Phentermine and topiramate extended-release capsules must be used along with a reduced calorie diet and exercise plan. Phentermine is in a class of medications called anorectics. It works by decreasing appetite. Topiramate is in a class of medications called anticonvulsants.
How much weight can you lose with topiramate?
All patients lost a substantial amount of weight on topiramate treatment. The average weight loss was 22 lb (10 kg; range, 8–56 lb [4–25 kg]).
How long does it take to lose weight on topiramate?
Among more than 3,300 overweight or obese patients, those who took topiramate for at least four months lost 11.8 pounds more on average than individuals who took “dummy” pills, or placebo, found the meta-analysis, a systematic and quantitative review of published studies.
Can you lose weight on 25mg of Topamax?
“Topiramate is a miracle medication! A godsend for losing weight! I have only had to be on a dose of 25mg topiramate a day and it has hugely reduced my appetite so that I’ve been eating very small portions, and only wanted to eat healthy food, and I haven’t been thinking about food all the time like I use to.
Is it better to take Topamax in the morning or at night for weight loss?
Your doctor will start with a low dose and slowly increase the dose to the lowest amount needed to control your epilepsy. At the start of treatment TOPAMAX may be taken once a day, preferably at night. After the dose is increased, it is taken twice a day.
Does topiramate help with anxiety?
The study found that the participants taking Topamax in addition to their prescribed depression medication significantly improved depressed mood, suicidality, insomnia, agitation, and anxiety symptoms compared to those taking a placebo.
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.
How do you feel on Topamax?
Effects on thinking and alertness.
TOPAMAX® may affect how you think and cause confusion, problems with concentration, attention, memory, or speech. TOPAMAX® may cause depression or mood problems, tiredness, and sleepiness.
Can Topamax cause weight gain?
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).
Is topiramate effective for weight loss?
Results. Topiramate was effective in reducing the weight in 10 out of the 12 patients. At six months the 12 patients had lost a mean of 7.75 kg (SD = 6.9 kg, p < 0.001) and at 12 months 9 patients had lost a mean of 9.61 kg (SD = 6.7 kg, p = 0.003).
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.
Does Topamax make you pee a lot?
Tell your doctor if you have unlikely but serious side effects of Topamax including: signs of kidney stones (such as severe back/side/abdominal/groin pain, fever, chills, painful/frequent urination, bloody/pink urine);
Who shouldnt take Topamax?
You should not use topiramate if you are allergic to it. Do not take Trokendi XR within 6 hours before or 6 hours after drinking alcohol. Tell your doctor if you are sick with diarrhea, or if you have ever had: Topiramate can increase the level of acid in your blood (metabolic acidosis).
Does Topamax cause hair loss?
The hair loss was reversible upon discontinuation of topiramate, but recurred after reintroduction of the drug. Hair loss should be considered an adverse effect in topiramate adjunctive therapy. It may have significant cosmetic impact and psychosocial relevance, especially in children and young adults.
Can topiramate cause depression?
What psychiatric side effects do people who take Topiramate experience? The list includes sedation, psychomotor slowing, agitation, anxiety, concentration problems, forgetfulness, confusion, depression, and depersonalization. There are also rare cases of psychosis.
Does Topamax make sleepy?
Topiramate oral tablet causes drowsiness. You shouldn’t drive, use machinery, or do other tasks that require alertness until you know how this drug affects you. This drug can also cause other side effects.