Hi Sleepy,

I would continue to take the medication later (7 pm) and see if, after a week or so, this doesn't resolve. Use this opportunity to sleep more again, anticipating your body will get used to the dose and not be so sleepy but still have a noted anti-craving effect. If not, try some loose gun powder green tea: one heaping teaspoon per cup with near boiling water poured over, allowing it to steep for no longer than four minutes. (If longer, it will become bitter.) This is a real energizing without the jangles associated with coffee/caffeine. You may wish to add some honey, as it is brisk.

If you are still low on energy, consider Provigil, 100 mg. early in the day. That should override the evening dose of Topamax but wear off by 2300 so you can get some sleep.

Hope this helps. Good work with controlling that craving and let me know how you are doing in a week or so.

--Dr. Garcia