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My neurologist has been adding in topamax because of my weight issues, even though Depakote has handled my migraines just fine. Some of us who have gained lots of weight on other migraine meds. may benefit from just preventing more gaining. That is all I am hoping for. I have lost +/- 10 lbs over the last 6 wks or so on, first 25 for 1 month, now 50 mg of topamax. The mouth sores I got when I raised the dosage have gone away and I am not noticing anything untoward now. I'm going to follow the neurologist's directions to the letter and take this very, very slowly.
 
Posts: 6 | Location: Washington State | Registered: 05-03-2007Edit or Delete MessageReport This Post
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mbkb12,
I share your experience as someone who has had a lifelong struggle with eating issues. I was probably an emotional eater by the time I was 7 or 8. My weight as an adult has fluctuated within a 110 lb range long before I had chronic migraine. I've spent many years in therapy working this out, and several years ago I lost 40 lbs just through exercise and finally reaching a place where I could eat like a normal person much of the time. In the last several months, I've also had the experience of losing almost 20 lbs on topamax. I will say that the appetite suppressant side effect probably helped with my initial adaptation to all the dietary restrictions I've had to deal with.

I know how painful it is to struggle with compulsive eating for many years and how much of a relief it must be to experience the appetite suppressant effect of topamax. I guess this effect of topamax could be good for some people if they are willing and able to stay on the drug indefinitely. I would be surprised if the old problems with compuslive eating didn't resurface once the drug is discontinued. I'd *much* rather lose the weight as a result of having done the emotional work than by relying on a drug, or a diet, for that matter.

Speaking of diets, I've been reading a lot about what conventional medicine defines as "eating healthy" and how that might not work for a lot of people who need to lose weight and people with chronic medical problems. When I have some more time, maybe I'll start a thread in the new healthy lifestyle folder.

Robin

quote:
Originally posted by mbkb12:
I agree that no weight loss drug should ever be handed over to a patient with a "call it good" attitude. However, being an emotional eater myself, and seeing so many women with the same problem (eating to fill a void in our lives, or to feel good, or to resolve stress, etc.) I can't help but wonder of somewhere down the road a pharmacutical medication could be an AID to weight loss. Not the holy grail, mind you, because nothing ever is. But something that actually makes you see results and not feel ravenous while really, really trying to eat healthy.

I get so sick and tired of seeing diet and fitness experts on TV sit there and tell us "The answer is simple: eat right and exercise." Well, that works great for me at 25. At 42? Perimenopausal and with insulin resistance? Not so much. I could drop 20 lbs giving up dessert for 2 weeks when I was in my 20's. I was 5'10 and weighed 120 lbs. I weight 175 now.

I try, I really do. I know what I need to eat/do to lose weight. But it's very hard to run a household of five, work night shift, volunteer and do it all while my stomach is groaning, and I'm getting irritable because I am "eating healthy." And STARVING. (Or at least my brain thinks I am.)

As I mentioned before, I wasn't aware of the weight loss issues with Topamax before I went on it, so I hadn't expected what happened next. I found myself able to eat a small, normal portions of food and it would stay with me. I did not feel "hunger pains" nor did my mind obsessively wander to food within an hour of eating. For me, this is HUGE.
For the first time in many, many years I felt like I could treat food like a "normal" person does. Eat at regular intervals, but it didn't rule me. I am in control. I am that person I usually envied. The one who could eat half of what was on the plate and take the other half home. The one who could drive by Krispy Kreme and not give a hoot. The one who passed up birthday cake at work without a second thought.

18 lbs. lost without any angst or anguish. And I am going to the gym doing cardio and weights. I have the energy to do so. I didn't before. (Mostly because of the headaches. But I was also sluggish due to eating wrong.)

I guess my perspective is different on this. I wish others could experience this as I have. There are down sides. I've had some expressive aphasia and that scares me. But I suppose it's a trade off.

No, this is not any sort of wonder drug for weight loss. And some of the side effects are pretty uncomfortable for certain individuals. But I can't help but wonder if maybe whatever it is in Topamax that makes me feel "normal" about food might actually be a good thing for some of us. It's pretty liberating to not feel I should reach for the Oreos after I get off the phone with my Mother. Big Grin
 
Posts: 278 | Location: Virginia | Registered: 02-22-2007Edit or Delete MessageReport This Post
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Oops. Sorry. IMO - In My Opinion.

If you said, I've forgotten -- what kind of doctor is this? Although, that shouldn't make any difference on what we're discussing. Certainly, if I can read the prescribing information and find potential respiratory side effects, anyone who's prescribing it should read the same information.

