it would seem...
what next?????
well, what next is that the neurologist in renewing the prescription for tegritol made an error in the amount and prescribed double the dosage and I didn't catch it nor did he and the pharmacist thought he meant to increase it to 800 mg a day... oh such fun it is to live on a merry-go-round...
sometimes I think it might be easier to have the epilepsy....
meanwhile I am enjoying??? a return of some of the symptoms as I adjust to the lowered dosage of tegritol after almost two months on the higher dosage...
side effect or what????
I will not stop taking the topomax as it seems, side effects or not, to be the only constantly successful fighter of the seizures in this whole thing... there are no migraines and it does not seem to be causing any really drastic problems for me... none that I cannot handle yet anyway as I am the one who controls the dosage...
and I am not going to let that fall out of my control....
as long as I keep a link with the people here who are able to keep me informed...
I have yet to have a single warning from my pharmacist or my doctor or my neuro about topo other than the weight warning...
and I am still waiting and still fuming about the lack of input...
someone is remiss there... and they keep hearing about it...
wouldn't you think that someone somewhere would get the message??? and start explaining side effects and how to deal with them?????
Other than here, that is...
and thank you all again and again....
and back to the gallons of water and the biotin and and and and....oh yes, and since they put me on Cipro to battle the asthma ... tons of side effect warnings there that I was never given before.. I guess someone was listening after all sigh....
not to take within six hours of taking vitamin or mineral or iron supplements and not to take the supplements within two hours of taking the Cipro... as I take it twice a day it gets tricky to fit in the supplements... and as Topomax eats up the vitamins and minerals that makes it really awkward....
that merry-go-round is spinning faster!!!!!
kat
Posted by headachequeen on December 6, 2003, at 16:21:47
In reply to Does topamax cause cognitive deficits?, posted by DanGirl on December 4, 2003, at 22:52:52
> I have been on topamax for 2 years now,for mood stabilization, and I have noticed while taking it that my speech tends to slur. I am a college student, and it just seems that it takes me longer to come up with answers to questions now; ie, I'm not thinking on my toes anymore. Is this just my imagination? My psychiatrist just keeps saying she is sure everything is fine...
Funny but it has not occurred to me to discuss the side effects of all this with my psychologist... I always seem to comparmentalise... the topomax is a neuro thing as it is prescribed by the neurologist for the epolipsy so I leave it there (and here)... must see what the shrink man thinks and says...
but it does seem to make words slur...
and I wonder if that has anything to do with the dry mouth... lack of saliva????
or is it separate???
I have always been very articulate and the slurred words really upset me... the inability to find the right word upsets me even more...
is it topomax is it something else????
and I resent it when my neurologist gives me the everything is just fine, why worry... or the old, it's just stress and anxiety routine... if you didn't worry about these things you wouldn't have the stress from it and it wouldn't happen because you wouldn't have the stress that makes it happen attitude...
it IS happening and it DOES make me worry so everything is NOT fine... if it is a side effect, then tell me, and help me deal with it... help me overcome it... and I will get on with my life... but don't pat me on the head and send me away like a little kid which I am not...
and I can guess that you feel the same way...
let's unite and make them realise that we need answers and understanding and a little help...
not to be patronised...
oh I feel better....
thanks !!!!!
kat
Posted by LBcats on December 7, 2003, at 11:01:49
In reply to Re: Does topamax cause cognitive deficits? » DanGirl, posted by headachequeen on December 6, 2003, at 16:21:47
Kat,
I had to stop topomax after 8 months because I was also in college at the time and I could not get my words out. One time I had to give a presentation and I got so confused I had to sit down. I'm usually very articulate and I knew it had to be the medication but I gave it more time and it never went away. Finally, I just told my doctor I wanted my brain back. Now after 2 months of being off of it, I'm back to normal . Of course I've gaine some weight back, but at least I'm smart again.
