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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by alanna on September 4, 2001, at 8:45:24
Hi everyone, I'm new to this site and I am hoping someone can help me with this... I've been taking 60mgs of topimax for the past three months along with one celexa tablet each morning (20 mg I believe). My mood is good. I am loosing weight and am relatively happy with the drug - except I had the worst hangover ever this weekend and forgot the word for dryer (I keep loosing words?!) Anyway, my real concern is the medical info that came from my drugstore said topimax can affect the viability of the "pill". My doctor didn't tell me this and when asked he said it could leach estrogen and I should ask my family doctor to switch me to a higher estrogen pill.
I take the pill because I have Poly-cystic-overian-syndrome (PCOS) and am prone to ovarian cists and a variety of other problems. I have discovered I cannot tolerate the high dose pill either (and my family dr. doesn't think it is best for PCOS) So, what I want to know is if Topimax leaches estrogen when taken at a low level of 60mg/day.
Since none of my doctors seem to have any idea I was hoping someone might know. I don't want to get pregnant or grow additional cysts because of a mood stabalizer.
Thanks!
Alanna
Posted by sl on September 4, 2001, at 8:52:59
In reply to Topimax and estrogen, posted by alanna on September 4, 2001, at 8:45:24
I don't know anything about the estrogenic effects of these things, but I do know that losing words may very well be an effect of Topamax. I've heard lots about odd neurological affects of Topamax, and word-finding difficulties is one of the more common ones with psychiatric meds.
I'd suggest you talk to an ob-gyn or even a hormone-doctor (endocrinologist?), cuz it sounds like the interaction is important and is probably out of the scope of your psychiatrist's expertise.
Luck...
sl
Posted by susan C on September 4, 2001, at 9:56:55
In reply to Re: Topimax and estrogen, posted by sl on September 4, 2001, at 8:52:59
I agree with sl, My experience with topamax was appropriate to its nick name, dope a max. The effects on estrogen absorbson vary. I am on estogens for menopause, and was concerned about the interaction. In me, it is the opposit, I can reduce the amount if the psych med is causeing an increase in estrogens absorbson. Getting a second and third opinion about your other situations is important. Good luck and keep us posted.
Another source of drug interaction is your very friendly Pharmasist. He sees a lot and mine has helped me a lot and is always available. A quick call may allieviate alot of your concern
Susan C
> I don't know anything about the estrogenic effects of these things, but I do know that losing words may very well be an effect of Topamax. I've heard lots about odd neurological affects of Topamax, and word-finding difficulties is one of the more common ones with psychiatric meds.
>
> I'd suggest you talk to an ob-gyn or even a hormone-doctor (endocrinologist?), cuz it sounds like the interaction is important and is probably out of the scope of your psychiatrist's expertise.
>
> Luck...
> sl
Posted by susan C on September 5, 2001, at 10:30:59
In reply to Re: Topimax and estrogen, posted by susan C on September 4, 2001, at 9:56:55
just an additional note: I am on triestrogen progestrogen combination: estrone .175, estrodiol 1.25 and estriol 1.3. Progesterone 100mg. As I completely forgot to take it for ten days (spaced out putting it in my weekly pill box) and didnot notice difference (a lower hotflash) naturopathic said, the compounding pharmacy may not be doing a good job and may try compounded cream from a different place. /both of those I had never considered....
Susan C.
> I agree with sl, My experience with topamax was appropriate to its nick name, dope a max. The effects on estrogen absorbson vary. I am on estogens for menopause, and was concerned about the interaction. In me, it is the opposit, I can reduce the amount if the psych med is causeing an increase in estrogens absorbson. Getting a second and third opinion about your other situations is important. Good luck and keep us posted.
>
> Another source of drug interaction is your very friendly Pharmasist. He sees a lot and mine has helped me a lot and is always available. A quick call may allieviate alot of your concern
>
> Susan C
>
> > I don't know anything about the estrogenic effects of these things, but I do know that losing words may very well be an effect of Topamax. I've heard lots about odd neurological affects of Topamax, and word-finding difficulties is one of the more common ones with psychiatric meds.
> >
> > I'd suggest you talk to an ob-gyn or even a hormone-doctor (endocrinologist?), cuz it sounds like the interaction is important and is probably out of the scope of your psychiatrist's expertise.
> >
> > Luck...
> > sl
Posted by aegina on September 23, 2003, at 19:48:34
In reply to Re: Topimax and estrogen, posted by susan C on September 5, 2001, at 10:30:59
my new doctor prescribed me topomax--my symptoms---weight gain due to bingeing and middle of the night waking up and eating. i too need to go back on the pill and don;t like high dosages b/cof the counter-effect (weight gain)!!! i am scared to take topomax after reading about eye problems and groginess....anyone can tell me what their dosage is and any side effects they have experienced?
This is the end of the thread.
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