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My doctor put me on Topamax for migraines, but I can not handle t...

Posted at 6: 4 AM on Aug 31, 2007 by acw21, #23298
My doctor put me on Topamax for migraines, but I can not handle the effects. I just started the 75 mg dose just as I was moving into a new college apartment with new roommates, and I felt like I was going crazy! I couldn't eat anything without feeling completely ill, I was spacing out, and I couldn't remember words.. for three whole days I couldn't remember the word 'tapestry.' I finally had to look it up in the dictionary.. not a good sign for a college student. The worst, though, was the overwhelming sense of panic that was getting worse by the day. I was no longer myself! The last straw was a panic attack, complete with hypernentilating. I have never felt so scared in my life. I actually had to go the ER to get something to calm myself down. So, I decided to stop taking it. My parents talked to my pharmacist, and she told them that Topamax IS the type of drug you can stop "cold turkey." But after a week, I feel almost as bad as I did when I was on the drug! I still can't eat anything. Also, I wake up hours before my alarm goes off, completely sick at my stomach. I feel panicky and nervous. I have several bouts of diarrhea and this morning I almost didn't make it. I share a bathroom with three (normal!) girls, and it is getting to be embarrasing and annoying. Please, can anyone tell me.. when do the side effects go away?? I want to be a normal 19 year old again!
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Reply over 2 years ago on Sep 05, 2007 by erin1965, #1628

Well first of all it says all over my drug info sheet NOT to stop taking it suddenly because it can cause seizures, even if you never had them before so that didn't make any sense. My MD put me on 25mg once a day for migranes. After a week I went up to 50 mg and stayed there. Given what I experienced I can't imagine how people start at such high doses. First of all, I experienced just about everything...pins and needles, nausea, diarhea, all carbonated drinks taste flat, word-finding, slurred speech, forgetfulness, weird dreams, short of breath, overheating. And.....NO MIGRAINES. I was convinced I was going to tell my MD to wean me off at my follow up visit because it was so bad. Then, around 3 weeks, almost all of the symptoms went away. Now all I have is very mild pins and needles (almost like I need to reposition because my foot is falling asleep) that comes and goes, and cannot taste carbonation (which is actually quite a bummer). I have gained 2 of the 3 pounds I lost and my bowels are gradually getting back to normal. I would say you should have started on a smaller dose, bumped up much more slowly to make sure you could handle it and NOT suddenly stop taking it. Oh, and by the way, when the drug info insert says "this drug may intensify the effects of alcohol", don't dismiss that. I was at a wedding on my 4th glass of wine (shouldn't be a problem, I'm a big girl and I ate a big meal) and suddenly it felt like I had just done a beer bong. It was like getting drunk in 4 minutes. I got so violently ill that night, the next morning and the entire day, as if I had alcohol poisoning! 4 glasses of wine! So unfair. I am happy and migraine free now on 50 mgs.

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Reply over 2 years ago on Sep 06, 2007 by topamaxbraindamage, #1649

Your pharmacist is a moron and you should threaten her with legal action.

You CANNOT stop taking Topamax suddenly. I have been weaning off this toxic gunk for almost two months at the rate of 25 mg every five days. I was told by the epileptic foundation that stopping suddenly could cause a sequence of seizures that could result in a brain hemorrhage and possibly death.

I talked to my pharmacist (who gratefully isn't as stupid as yours) who told me that I am weaning at the standard pace and that usually the topamax is out of your system 3 weeks after you stop taking it. However, I have interacted with a lot of people online who have had difference experiences on this drug. I think much of it depends on a) your dose b) how long you're on it

Some people have been off it for years and claim to suffer minor after effects.

I have weaned off it from 250 to 75mg and I am having all kinds of negative effects but one thing that is a relief is that my brain doesn't feel like a 110 year old Alzheimer's patient's anymore (although it still isn't what it was pre-Topamax).

CALL YOUR DOCTOR AND ASK WHAT YOU SHOULD DO ABOUT THE FACT THAT YOU JUST STOPPED TAKING IT.

And, fyi, people start at high doses who are epileptic. This drug will not combat seizures in epileptics on a low dose. It was started at 125mg while on dilantin and then decreased on the Dilantin while increased on the Topamax. currently on Keppra while weaning off the max and much happier.

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Reply about 1 year ago on May 11, 2008 by stepha1969, #8166

I have been on 75mm twice a day now for 5 months for migraines and am so happy, the only side effects are the pins and needles, some slight changes in my vision at night, mostly in in the semi-dark i see weird shadows where I shouldn't but otherwise I have only had a handful of headaches where I used to have 10 or more a month. I am down 20 pounds and still losing, but can still eat everything I used to, just am not as hungry as I used to be. I do notice that I get drunk quicker than I did before, I attribute it to eating less than before, just have to be careful when I go out now, because with less headaches, I am going out more! Good luck to everyone, I have to say, it's made more of a positive effect on me than a negative one.

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