I’ve been taking Topamax 25 mg for the last two months. What’s the plan you recommend to stop taking it? I’ve been getting a lot of side effects and my body can’t tolerate a higher dose. I’m really concerned about the weight gain because I feel my appetite is increasing. I don’t get full with the same amount of food I used to eat before. I don’t understand why this medication is approved for Migraine since the side effects are very serious. Eleanor.
We really can’t recommend a discontinuation schedule for you because that would be giving you medical advice that should only come from your own physician. However, we can share general information about discontinuing Topamax. Please refer to Is It Safe to Quickly Stop Taking Topamax for Migraine? Please contact your physician for his or her recommendation.
Topamax was approved for Migraine prevention because it proved effective in clinical trials. Although some of the potential side effects are serious, the incidence of them occurring in the trials was within acceptable limits. The FDA has required warnings to be included in the prescribing information and patient information leaflets; the majority of patients don’t experience bad side effects. The FDA intends patients and doctors to weight the benefits against the potential harms, and to be alert for side effects so the medication can be discontinued if necessary.
Thank you for your question,
Dave Watson and Teri Robert
About Ask the Clinician:
If you have a question, please go to our submission form. Accepted questions will be answered by publishing the answers in our column. Due to the number of questions submitted, no questions will be answered privately, and questions will be accepted only when submitted via THIS FORM. Please do not submit questions via email, private message, or blog comments. Thank you.
Please note: We cannot diagnose, suggest specific treatment, or handle emergencies via the Internet. Please do not ask us to diagnose; see your physician for diagnosis. For an overview of how we can help and questions we can and can’t answer, please see Seeking Migraine and Headache Diagnoses and Medical Advice.
We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications, and other treatment options, you should always consult your doctor.
See more helpful articles:
Do you have questions about Migraine? Reader questions are answered by UCNS certified Migraine and headache specialist Dr. David Watson, and award-winning patient educator and advocate Teri Robert. Questions may be submitted via our submission form. Accepted questions will be answered by publishing the answers in our Ask the Clinician column. For an overview of how we can help and questions we can and can’t answer, please see Seeking Migraine and Headache Diagnoses and Medical Advice.