LB
Posted by jhlsgirl on December 9, 2003, at 14:17:00
In reply to Re: Topamax-bipolar and weight loss? » msmelissa, posted by galkeepinon on November 8, 2003, at 2:35:40
> Hi, There is a binge-eating study in California USA currently to see if Topamax can possibly be approved for that disorder. I called to ask what medication was being used in this trial and low and behold, it was Topamax. I figured, but was curious. I lost 25 pounds while on Topamax, and the side effects were minimal for me. If you're interested in hearing about my experience, I would be happy to share it with you, if not, I still wish you all the best in getting relief for the bipolar issue as well as an added benefit of weight loss Topamax seems to have on a lot of people :-)
> Best wishes,
> Kristen
> ==============================================================================================
>
> > I am hoping for a great deal of relief with the bipolar issue but am desparate for help in the weight loss area as well. Since adulthood I have always been about 130 lbs. Even after having 3 children...with the depakote and other meds I've gained 30-40 lbs. since March of 2003. Just need to know if anyone else has had any luck with the medicine? I am willing to suffer some side effects to get somewhere with my disorder!
>
>
kristen..I was recently prescribed topamax for bi-polar. Im not sure he got that diagnosis correct. im trying to find symptoms to see if they fit me. any way he told me he chose this drug because i am so depressed about my weight. he told me as a side effect i probably would lose. please if you can tell me about how it is for you i would appreciate the insight.. not started the med yet..im kinda afraid.
Posted by DanGirl on December 9, 2003, at 14:56:07
In reply to Re: Topamax-bipolar and weight loss?, posted by jhlsgirl on December 9, 2003, at 14:17:00
I have been on topamax for 2years now, and always in conjuction with an antidepressant. Originally I was just taking antidepressants prior to 2years ago when I started seeing a different psychiatrist. While taking just antidepressants my weight ballooned. When I started taking both 100mg of topamax as well as my antidepressant, effexor, my weight stabilized at the ballooned weight, but I never seemed able to lose weight. Two years after seeing my current psychiatrist I was able to come off of the antidepressant, and my weight loss was quite dramatic. I lost 27 pounds, with exercise, in 2.5 months. I still don't know if it was because the antidepressant just made me feel sluggish, or if the topamax really reduces my appetite, but I do eat less.
Posted by headachequeen on December 9, 2003, at 15:53:26
In reply to Re: Does topamax cause cognitive deficits?, posted by LBcats on December 7, 2003, at 11:01:49
> Kat,
> I had to stop topomax after 8 months because I was also in college at the time and I could not get my words out. One time I had to give a presentation and I got so confused I had to sit down. I'm usually very articulate and I knew it had to be the medication but I gave it more time and it never went away. Finally, I just told my doctor I wanted my brain back. Now after 2 months of being off of it, I'm back to normal . Of course I've gaine some weight back, but at least I'm smart again.
> LBI have to remember that there were/are similar side effects from the Tegretol so which do I blame??? the Topomax or the Tegretol???
and I have yet to have an appointment with the shrink to discuss all this... and I have to admit to feeling rather dumb in that it never occurred to me to discuss the side effects with him... this compartmentalising business again...
the neurologist tends to fluff off side effects and has the habit of fluffing off new symptoms (the myasthenia) as side effects...
there are days when I want to simply stand on a street corner and scream for someone to take a moment and listen and care...
that was when I found this place actually, one of those days when I wanted to stand and scream...
those days have not totally disappeared from life and now I am trying to sort out side effects....but a new question has arisen...
why does everyone seem to accept the side effects from the older accepted meds???
why are the new meds like Topomax questioned and the older ones simply ignored????
I understand that if I want to be seizure free and symptom free then I have to sort of grind along with this stuff but at the same time some of the side effects are really stress causing...
others require other meds to stop them or overcome them...
and then there are the ones that I don't know the real source of...
so what do we do? stop taking all meds (which of course causes the seizures to start almost immediately) and then start all over again to see what starts when???
some days seem a little more stressful than others.... and then there are the days when I wonder if it is better to simply ignore the side effects... if they don't kill me what the heck????for anyone trying to make an informed decision this is really helpful I am sure but aside from this wishy washy chaotic non-thinking I have to say that this is the most helpful place I know for anyone trying to sort out concerns about side effects caused by Topomax and trying to decide about anti-seizure options....
