Whew.......you're a rapid cycling BPer going off meds cold turkey. I shudder at the thought (I'm a rapid cycler too) and am fearful that stopping your medication abruptly will throw you into complete chaos.

I also don't see where you are going to a psychiatrist now. Do you not think you should have one to manage your psych meds? Internists and neurologists aren't necessarily the best people to handle psychiatric disorders; think of it this way---would you want your plumber to fix your leaky bladder, or your lawyer to discuss end-of-life medical care decisions? Sure, they know a lot about their own specialties, but they can't help you with things that are outside their scope of practice. Even my internist, who's about as arrogant as they come, knows better than to try treating my bipolar disorder......he realizes he's in over his head on this one!

Frankly, any medication can trigger anything. I don't know if the Topamax is exacerbating your BP, but it's certainly possible.......not likely, but possible. You need to get to a doctor who's qualified to deal with the complexities of BP and other psychiatric illnesses, if you don't have one already. Good luck to you.