Jen,

Until Dr. G is back, I thought you might find this of interest. It's from the Crazy Meds Board. I like this fella's stuff. He takes Topa for seizures but knows a lot about the medication for other purposes. Here's what he says:

"...As always I'm for a slow titration. Unless you're seriously flipping out or seizing all over the place, start at 25mg and increase by 12.5 to 25mg a day each week as required until both symptoms and side affects abate. Topamax (topriamate) is extremely dosage sensitive and you'll find that side effects will actually decrease in intensity, if not go away, once you hit your proper dosage. So as odd as that reads, it will take an increase in your dosage for some side effects to go away...."

RJ