Good luck with the Topamax - I hope you can tolerate it better than I could.

I used to read and post here a lot when I had to go back on meds a few years
ago. I was 'passing' and I saw your post about Topomax.
After trying Lamicatal and Tegretol I eventually got put on Topomax just as
it was licenced for monotherapy here.
It was utter hell to get on to - the dosage got put up by the tiniest
increments once a fortnight, so I would have one week getting used to the
new dosage, then a week of feeling nearly human again, then have to increase
it again. It took forever, and every other week was pins and needles in my
figures, a head that felt like cotton wool, insomnia and a dry mouth all
night.
That said I have now been on it at my current dosage for about four and a
half years. The side effects are gone (unless I accidentally take it twice
in the morning - and boy, I only did *that* once!). My seizures were
photosensitive so I used to get what were, basically, partials whenever I
went by a flickering light of certain frequencies. 6 months into my Topomax
I went to a gig and when the (inevitable) strobe light came on I realised
.... nothing.  For me, touch wood, it's been fantastic. I finally felt like
something worked without leaving me faintly stoned all the time and went out
and got my driving licence last year. It's allowed me to feel like a grown
up.

Oh, and after years biffing out on Epilim and all the rest in 6 months on
Topomax I lost so much weight that half my office wanted to buy it off me. I
could have made a fortune. Damn these morals!

So stick at it until you reach full dosage. It's not easy, but try not to
judge on the first 6 months.They're hell.

Kx