Regularly track your progress. Schedule appointments with your doctor every 4-6 weeks for the first few months.
Expect to discuss these key areas:
- Side effects: Report any new or worsening symptoms, including nausea, dizziness, fatigue, cognitive changes, or changes in appetite. Weight changes: Topamax can cause weight loss. Monitor your weight weekly and report significant changes to your doctor. Kidney function: Your doctor may order blood tests to check your kidney function. Effectiveness: Honestly assess the medication’s impact on your condition. Quantify improvements, or if no improvements are noticed, communicate that openly.
Dosage adjustments will be based on your response and tolerance. Your doctor may:
Increase the dose gradually if the current dose isn’t providing sufficient relief. Decrease the dose or discontinue Topamax if side effects are intolerable or if there’s no improvement in your condition. Adjust the timing of doses if side effects are particularly troublesome at certain times of day.
Keep a detailed record of your medication use, including doses, times, and any side effects you experience. Share this with your doctor at every appointment. Open communication is crucial for optimal management.
