Topiramate, the active ingredient in Topamax, is also a main ingredient in the weight-loss drug Qsymia, along with phentermine.
Why does topamax make you lose weight?
Topamax causes weight loss because it affects the appetite. People who take it and have a reduced appetite may feel hungry less often and eat less because of this. Studies have shown that Topamax may also speed up metabolism, which means that the body burns calories more quickly.
What is the average weight loss on Topamax?
The mean dose of topiramate was 195 mg/day (range, 100–375 mg/day). 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 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.
What migraine medication causes weight loss?
In a study of 500 migraine patients using topiramate, Dr. Stephen Silberstein, director of the Jefferson Headache Center at Thomas Jefferson University in Philadelphia, has shown that “in addition to taking away their migraine headaches, on average patients lost almost 4 percent of their body weight.”
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.
Is topiramate 50mg used 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.
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 change your metabolism?
Topiramate reduced food intake acutely and increased metabolic rate. There were also significant reductions in leptin, insulin, and corticosterone.
What are the most common side effects of Topamax?
Common side effects of Topamax include:
- numbness or tingly feeling in the hands or feet,
- coordination problems,
- weight loss,
What is the best time to take Topamax for weight loss?
The medication is usually taken with or without food once a day in the morning. This medication may cause difficulty falling asleep or staying asleep if it is taken in the evening. Take phentermine and topiramate at around the same time every day.
Can Topamax make you tired?
Confusion, difficulty with concentration/attention, forgetfulness, speech or language difficulties, depression or mood problems, flushing, fever, tiredness, fatigue, weight decrease, or tingling of the extremities are common side effects. Visual field disturbances have been reported following Topamax use.
What time of day should I take Topamax?
Adults and children 10 years of age and older usually start taking Topamax twice a day, in the morning and in the evening. You start with a low dose of Topamax and slowly increase to the amount needed to control your seizures. In children 2 to 9 years of age, treatment may begin with one dose given in at night.
How long do you stay on Topamax for migraines?
For migraines, it can take 1 month for migraine attacks to be less frequent. But it can take 2 to 3 months for topiramate to fully work. How long will I take it for? Once your condition is under control, you’ll usually need to keep taking topiramate for many years.
Why is low carb bad while taking Topamax?
Topiramate can increase body temperature and decrease sweating, leading to life-threatening dehydration (especially in children). Avoid the use of a ketogenic or “ketosis” diet (high in fat, low in carbohydrates) while you are taking topiramate. Topiramate may cause blurred vision or impair your thinking or reactions.
Which mood stabilizers cause weight loss?
Low risk of weight gain: Lamotrigine (Lamictal) is most likely to cause weight loss.