Sorry if this question has been answered before. I'm about to start taking Topamax for binge eating disorder, and I've heard it can cause weight loss, which would be welcome in my case. What I'm worried about is losing a ton of weight and then gaining it all back as soon as I go off the medication (which I probably will do eventually). Have any of you lost weight on Topamax and successfully kept it off after stopping the medication? Or does everyone gain back whatever they lost and then some?
I used to rep this drug so I will try to give you what I feel is my most honest feedback. I also strongly believe in this drug because I have taken it off and on for years because it is the only drug that gives me any hope and reducing my migraines. (Haven't tried Botox yet :) ) I will say most of the generics don't even compare to the brand but sadly I can't afford my beloved brand anymore. Whatever you decide, listen to me here and go to an independent small pharmacy b/c though it sounds crazy, they will be the place that saves you on topiramate. They might not have the $4 scrips to get you through the door but you'll find topiramate for less than $20 instead of $100!!! Or even $300 generic which a national drugstore chain wanted (shame on them!!)
Ok... so to finally answer your question... (I warn you all in advance I am an ENFP... lol... :)... I am not a Dr so this is not medical advice & Do not take as such but I could see how topiramate could help someone off- label as an added aid in their efforts to re- establish a healthy lifestyle and gain their life back... what I mean by that is ... Topamax isn't going to keep the weight off of you after you stop taking it... or at least that's been my experience... but I am fortunate enough to have a healthy BMI to begin with and I eat pretty healthy and I come off Topamax sometimes because I can get into an unhealthy BMI situation if I don't. I have lost down to 102lbs at 5'7 even eating cheeseburgers and the like in my early 30s so I guess it's everyone's metabolism..I don't think I would have that to worry about now because I drink too many sodas... and am far too stressed... The REAL Topamax made every soda taste like crap. I recall having to do Dr lunches and craving tea or water... it's a beautiful thing to crave water. I WISH I could find a generic that made ALL soda repulsive.
It will take away your appetite so you'll need to remind yourself to eat. It makes me really tired so I have to find motivation to work out and anything else. There are some side effects that may not be worth it to you... they aren't always worth it to me but I just can't handle the headaches.
The key is listening to your Dr with the titration and then working with your therapist to build your plan of attack with cognitive therapy and a nutritionist and whatever so you WIN over your eating disorder and you realize you'll never need Topamax again... that YOU are PERFECT and BEAUTIFUL just as you are. I wish you well on your journey whatever you decide. Keep us posted. Much love and light.
- Topamax Information for Consumers
- Topamax Information for Healthcare Professionals (includes dosage details)
- Side Effects of Topamax (detailed)
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