One comment: Make sure that at least three people know you are changing your medication and they are watching you. My mother saw how I was falling apart ("Tegretol made you a zombie", nurse at Truman Medical Center, 10 Feb 96), the neurologist kept saying "Don't worry - your son will get used to it and she believed that, because doctors have medical degrees, "Doctors know everything". (That neurologist lost his license and left the United States.) If you can tell topamax is harming you, then get off of it immediately. Otherwise, gradually.
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