Hi-
My Neuro prescribed this for my migraines...he wanted me to be on the least effective dose...so they were 25 mg tablets..I was to take 2 per day for two weeks, increase to 4 per day (100mg total) in two weeks, gradually go up 50 mg per day every two weeks. BUT what I thought was odd, and I have never had to do this, was sign a paper stating he advised me of the possibility of renal stones as a side effect.
I never got the RX filled.
My favorite Neuro did not want me on this as I was on the thin side and enjoyed being very skinny, she knew I would lose weight.
I may try it in the future although i think my insurance company will have an issue with the quantity ordered.
Good luck!