he raised it to 100 twice a day. he asked what concerned me more my depression or my appetite and spending. I said the later. I almost started laughing. He also might change the risperdal since he noticed that there was movement around my mouth. I said he was the first to notice it. don't know if i go to the senior center or not. I feel like laughing and crying. Oh I hope the topamax works as it did before. I have only been on 1oo
Topamax Dosage for Weight Loss

Good Bobby.

I am impressed that he noticed the respirdal might be off also.

Donna

Did your doctor do blood work for bicarbonate levels, and electrolyes before raising your Topamax?

This drug can cause a metabolic acidiosis in up to 30% of patients and the side effects of this would be confusing... to the patient and could mimic other things.

http://www.ocneurologyinc.com/pdf/Topamax%20Letter.pdf

https://www.fda.gov/downloads/Safety.../UCM169494.pdf

symptoms of metabolic acidiosis:
What Is Metabolic Acidosis?

I think this is something you should pay attention to and ask your doctor to monitor your bicarbonate levels. This FDA letter was sent to all physicians when this serious side effect emerged after the Topamax was approved. But many doctors ignored it or didn't understand it.

[he didn't do it.I have been on 100mg for a long time and before that a long time ago I was on 200 mg when my overeating stopped

QUOTE=mrsD;1238314]Did your doctor do blood work for bicarbonate levels, and electrolyes before raising your Topamax?

This drug can cause a metabolic acidiosis in up to 30% of patients and the side effects of this would be confusing... to the patient and could mimic other things.

http://www.ocneurologyinc.com/pdf/Topamax%20Letter.pdf

https://www.fda.gov/downloads/Safety.../UCM169494.pdf

symptoms of metabolic acidiosis:
What Is Metabolic Acidosis?

I think this is something you should pay attention to and ask your doctor to monitor your bicarbonate levels. This FDA letter was sent to all physicians when this serious side effect emerged after the Topamax was approved. But many doctors ignored it or didn't understand it.[/QUOTE]

i don't know if it worked so fast but last night I wasn't hungry. I hope it is the topamax. I lost a couple of ounces. today I will have spinach and hard boiled eggs. of course I will have coffee.

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.