I'm not on enough for it to help. I was very hopeful when I went on it (I started it for migraines) but I never was able to tolerate more than a tiny bit. It did help my mood a little bit though so I kept taking it at the tiny dose. Now that I'm on clozaril I'll probably come off it eventually if the clozaril continues to help.

Topamax isn't really supposed to be a great mood stabiizer and often causes confusion ("Dop-a-max") before it does much for mood or weight. Which is too bad since my feeling is that it could be a good drug if I could just tolerate more of it.