I know that you've been wanting the Topamax raised for a long time, so I'm happy your pdoc did that for you Bobby

I'm happy that he noticed the changes around your mouth and adjusted your Risperdal level. Due to that... I think it's important that you don't adjust the level of Risperdal on your own at all anymore. That is a significant symptom that can be dose-dependent and needs to be monitored.

I've been on 200mg of Topamax for 8 (?) years and nobody's ever drawn a bicarb level on me.