I have been on Topamax 75mg at night for three months now and is weaning down to get OFF. I have had stomach pains for the past month and I have to force myself to eat...toast. I have not lost a pound. My Dr.'s put me on it for nerve pain, which finally did help after 2 1/2 months into the drug but....the side effects are not worth it. I can't think, let alone play scrabble with my friends (and I was the best). I'm light headed and sleepy. Be careful when they say the drug will help one thing but cause a list of other side effects.