Sweetie, maybe it's time for a real Migraine specialist. I do know how difficult this must be. Been there myself. At one point, I was averaging five Migraine a week that put me in bed with the entire day lost. I went though all the crap with doctors who didn't know what they were talking about and didn't much seem to care. Getting myself to an actual Migraine specialist was the turning point for me. I probably average one Migraine a month these days and sometimes get two or three months between them.

Toapmax is a single ingredient medication. ALL that's in it is topiramate. I don't know what it is that it does that can cause the tingling. I'm not sure anyone really knows. That's the way it is with meds sometimes; we know there are potential side effects, but not necessarily why they happen.

You're very welcome. Hang in there and let us know how we can help?

quote:
Originally posted by NS:
IMO (?) Yes the tingling is that bad. And like I said it interfers with my lifestyle. When I called the doctor about the tingling and the breathing her nurse said nothing about potassium or that there were complications of respitory problems. I feel really mislead. I have been trying for so long to get the right kind of help. I am now 41 and have been dealing with this since I was a child. I once let a doctor inject something into my neck, which triggered a migraine that night, then he wanted to inject botox, I was out of there as quick as I would. I do acupuntunture, which has not made the migraines or the daily headaches go away either. At this point I am at my wits end. Thank you so much for responding to my question.
Do you know what ingredient is in Topamax that makes the tingling?



Teri Robert
Lead Expert, MyMigraineConnection
terimmc@helpforheadaches.com

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The generally long periods of time between my Migraines are the result of working with a Migraine specialist to refine my preventive regimen. You can see my current regimen HERE.
 
Posts: 3655 | Location: West Virginia | Registered: 01-11-2007Edit or Delete MessageReport This Post
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Added? As in left the Depakote at the same level and added Topamax?

quote:
Originally posted by PhyllisMarie:
My neurologist has been adding in topamax because of my weight issues, even though Depakote has handled my migraines just fine. Some of us who have gained lots of weight on other migraine meds. may benefit from just preventing more gaining. That is all I am hoping for. I have lost +/- 10 lbs over the last 6 wks or so on, first 25 for 1 month, now 50 mg of topamax. The mouth sores I got when I raised the dosage have gone away and I am not noticing anything untoward now. I'm going to follow the neurologist's directions to the letter and take this very, very slowly.



Teri Robert
Lead Expert, MyMigraineConnection
terimmc@helpforheadaches.com

visit me on or


   
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The generally long periods of time between my Migraines are the result of working with a Migraine specialist to refine my preventive regimen. You can see my current regimen HERE.
 
Posts: 3655 | Location: West Virginia | Registered: 01-11-2007Edit or Delete MessageReport This Post
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quote:
I would be surprised if the old problems with compuslive eating didn't resurface once the drug is discontinued. I'd *much* rather lose the weight as a result of having done the emotional work than by relying on a drug, or a diet, for that matter.


I agree. And it's a shame that for a lot of people, therapy to work through the emotional issues therein is cost prohibitive.

In my case, it feels liberating to at least have been given a jump-start on the weight loss. I thought I was stuck being overweight for the rest of my adult life. I would lose/gain the same 10 lbs over and over again. Even going to the gym 5 days a week last summer did nothing to help in weight loss. My frustration factor was really off the charts.

I can't imagine I will be taking Topamax the rest of my life. But perhaps I will try my very best to continue this way of eating. I have a lot more energy, do not feel bloated and tired all the time, etc. At least now I know I CAN lose weight. No more excuses.
 
Posts: 9 | Registered: 05-17-2007Edit or Delete MessageReport This Post
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TeriRobert,

Yes. He left the Depakote at the same level when he added in the topamax. I had big problems trying to go off of Depakote when we tried topamax before, as I suffer from bi-polar II as well as migraines.
 
Posts: 6 | Location: Washington State | Registered: 05-03-2007Edit or Delete MessageReport This Post
NS
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We found her from the Migraine Association webpage or something to that effect. She also had a PhD which we thought would be helpful since I was also diagnosed with "non-eplipetic" seizures a couple of years ago. I also had a hysterectomy a couple of years ago because of problems with endo. So my headaches have increased over the years.
I read the blurb about cluster headaches, and I have to tell you I have never felt so validated that I started crying. It is such a relief to know that somone really understands. Thank you. And thank you for your quick responses.
quote:
Originally posted by Teri Robert:
Oops. Sorry. IMO - In My Opinion.

If you said, I've forgotten -- what kind of doctor is this? Although, that shouldn't make any difference on what we're discussing. Certainly, if I can read the prescribing information and find potential respiratory side effects, anyone who's prescribing it should read the same information.

