Started taking Topamax about a month ago for frequent migraines. I used to take Axert 2 to 4 times a week. If I did it at the beginning of a headache it worked very well, with little or no side affects- just got tired of having so many headaches. Started the Topamax and worked up to 100 mg per day (50 am 50 pm). Seems to control the headaches well, down to maybe one per week and I think less severity.
Side effects so far: 1. Perhaps some memory stuff as described by others (hard time spelling formerly familiar words etc... but doesn't seem real obvious to me (maybe to other!!!). 2. Diet Coke tastes terrible like everyone says!! This one hurts cause I love diet coke. The good news is that I don't notice the effect as much now a the first couple of weeks.
3. I have frequent (emphasis on frequent) diarrhea- like a couple times a day four to five days a week. This one doesn't seem much better. Now there has been some associated weight loss as reported but Im not sure that is due to reduced appetite or daily diarrhea or both. Either way I was glad to loose the ten pounds I needed to loose anyway, just wish I could do it without spending so much time in the bathroom.
Have not had any of the tingling in the hands or fingers that others have reported.