and that says a lot!!!!
sorry for the long and rambling posts....
kat
Posted by cyndie on December 9, 2003, at 16:42:20
In reply to Re: Topamax-bipolar and weight loss?, posted by jhlsgirl on December 9, 2003, at 14:16:43
I am very interested in this issue. I was taking Lexapro 20 mg. for depression and had gained about 35 lbs. My pdoc suggested topamax, and after taking 50 mg. I have noticed a slight decrease in appetite. I think he hopes to ramp up the topamax to 100 - 125 and then be able to reduce the Lexapro to 10 mg. since the overweight depresses me as much as general depression does! Also, my mood is very steady on Topamax which is leading him to think that perhaps I may have some underlying bipolar tendencies as well that haven't seemed severe enough before I realized how good it felt to feel "even" all the time!
Posted by katia on December 10, 2003, at 0:14:34
In reply to Re: Topamax-bipolar and weight loss?, posted by cyndie on December 9, 2003, at 16:42:20
To anyone,
I've got two questions:
1. does the reason alone that Topamax cause weight loss is loss of appetite? You know in reverse, how some meds will make you gain weight with no increase in appetite or eating.2 - How good is Topamax with Lamictal as a mood stabilizer for bipolar II/Mixed rapid cycling depression?
anyone? anyone?
thanks.
katia
Posted by Beck on December 11, 2003, at 2:18:16
In reply to Re: Topamax-bipolar and weight loss?, posted by katia on December 10, 2003, at 0:14:34
> To anyone,
> I've got two questions:
> 1. does the reason alone that Topamax cause weight loss is loss of appetite? You know in reverse, how some meds will make you gain weight with no increase in appetite or eating.
>
> 2 - How good is Topamax with Lamictal as a mood stabilizer for bipolar II/Mixed rapid cycling depression?
>
> anyone? anyone?
> thanks.
> katiaGood question, I was wondering that also. Plus, has anyone had any experiences, good or bad, while drinking alcohol while on topamax? Any info would be much appriciated!
Thanks!
Beck
Posted by Cybele on December 11, 2003, at 8:57:55
In reply to Re: Topamax-bipolar and weight loss?, posted by Beck on December 11, 2003, at 2:18:16
> Good question, I was wondering that also. Plus, has anyone had any experiences, good or bad, while drinking alcohol while on topamax? Any info would be much appriciated!
Beck, I read the archived posts about Topamax before I tried the med, and there were quite a few posts from people who say, "Don't drink alcohol on this med!" The PDR says that alcohol increases the side effects of Topamax. Because Topamax tends to dehydrate you without the alcohol, you add alcohol to the mix and you will have a helluva hangover. Drinking lots of water with the alcohol usually does not help much because alcohol seems to inhibit your body's absorption of water (this is purely my observation, LOL).
That said, I took 25mg a day of Topamax for 3 weeks and had 3 drinks on Thanksgiving and did not have any untoward aftereffects. That was the only alcohol I had in those 3 weeks and I was on a baby-sized dose, so I would imagine if you were drinking 4-5 times a week at a higher dose you might feel pretty crapulent most of the time. I think the problems really kick in when you are at the more therapeutic doses.
BTW, I stopped taking Topamax after three weeks because I started losing fistfuls of my hair when I shampooed. Now I am just taking 150mg WB-SR in the morning and getting a weekly 4 hours of good cardio exercise (i.e., with heart rate 70-80% of max.). My dx was double depression/soft bipolar, although I am feeling a lot better now than I was in September/October. (The exercise did it with a little boost from the Wellbutrin, I think.)
Posted by katia on December 11, 2003, at 15:23:19
In reply to Re: Topamax-bipolar and weight loss? » Beck, posted by Cybele on December 11, 2003, at 8:57:55
Hi,
You say soft bipolar. What were your "symptoms"? You also say double depression. I take it you've been depressed all of your life and then on top of that had a severe and major depression?
that sounds like me.
I've been dxed as "double depression" last summer and after a year of trial and ERROR on ADs; i got the BPII dx.
katia
Posted by katia on December 11, 2003, at 15:24:16
In reply to Re: Topamax-bipolar and weight loss? » Beck, posted by Cybele on December 11, 2003, at 8:57:55
what does "LOL" mean?