Sweetie, maybe it's time for a real Migraine specialist. I do know how difficult this must be. Been there myself. At one point, I was averaging five Migraine a week that put me in bed with the entire day lost. I went though all the crap with doctors who didn't know what they were talking about and didn't much seem to care. Getting myself to an actual Migraine specialist was the turning point for me. I probably average one Migraine a month these days and sometimes get two or three months between them.

Toapmax is a single ingredient medication. ALL that's in it is topiramate. I don't know what it is that it does that can cause the tingling. I'm not sure anyone really knows. That's the way it is with meds sometimes; we know there are potential side effects, but not necessarily why they happen.

You're very welcome. Hang in there and let us know how we can help?

quote:
Originally posted by NS:
IMO (?) Yes the tingling is that bad. And like I said it interfers with my lifestyle. When I called the doctor about the tingling and the breathing her nurse said nothing about potassium or that there were complications of respitory problems. I feel really mislead. I have been trying for so long to get the right kind of help. I am now 41 and have been dealing with this since I was a child. I once let a doctor inject something into my neck, which triggered a migraine that night, then he wanted to inject botox, I was out of there as quick as I would. I do acupuntunture, which has not made the migraines or the daily headaches go away either. At this point I am at my wits end. Thank you so much for responding to my question.
Do you know what ingredient is in Topamax that makes the tingling?
 
Posts: 3 | Registered: 05-22-2007Edit or Delete MessageReport This Post
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Thanks, Phyllis. Just trying to keep track and be sure I'm understanding. ;-)

So, Depakote has significantly reduced your Migraines? I hope I read that right!

quote:
Originally posted by PhyllisMarie:
TeriRobert,

Yes. He left the Depakote at the same level when he added in the topamax. I had big problems trying to go off of Depakote when we tried topamax before, as I suffer from bi-polar II as well as migraines.



Teri Robert
Lead Expert, MyMigraineConnection
terimmc@helpforheadaches.com

visit me on or


   
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The generally long periods of time between my Migraines are the result of working with a Migraine specialist to refine my preventive regimen. You can see my current regimen HERE.
 
Posts: 3655 | Location: West Virginia | Registered: 01-11-2007Edit or Delete MessageReport This Post
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Hmmmmmmmmmmmm. It just really concerns me that she dismissed the side effects issue so quickly. Would you do me a favor, please? Would you mind clicking on my email address in my signature below and emailing me the name and location of that doctor? The directories on MAGNUM, Help for Headaches, and soon on this site are all based on patient recommendations. On the ACHE and NHF Web sites, the directories are a list of their dues-paying members.

Cluster headaches? Oh, sweetie? I thought you had Migraines? Or do you have both? In any case, I'm so glad you're finding helpful information. We're working to get lots more info added as quickly as possible. In the meantime, if you need info on something, and don't see it, please let me know?

You're welcome for the quick response. We try. It's getting a bit harder to keep up with everyone, but that's one reason we have several people here to help.

quote:
Originally posted by NS:
We found her from the Migraine Association webpage or something to that effect. She also had a PhD which we thought would be helpful since I was also diagnosed with "non-eplipetic" seizures a couple of years ago. I also had a hysterectomy a couple of years ago because of problems with endo. So my headaches have increased over the years.
I read the blurb about cluster headaches, and I have to tell you I have never felt so validated that I started crying. It is such a relief to know that somone really understands. Thank you. And thank you for your quick responses.



Teri Robert
Lead Expert, MyMigraineConnection
terimmc@helpforheadaches.com

visit me on or


   
Want this badge?                   Want this badge?




The generally long periods of time between my Migraines are the result of working with a Migraine specialist to refine my preventive regimen. You can see my current regimen HERE.
 
Posts: 3655 | Location: West Virginia | Registered: 01-11-2007Edit or Delete MessageReport This Post
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I have been taking 200mg of Topomax a day for over 3 years now. It has been the only medicine that I have tried over the past 6 years that has brought me any relief from my daily headaches and migraines. However, over the last six months I have started losing weight and doing everything in my power to keep weight on. Including going to a high protein diet. At 5'5" and 120 to begin with I have already lost six pounds and am struggling not to lose any more. I have tried to get off the Topomax before, but having had brain surgery at sixteen it has complicated my treatment. I am hesitant to try and get off the topomax simply because of the weight loss. Does anyone have similar experiances after extended time on the Topomax? What did you do?

quote:
Originally posted by bev:
Hello, sweet Bella,
I was on 200mg of topomax for 2 + years I lost weight. Be aware that My experience is definitly Not the normal because Normally I have o appetite. Withthe top. It fell to the point that I had to force my self to eat. I was drinking most of my meals from a blender, fresh veggies and protien powder. Because I could drink way more than I could eat . The foods that I normally liked did not taste or smell good to me. This is one reason I got off of it. I did not want to get more mal- nourashed.
[/QUOTE]
 
Posts: 1 | Registered: 05-26-2007Edit or Delete MessageReport This Post
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Welcome to MyMigraineConnection GracieLou.

