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Re: Topamax and weight loss

Posted by SalArmy4me on July 9, 2001, at 22:06:08

In reply to Re: Topamax and weight loss, posted by 16# on July 9, 2001, at 17:02:57

200 mg or above creates the weight-loss effect: Date: Thu, 18 Jun 1998 22:17:15 -0400
From: Ivan Goldberg < Psydoc@psycom.net >
Subject: Topiramate

When lamotrigine has been increased to the maximally effective or tolerated dose I will start topiramate 20 mg once a day and increase the dose in increments of 25 mg until the patient is taking 100 mg qid. Improvement may be seen at a total daily doses of 50 to 400 mg/day. Generally I increase the dose every four or five days. While I have seen some ataxia and have heard of some drowsiness, topiramate is usually well tolerated. _Appetite and weight reduction are often seen at doses of 200 mg/day and over_.

> Hi Ludo,
>
> At what dose did you begin to notice the weight loss side effect?
>
> I too have been placed on Topamax in an attempt to lose the weight gained on other meds. So far I have lost 3 lbs. in 10 days. But I am on a very low dose (75 mg) and I feel my appetite returning.
>
> Do you attribute the weight loss to a change in appetite, metabolism, or both?
>
> Congratulations on your weight loss! It is so great that your doctor responded to your concern about your weight and that you have had some success in taking it off. I don't mean to sound superficial but looking good does help us feel good.
>
> Michelle


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