it wasn't too bad.. with th help of dr. of course... i came off topamax and only had to use trazadone twice. my sinus problem is gone , the hallcucinations have stopped and i love my husband again..WHEW! scary ....i am also down to 150 mgs of effexor-er shaking a bit still, but will stay with that for awhile. dr.'s advice. thank you for caring...tmaxmom...didn't mean to scare you about not using a dr. for this. i called her immediately when things got real bad. for all of you taking this drug, pay close attention to the side effects and how you feel in your head...TALK to your doctor the first sign something is wrong or with Q&A'S