Hi
Im looking for a start up dosage on Topomax. Im currently on 200mg Lyrica but water retention and swelling is effecting the nerves.

Please no horror stories re Topomax , they all have horror stories

Any suggestions re titrating down lyrica and introducing Topomax?

By the way i can go cold turkey and just switch since withdrawals dont effect me much but would prefer a more sensible approach

Thanks All

Did you ask the prescribing doc or even the pharmacist - although he/she would probably tell you to ask the doc - how to go about this? And if you search Topamax, that should also give you plenty of information about the drug. It's just that I worry about do-it-yourselfers when it comes to dosing/titrating with Rx meds.

Sheltiemom

I would ask the doctor....that is what he/she is there for.

If they don't know? Tells you alot about that doctor!

I believe Lyrica works differently in some respects to Topamax, but they are both anti-seizure drugs.

Typically people who start on Topamax start at 25mg a day and titrate up. Many use it for control of certain forms of headache/migraine.

But it is fairly common in children with seizures.

Topamax has more serious side effects than Lyrica, but I won't go into those since you asked specifically not to provide that.

What you need is an equation showing the dosage of one that equals another such as; T25=L10
Iknow the eqation for neurontin = lyrica is N600=L100 but don't know about Topamax.

I don't think it is possible to equate them like one can with Neurontin/Lyrica. That is because Neurontin works the same way as Lyrica.

Topamax does not. One may compare them at final dose range...but going off one is a different thing. And Lyrica has had complaints about discontinuance. The net is full of people having trouble coming off of Lyrica. (NOT everyone, but enough to notice it can be a problem)

thanks for the replies. Here is my scenario, I live in a developing country where docs know even less than is on the net. I do have unlimited access to meds but wont go into that as I was moderated last time.

The reason for my wanting to try topomax is I have water retention and leg/feet swelling from lyrica and neurontin. its frustrating since they do reduce the burn but the intermittent swelling causes another pain altogether

Anyhow, wont hurt to try topomax and i understand nobody here is qualified or allowed to advice. was just throwing out there and may try 50mg after reducing lyrica to 50mg. I have gone cold turkey 300mg lyrica and pulled up okay in the past.

Whats the worst that can happen? I die and no more pain

just kidding..