Posted by Cybele on December 11, 2003, at 16:07:09
In reply to Re: Topamax-bipolar and weight loss? » Cybele, posted by katia on December 11, 2003, at 15:23:19
> Hi,
> You say soft bipolar. What were your "symptoms"? You also say double depression. I take it you've been depressed all of your life and then on top of that had a severe and major depression?
> that sounds like me.
> I've been dxed as "double depression" last summer and after a year of trial and ERROR on ADs; i got the BPII dx.At different times I have been dx as dysthymic and soft bipolar, so the "/" indicates "or," in this case. My current therapist gave me a questionnaire that indicated I could fall into either category. I also have a family history (half-sister is BP-I and our father, who bounced between "feeling blue" and grandiosity throughout his adult life) was probably also BP-II. My hypomanias are few and far between, but have led to my making some rather poor decisions in my life because I was confident I knew what I was doing.
I have had many minor depressions (mostly difficulty concentrating, eating and sleeping too much) and a major depression about every 3 years (ages 13, 16, 19, 22, 24, 28, 33). As long as I keep busy, avoid stress, and get regular exercise, I tend to be OK. I was pretty much fine during the 5 years when I was either pregnant and/or breastfeeding (36-41). I did have a little bit of post-partum psychosis (or I could "see it" even tho I wasn't there, if that makes sense), but nothing that made me do anything scary.
Feel free to correct me, folks, but from what I have read it can be difficult to distinguish between dysthymia and soft bipolar, and one thing that PDOCs are finding is that many folks in this category respond better to mood stabilizers, hence "it must be BP-II." Failure to be helped by popular ADs is one of the red lights docs often looks for when considering the soft BP dx. Six weeks on Paxil was a nightmare for me, as was Prozac (although I only took that one for 2 weeks). Wellbutrin was OK when I took it 10 years ago, altho I think going off of Paxil and quitting my job and moving across country was what helped me step out of my depression that time. I started feeling better the day after I went off Paxil, which was the day I started WB.
Be that as it may, regular aerobic exercise (70-80% of max. heart rate for at least 3-4 hours total a week) is the only "antidepressant" that I can state unequivocally has helped me.
Posted by Cybele on December 11, 2003, at 16:09:46
In reply to Re: Topamax-bipolar and weight loss? » Cybele, posted by katia on December 11, 2003, at 15:24:16
> what does "LOL" mean?
It means that as I was typing that I probably went "Ha!" out loud and scared the kids.
LOL = Laughing Out Loud.
Posted by helenag on December 11, 2003, at 16:13:20
In reply to Re: Topamax-bipolar and weight loss? » Beck, posted by Cybele on December 11, 2003, at 8:57:55
Hi cybele: I'm on 300mg of topamax, increased from 250mg, which had been my dose for about 4 months previously. Am on it for mood stabilization and to help with alcohol cravings. Well, topamax does not help me with cravings. It does not prevent cravings nor deter drinking, at least not in my experience. There have been studies done on using the drug for this purpose for alcoholics.
Have never had any hangovers from drinking. Have never noticed any increase in the effect of alcohol. Am on a teeny tiny dose of seroquel and I won't take any of that if ever drinking--too sedating a mix. Have been on effexor xr 300mg for three years and have never noticed anything amiss while drinking and taking it.
However, I do note that lately I have had some leg cramps and wondered if it was from being dehydrated. Haven't drank for over a week. Also at 300mg, my cognition has me seeming quite ditsy at times.
Hope this helps. Just one person's experience.
Posted by Beck on December 11, 2003, at 19:30:08
In reply to Re: Topamax-bipolar and weight loss? » Beck, posted by Cybele on December 11, 2003, at 8:57:55
> > Good question, I was wondering that also. Plus, has anyone had any experiences, good or bad, while drinking alcohol while on topamax? Any info would be much appriciated!
