Another Topamax Question - Headaches & Migraines Message Board

mickih · 08-23-2005, 10:03 AM

Sometimes I think Tompamax should be it's own topic on this board since there are so many threads posted regarding it.

Anyway, here is my concern: I was taking 25mg in the am and 25mg in the pm and doing very well with this dosing schedule. Now, my doctor is insisting that I try taking all 50mg at night. I have no idea why she thinks that this is best, but I am worried that this will make it more difficult to get up in the mornings. Is there any difference in taking the whole dose at night?

Mz Migraine · 08-23-2005, 11:55 AM

Quote:

Originally Posted by mickih

Sometimes I think Tompamax should be it's own topic on this board since there are so many threads posted regarding it.

Anyway, here is my concern: I was taking 25mg in the am and 25mg in the pm and doing very well with this dosing schedule. Now, my doctor is insisting that I try taking all 50mg at night. I have no idea why she thinks that this is best, but I am worried that this will make it more difficult to get up in the mornings. Is there any difference in taking the whole dose at night?

Higher dosage of Topamax makes *some* people fatigued, sleepy and/or tired throughout the day. Reason why doctors sometimes recommend you breakup the dosage and/or take the whole dosage in the PM to help you sleep.

I am on 100mg. I take 50mg in the AM & PM. However, I also take naps everyday. I sleep like a baby every night.

I would say give it try for approximately 2 weeks. If you have problems, notify your doctor ASAP. Your doctor will more than likely have you break up the cycle to AM & PM.

Good Luck