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What Causes Dizziness With Imbalance And Speaking Difficulty?

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Posted on Wed, 5 Mar 2014
Question: I am on week three of topamax, second day. Dr. prescribed 25 mg for a week at night first week; 50 at night second week and 75 at night 3rd week. Second day of third week I am dizzy, can't stay awake, am having trouble with speech and balance. It is Friday so I can't call physician. Do I keep up 75 mg or drop back to 50 mg over weekend?
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Answered by Dr. Srikanth Reddy (54 minutes later)
Brief Answer: Yes you may Detailed Answer: Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. Topomax is basicallly topiramate and is a good medicine used for epilepsy or migraine or for alcohol dependence or as a mood stabilizer. I prefer it many times for my patients as it has a special benefit of reducing weight as well. Its unfortunate that you are not able to tolerate the doses of 75mg of topomax. Drowsiness is a known side effect but imabalnce and difficulty in speaking are not the common side effects of topomax but can occur. If a medicine causes adverse effects, its dose has to be adjusted and I would have certainly recomended my patients to get back to 50 mg as of now and then consider an alternative drug in the next consultation. Topomax is a benign drug and reducing the dose may not harm you much. You can reduce the drug to 50mg and get in touch with your treating doctor and inform him as soon as you can. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.
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Above answer was peer-reviewed by : Dr. Prasad
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Dr. Srikanth Reddy

Psychiatrist

Practicing since :2007

Answered : 2770 Questions

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What Causes Dizziness With Imbalance And Speaking Difficulty?

Brief Answer: Yes you may Detailed Answer: Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. Topomax is basicallly topiramate and is a good medicine used for epilepsy or migraine or for alcohol dependence or as a mood stabilizer. I prefer it many times for my patients as it has a special benefit of reducing weight as well. Its unfortunate that you are not able to tolerate the doses of 75mg of topomax. Drowsiness is a known side effect but imabalnce and difficulty in speaking are not the common side effects of topomax but can occur. If a medicine causes adverse effects, its dose has to be adjusted and I would have certainly recomended my patients to get back to 50 mg as of now and then consider an alternative drug in the next consultation. Topomax is a benign drug and reducing the dose may not harm you much. You can reduce the drug to 50mg and get in touch with your treating doctor and inform him as soon as you can. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.