>
> Beck, I read the archived posts about Topamax before I tried the med, and there were quite a few posts from people who say, "Don't drink alcohol on this med!" The PDR says that alcohol increases the side effects of Topamax. Because Topamax tends to dehydrate you without the alcohol, you add alcohol to the mix and you will have a helluva hangover. Drinking lots of water with the alcohol usually does not help much because alcohol seems to inhibit your body's absorption of water (this is purely my observation, LOL).
>
> That said, I took 25mg a day of Topamax for 3 weeks and had 3 drinks on Thanksgiving and did not have any untoward aftereffects. That was the only alcohol I had in those 3 weeks and I was on a baby-sized dose, so I would imagine if you were drinking 4-5 times a week at a higher dose you might feel pretty crapulent most of the time. I think the problems really kick in when you are at the more therapeutic doses.
>
> BTW, I stopped taking Topamax after three weeks because I started losing fistfuls of my hair when I shampooed. Now I am just taking 150mg WB-SR in the morning and getting a weekly 4 hours of good cardio exercise (i.e., with heart rate 70-80% of max.). My dx was double depression/soft bipolar, although I am feeling a lot better now than I was in September/October. (The exercise did it with a little boost from the Wellbutrin, I think.)
>
>HAIR LOSS???? No No No I'm too vain to loose hair:) Is this a symptom that is common for many people?
Posted by Cybele on December 11, 2003, at 19:55:22
In reply to Re: Topamax-bipolar and weight loss?, posted by Beck on December 11, 2003, at 19:30:08
Go to the bottom of this page and enter the following into the Google search box:
hair loss topamax
Then search on dr-bob.org.
Posted by headachequeen on December 11, 2003, at 20:00:56
In reply to Re: Topamax-bipolar and weight loss?, posted by Beck on December 11, 2003, at 19:30:08
> > BTW, I stopped taking Topamax after three weeks because I started losing fistfuls of my hair when I shampooed. > >
> >
>
> HAIR LOSS???? No No No I'm too vain to loose hair:) Is this a symptom that is common for many people?
>Tegretol and Topomax both cause hair loss and drying out of hair... so take biotin and vitamins c and e and zinc and there is no problem... I take 400 mg of both per day and my hair is not falling out and is no longer
imitating straw.. for a while there I was worried... and my hair is one of my greatest vanities... that and my voice...
and when I went for a single fibre bundle test... DON"T EVER LET ANYONE CON YOU INTO ONE OF THOSE... the neurologist doing it told me that the changes in my voice were a symptom...
not of what, but a symptom...
oh, joy... I am left in the dark again...
they treat us like mushrooms in that neurological area...
kat
Posted by kka on December 11, 2003, at 20:06:01
In reply to Re: Topamax-bipolar and weight loss? » Beck, posted by headachequeen on December 11, 2003, at 20:00:56
> > > BTW, I stopped taking Topamax after three weeks because I started losing fistfuls of my hair when I shampooed. > >
> > >
> >
> > HAIR LOSS???? No No No I'm too vain to loose hair:) Is this a symptom that is common for many people?
> >
>
> Tegretol and Topomax both cause hair loss and drying out of hair... so take biotin and vitamins c and e and zinc and there is no problem... I take 400 mg of both per day and my hair is not falling out and is no longer
> imitating straw.. for a while there I was worried... and my hair is one of my greatest vanities... that and my voice...
> and when I went for a single fibre bundle test... DON"T EVER LET ANYONE CON YOU INTO ONE OF THOSE... the neurologist doing it told me that the changes in my voice were a symptom...
> not of what, but a symptom...
> oh, joy... I am left in the dark again...
> they treat us like mushrooms in that neurological area...
> kat
Kat,I know I have read that you take 2500 mgs of Biotin which I have now started, but what do you take 400 mgs of Vitamin E and C? How much Zinc.
BTW - Does anyone have that link Murphia posted re the other discussion group for Topamax users? Any help would be great. I couldn't find the old post! Thanks
>
Posted by Beck on December 11, 2003, at 20:31:03
In reply to Topamax Experiences?, posted by Kingfish on January 4, 2001, at 7:29:48
Wow, when I look at all the horrendious possible side-effects of Topamax I have to look forward to, I find myself wondering why my neurologist asked me to try it. This medicine sounds like more trouble than its worth really. But anyway, thanks for educating me on the horrors/great things about Topamax!