I'm sorry to hear about your weight struggles, but happy to hear about your reduction in Migriane pain. It is unlikely that after being on Topamax for over 3 years you would start losing weight now. It may be attributed to something else and a discussion with your doctor is a good idea.

However, there are over 100 different medications that can be used in the prevention of Migraine disease, and it may be time to seek another med: Click here

Please let us know how we can assist you further, and we look forward to hearing more from you.
 
Posts: 3311 | Location: Western, New York | Registered: 01-11-2007Edit or Delete MessageReport This Post
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Ok, so I have been on 50mg of Topamax for about a month now (2nd time around) and I again have the "I'm not hungry" thing going. This time though - I am definatly noticing a difference in the way things taste. I had not noticed that before. Maybe because I have also quit smoking since the first time on it? I don't know, but almost everthing tastes like a tin can!!! I have to say I love that I am losing weight but I hate not eating!

I went to school for baking and pastry - I love to cook - and love to eat even more! I went to Friendly's with a friend yesterday and was all excited to get the happy ending sundae - yeah the peanut butter cup sundae with extra sauce - mmmmmm - so I get about 4 bites into it and I'm done. I WAS TO FULL TO EVEN EAT THE PEANUT BUTTER CUP!!! I was so sad!! LOL

So there is an up and a down to every story I guess right??!!! Have a great weekend everyone!!!!
 
Posts: 219 | Location: Hopatcong, NJ | Registered: 04-16-2007Edit or Delete MessageReport This Post
Maven
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This doc sounds ODD to me, prescribing topamax for weight loss! While it can really help with this, I just have never heard of topamax being used this way.
And, the weight loss doesn't happen to everybody. I've been on 300mg topamax (split 150mg am & 150mg pm) since Dec., & have not lost any weight, even "counting points" on Weight Watchers in Jan.
Much good luck!
 
Posts: 733 | Location: coastal South Carolina | Registered: 01-19-2007Edit or Delete MessageReport This Post
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I've been on Topamax since Sept. last year and while it has helped with the migraines somewhat the weight loss for me has been great. Yes, I have lost what others say is too much weight, but I have never felt better. I look in the mirror and I feel great about myself. I went from 143 to 103 and at 5 ft. tall and small built I think that is fine. And I am making sure that my BMI stays at a good range. When my weight went down to 100 and then 98 I started eating large quantities of food until it got back up there. I still eat the foods I like. I eat pizza and ice cream and chocolate and bagels and cream cheese and cookies, I just don't eat as much or as often.
But it wasn't only the weight. If you have ever had IBS and no medication worked and you know everything you put in your mouth is going to put you in the bathroom, so going out to a restaurant or a friends house for dinner is pretty much out of the question unless you come right home after eating and then you get a drug like Topamax that helps you eat less often and eat less food and the IBS pretty much is non existent and you can be almost headache free, lose weight and start pretty much enjoying life again - then I will put up with the tingling in my hands and feet for a few months until it goes away (because it did go away). I can't say I had any other side effects because the dizzyness could be from other things or other meds I don't know.
But I will stick with the Topamax as long as the doctor will let me. All the other meds put weight on me or bloated me up or didn't work. I haven't found a miracle drug, I just found one that worked for me. I hope it works as well for someone else.
 
Posts: 2 | Registered: 06-05-2007Edit or Delete MessageReport This Post
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I've lost about 40 lbs total, and been on Topamax for about a year this time. This is the second time around, the first time was about three years ago, but I've lost more weight this time that I did the first.

Foods taste better after the first go around and I eat just about what i want with no weight gain. If I don't eat pretty well, I lose. I have plateaued at 181 and stay there regardless of how much I eat. At 6' tall and a large frame, it's the perfect weight according to the docs. (Wife tells me I'm skinny..how I LOVE to hear that..LOL)

I tried Lexapro combined with the Topamax and it caused such bad diarrhea that I couldn't leave the house most days. Quit and in one day it stopped, so I do know how you feel with IBS for sure. Same with other drugs, and I have issues with most new meds that create severe GI issues, so have lots of useless full bottles of meds thrown out due to adverse side effects.

Lyrica was to be the latest "wonder" drug until it too had bad side effects, so that's out. We'll see what's next.

best of luck and hang in there. Your miracle is just around the corner. It just takes time to turn that corner.


"After you jump, it's too late to wish you bought the better parachute!"
 
Posts: 5 | Location: California | Registered: 01-25-2007Edit or Delete MessageReport This Post
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