I started on half a 25 mg pill for a week them up to 25mg the next week then 50 mg the next week (all taken before bed) now i am at 50mg before bed and 25mg in the morning (10 hours after my bedtime dose) i feel like by noon its worn off. not like i felt when i first started where i really had no appetite. could it mean i need to up my dose? how have others titrated thier doses? i really have had no side affects other then minor headaches that subside by themselves and tingling sometimes. i have lost a total of 8 pounds since starting topamax about a month ago but now its like my hunger has returned like before. any suggestioms? of course i always ask my doctor im just wondering what other have experienced.