I have been on Topamax 4 weeks. I see why they call it Dopamax and Stupamax. Fortunately I work with some pretty stupid people so no one has noticed yet that I am not on top of my game. I am no longer practicing as a nurse, therefore I don't endanger people in my job, so its safe to be dumb and ride out these side effects. I have read lots of the experiences of others and have noticed over the past 4 weeks as I have increased my dose gradually from 25 mg to 100 mg that the side effects have A) changed in quality and intensity and B) been transient and some are wearing off altogether. At first, on 25mg, I couldn't hold my eyes open and I could barely make a sentence. At 50mg I had to call into work one day because I was so gorked. By the time I got to 75mg I was hyped up, charging around the house cleaning, just a little dingy and forgetful, but a powerhouse of energy and no headache at all. Something I didn't expect was the very pleasant side effect of it making me feel as if I had taken an antianxiety medication all the time. This is great because I have a high stress occupation. I overeat and am a little overweight, I need to lose about 40lbs. Now food looks larger and I don't want to clean my plate. I miss diet Pepsi but I am going to group therapy for that (j/k). Granted the dizziness, forgetfulness and word finding problems really stink, but I have seen such an improvement in the side effects in such a short period of time its worth it to me to stick it out. I was having severe, incapacitating migraines about twice a week and less severe ones the other five days of the week. I haven't had a headache in over 2 weeks. My experience over the past 4 weeks is that having patience with the side effects and depending on others to be understanding and supportive, swallowing my pride and being ok with looking a little or a lot goofy for a few weeks while this med has gotten into my system has really started to pay off!