Comparing Contrave vs Topiramate

For Obesity I am 56yo woman, 405 lbs (not a typo), 5'9" tall. I find in thus forum that most people don't have the amount of wright to lose as I do yet I am hopeful. I started Contrave June 8th 2017 and have lost 11lbs. Soon I'll be up to 3 tabs/day. I find that it is helping somewhat yet I still am craving fast food. I am following a low carb diet with no exercise yet. I hope that the higher dose will help with the cravings more. Side effects for me have been lethargy and some nausea. I plan on continuing this med in hope that I finally can resolve my food addiction.

For Obesity I started Contrave & during the 2nd week became so nauseated that I had to stop taking it. About 4 weeks ago I started to take it again, and have stuck with just the ONE morning pill and have been doing great...I've lost 12 pounds. BUT and here is the biggest thing for those complaining they are "NOT LOSING WEIGHT" I'm also doing this with the Weight Watchers program, meaning I am taking accountability for the food I am putting into my mouth, I'm eating more fruits & veggies, I am not going to the drive through of McDonalds or eating medium size pizza's expecting this medication to help me lose weight. YOU have to change your habits or the medication won't do anything for you. I suggest taking this with a 'diet plan' or 'eating program'

For Migraine Prevention I have been on Topiramate for over 4 years for migraine prevention, and in the very beginning was great. Went from 20+ migraines a month on a 50 mg dose to less than 5 with very few side effects (coke tasted bad, I drank water) no big deal. Now I’m up to 300mg a day and since then I’ve had kidney stones, major tingling in hands/feet, severe back pain, dry eyes, and migraines at least 4 days a week on top of other side effects. I don’t know what to do. I’m hoping it’s just the medicine doing this.

For Migraine Prevention I have been on Topamax for a little over a year now to treat severe migraines. I started from 25 mg and slowly went up to 150mg. I used to get 3-4 migraines a week and now they are down to maybe once a month, if that. For that it has been a life saver, but there are a few side effects. The tingling in the hands and feet went away completely after a few weeks on the final dose. but the mental fog is a side effect that stayed. I still have trouble concentrating and remembering things, especially details & sometimes have trouble finishing a sentence. I am a student and I use to get A's all the time and now I can study for hours and will not get anything higher then B. To me this is a price to pay for being migraine free.