Posted by headachequeen on December 11, 2003, at 20:36:58
In reply to Re: Topamax Experiences?, posted by Beck on December 11, 2003, at 20:31:03
> Wow, when I look at all the horrendious possible side-effects of Topamax I have to look forward to, I find myself wondering why my neurologist asked me to try it. This medicine sounds like more trouble than its worth really. But anyway, thanks for educating me on the horrors/great things about Topamax!
it may well depend upon the reason for trying it... there are other meds out there that do the same thing and have worse side effects.. I am trying to convince my doctor to take me off tegretol and put me on topomax exclusively because believe me, tegretol makes topomax look like a walk in the park on sunday afternoon... followed by a picnic while the band plays in the band stand and swans sail majestically down the river...
I am still enjoying the tingling in the hands and feet and now have the tingling in my face... and that is all thanks to Tegretol.. or maybe it is new symptoms of the epilepsy... who knows??? I can find out by stopping the meds entirely to see... and then go into seizures... what a lovely choice....
kat
Posted by Beck on December 11, 2003, at 20:52:45
In reply to Re: Topamax Experiences? » Beck, posted by headachequeen on December 11, 2003, at 20:36:58
> > Wow, when I look at all the horrendious possible side-effects of Topamax I have to look forward to, I find myself wondering why my neurologist asked me to try it. This medicine sounds like more trouble than its worth really. But anyway, thanks for educating me on the horrors/great things about Topamax!
>
> it may well depend upon the reason for trying it... there are other meds out there that do the same thing and have worse side effects.. I am trying to convince my doctor to take me off tegretol and put me on topomax exclusively because believe me, tegretol makes topomax look like a walk in the park on sunday afternoon... followed by a picnic while the band plays in the band stand and swans sail majestically down the river...
> I am still enjoying the tingling in the hands and feet and now have the tingling in my face... and that is all thanks to Tegretol.. or maybe it is new symptoms of the epilepsy... who knows??? I can find out by stopping the meds entirely to see... and then go into seizures... what a lovely choice....
> katThe tingling in your hands and feet is from Tegretol? When my neurologist perscribed Topamax he said that that would probly happen, not looking forward to that! Luckily it hasnt began yet, but its only week 1, so I'll wait and see.
Posted by headachequeen on December 11, 2003, at 21:39:32
In reply to Re: Topamax Experiences?, posted by Beck on December 11, 2003, at 20:52:45
> The tingling in your hands and feet is from Tegretol? When my neurologist perscribed Topamax he said that that would probly happen, not looking forward to that! Luckily it hasnt began yet, but its only week 1, so I'll wait and see.
There is some tingling with the Topomax I am told but there is a lot of tingling ... tingling??? it is as if someone cut off the circulation to my hands and feet and then let it start again... extreme pins and needles... with the tegretol... has been going on ever since I started taking the stuff...
yes there are side effects to Topomax... no pretending otherwise... but I have come to think and experience that the side effects are less and easier to live with from Topomax...
just my experience and opinion I realise... and I have also found that there is more help available for the side effects from Topomax and dealing with them... and that is here...
I take 400 mg a day of Topomax and while at times I found it scary because of what I read and what I scared myself into believing... the experience has not been as bad as the Tegretol one... and the control over the seizures has been much greater since the Topomax entered the picture... again my opinion and experience...
and I am still working on getting the Tegretol out of the picture... or on getting onto less Tegretol and replacing it with Topomax...
kat
Posted by mags on December 12, 2003, at 8:54:35
In reply to Re: Topamax Experiences?, posted by Beck on December 11, 2003, at 20:52:45
I got tingling in face, arms, hands and feet. It usually was at its worst after each increase in dose..it was annoying but I could live with it. It was like pins and needels when your foot goes asleep when you lay on it. THe worst for me was my face..especailly when I ate... my lips would tingle!! Really weird!! But it has pretty well all gone away!! Titrate slowly and you will be fine.
Good Luck.Maggie
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