Yes, topiramate (Topamax) has been shown to cause weight loss when used for both seizure control and migraine prevention. Topiramate (used by itself) is not specifically approved by the FDA for weight loss, but some doctors may prescribe it if you have seizures or migraine and need to lose weight, too.
How much weight can you lose with topiramate?
All patients lost a substantial amount of weight on topiramate. The average weight loss was 22 lb (10 kg; range, 8–56 lb [4–25 kg]). No patient discontinued topiramate because of side effects.
How long does it take to lose weight on topiramate?
It can take some time to see weight loss results from taking Topamax. Some people may not notice a difference until they’ve taken the drug for at least four months, while other people may start to lose weight in their first month of taking it.
Can you lose weight on 25mg of Topamax?
Topamax for weight loss
Topamax isn’t approved for weight loss. However, the drug may reduce your appetite, which may lead you to lose weight. In clinical studies, weight loss occurred in 6% to 17% of people who took Topamax.
Is topiramate an appetite suppressant?
It works by decreasing appetite. Topiramate is in a class of medications called anticonvulsants. It works by decreasing appetite and by causing feelings of fullness to last longer after eating.
Does Topamax speed up your metabolism?
Topiramate reduced food intake acutely and increased metabolic rate. There were also significant reductions in leptin, insulin, and corticosterone.
Do you gain weight back after stopping Topamax?
Conclusions: Loss of body weight is a reversible effect, which at 6 months after TPM discontinuation shows a clear trend to return to baseline values. HOMA-IR is the only predictive factor of weight regain.
How do you feel on Topamax?
What are the side effects of Topamax?
- tingling of the arms and legs (paresthesia)
- not feeling hungry.
- weight loss.
- speech problems.
- dizziness or sleepiness.
- slow reactions (psychomotor slowing)
Does Topamax make you tired?
Topiramate causes drowsiness and fatigue in up to 15% of people using it. Topiramate is commonly used to treat seizures and prevent migraine headaches, and for weight loss (Qsymia contains topiramate). The drug carries the nickname Dopamax because those taking it may feel “dopey.”
How do you lose weight with topiramate?
For weight loss:
- Adults—At first, one tablet of 3.75 milligrams (mg) of phentermine and 23 mg of topiramate once a day for 14 days. After 14 days, your doctor may increase your dose to 7.5 mg of phentermine and 46 mg of topiramate once a day. …
- Children—Use is not recommended.
Will I gain weight on Topamax?
This meta-analysis found that topiramate was associated with weight loss or attenuated weight gain when compared to controls (−2.83 kg; 95% CI, −4.62 to −1.03).
Who should not take Topamax?
chronic kidney disease stage 3B (moderate) chronic kidney disease stage 4 (severe) chronic kidney disease stage 5 (failure) kidney disease with likely reduction in kidney function.
What is topiramate 50 mg used for?
Topiramate is used alone or with other medications to prevent and control seizures (epilepsy). This medication is also used to prevent migraine headaches and decrease how often you get them. Topiramate will not treat a migraine headache once it occurs.
Does topiramate help you sleep?
Conclusions: Topiramate may be of benefit for patients with NES or SRED in reducing nocturnal eating, improving nocturnal sleep, and producing weight loss.
Can you drink alcohol with topiramate?
Yes, you can usually drink alcohol with topiramate. But it may make you feel sleepy or tired, and alcohol and hangovers can bring on seizures in some people with epilepsy.
What pills help you lose weight?
Four weight-loss drugs have been approved by the U.S. Food and Drug Administration for long-term use:
- Bupropion-naltrexone (Contrave)
- Liraglutide (Saxenda)
- Orlistat (Xenical)
- Phentermine-topiramate (Qsymia)