Dr. Garcia,
I am up to 75mg of topa. I also take 1 mg of klonopin at night for restless leg syndrome, which I have taken for many years for this condition. I am also on a .4 mg nitro dur patch for vascular spasms. I am in great shape and completed a walk/run half marathon recently.
I cannot go to my doctor as my relationship with my ins. co. is tenuous. But, at 75 mg of topa, I am very sleepy.I am taking it 25 mg in the am and 50 mg around 5pm, which results in barely making it through dinner. When I wait and take it at 7 pm I am in bed by 9 (or sleeping on the couch). At 50 mg of topa, I still am craving a drink, at 75 I am not. What to do?

Thanks