December 29th, 2009 
I’ve been on Topamax (an Anti-epileptic drug) for two months now and two of the side effects that i’ve had to deal with are drastic weight loss and constipation.. i went from 115 lbs to 98 lbs in one month and i’m still losing weight. i already have a very small frame and i’m only 5’4″ so i look sick! one of my friends actually told me i’m starting to look anorexic (not got).. i was wondering if there’s any good food supplements out there that can help me GAIN weight while i can still stay on the med? since it seems to be the only thing to help control my seizures,, i bought ovaltine and something called complan i’m gonna start drinking that three times a day. maybe this will help? should i drink it more than that? the med also supresses my apitite so its REALLY hard for me to eat thats another reason i’m thinking of these food supplements.. also what can help me with this constant constipation its been over a month and its killing me!
I’ve spoken to my doctor about the constipation and weight loss but he seems to think the constipation is “not a side effect of the Topamax” although i’ve read in more than one place that it is and hes not to worried about the weight loss he told me it will “eventually” stop in another 4-5 months! i cant afford to loose anymore weight.. i really dont know what to do i already am startin to feel really tired and my bones hurt my especially my shoulders for some reason..
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It is risky for people with epilepsy to add additional risk factors to seizures by experimenting with diet supplements, some of those things in there they do not teach about in medical or pharmacy schools. So how would even a doctor be able to evaluated the hazards?
See your doctor, maybe he/she will need to adjust your dosage since a lower weight might demand lower doses or refer you to a dietician.
The FDA link stated that about 1 in 10 people at 400mg/day lost weight, that is hard for me to get a picture of, did they lose a little or were they going skeletons?
Their might be something else going on unrelated to your medication that needs to be checked out. In general most people do not get enough fiber in their diet, having an organge a day (expensive anymore) or a bowel of oatmeal daily can oftentimes correct constipation, and would not be risky.
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You really need to discuss the lack of appetite and constipation with the doctor who prescribed the Topamax. Those are known side effects of the medication, and there are other medications that can be prescribed to help counteract it. As for dietary supplements, Just focus on eating a balanced diet. Add more fiber to help with the constipation. Try Carnation instant breakfast, the bars or shakes. If you feel you didn’t eat enough for any particular meal, you can supplement with one of those. It is a cheaper alternative to Ensure. Losing over 15 lbs in a month is actually pretty serious, especially when you don’t have the body fat reserve to compensate. Talking with the doctor is actually the best route to take regarding this.
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You avoid milk products such as milk and curd. But take buttermilk and ghee also take four bananas two before one hour of lunch and two after one or two hours of lunch. Do the oily massage daily once or twice a day i.e. evening and morning. Other once is necessary. take Vitamin B1 10 to 15 mg and vitamin B6 40 mg once a day. Take small meals three or four times a day.