Hi.

Sounds like the research area of this website can get you more background on the medication so you will feel more comfortable. Topamax is used for migraine suppression, seizure disorders, smoking cessation, bulimia and as an adjunct with certain antidepressants to decrease weight gain (Seroquel). It, like all other medications, has risks for side effects. Dr. Bankole Johnson in his Lancet study did not find any that were serious enough to halt the clinical trial.

Most people do well and with a slow titration. Some of the more common things like mental fuzziness and tingling of the extremities seem manageable. The weight loss is sometimes hard to overcome, as you simply are not as hungry as before and it may be difficult to force yourself to eat.

Hope you find this helpful.

--Dr. Garcia