I have been on Topamax now as monotherapy for my seizures for over 2 years now. It has been quite successful for me. I am seizure-free since 7/2000. I'm working, I'm driving and I'm pregnant (due 10/30). Previously, I took Depakote for many years and gained quite a bit of weight over those years from the medication. Since beginning Topamax I lost 50 pounds without really having to think about it, so it had an added benefit for me. There are some side effects.....tingling in hands and feet, which I discovered if you really keep up on your water intake (which is recommended to avoid kidney stones anyway) subsides over time. I had some problems at first with irritibility, but that also subsided over time as well. I do have some problems with "word-find difficulty" which I find bothersome, but I have found ways to cope with that as well (i.e., using overheads when I'm doing public speaking, writing notes for myself). Unfortunately, sometimes the wrong word pops out occasionally when I'm trying to say something but when you put in in perspective, doesn't that happen to everyone sometimes anyway??? Personally, any of these side effects are much easier to handle than having seizures for me. Well, that's been my experience anyway. Hope it was helpful.
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