I know how you feel, I’ve been on paliperidone now for 3 years and I’ve gained 40lbs. I want to get off this med but they won’t let me. It’s frustrating.
What bad things do you hear about Topomax? I’ve been taking it for years with no problems. I take it primarily for migraines but it also helps keep my weight down @Vertigo .
And yes, Topomax is a weak mood stabilizer but it’s better than nothing which is what you’re proposing.
Topiramate may induce manic episodes in patients with a history of seizures or prior psychiatric illnesses. In the case reported by Jochum, an alteration in AMPA neurotransmission was considered to be the cause of topiramate -associated manic episode.
I know how you feel because my Zyprexa has side effects, but when I stop it I go back to hospital.
Maybe you can ask your psy doc to lower the dose and find the lowest dose you can take without you going psychotic again (or high and depressed if you’re more the bipolar type)
good luck to you
Topomax doesn’t induce mania in me. At least my health team members don’t tell me I’m manic. I’m sleeping good and I’m not spending much money… In fact I’ve been a miser all my life.
As long as your 500 mg dose is working, what’s to worry?
Oh, now I know why I’m so stupid. It’s the Topomax!! LOL.