Topamax And Binge Eating Disorder (Page 2) (Top voted first)

After trying two antidepressants and multiple therapists, my doctor has decided to prescribe me Topamax for my binge eating disorder. I used to also be bulimic, but thanks to therapy have ceased purging for about six months now. I wanted to get feedback from those whose have been prescribed Tomamax for binge eating disorder and/or bulimia.
My binging includes consuming anything edible, including expired items in the trash and edible vitamins/supplements/spices, so it is a very serious case. I will binge to the point of illness and have gotten food poisoning from eating rancid food.
Has anyone with binge eating disorder found Topamax to help them? If so, what dosage were you on and how long did it take to get relief? I am afraid to take another medication only to be let down again, but I am very desperate and determined to get better. Any advice would be very helpful (and please, do not make fun of my binging habits. I am already humiliated enough at what I do and am trying very hard to stop.).

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Hi. Your post hit home. I'm a 46 year old doctor who has shared my problem with one other person on this planet who also is a doctor and suffers. I started on topamax for migraines prevention. It is FDA approved for that. Your GP should be able to write it. The episodes became non existent. And weight was more controllable. I came off it last year as my headaches dissipated but life is spiraling in other ways and I am going to get back on it for 'headaches.'

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It sounds like u have a major vitamin deficiency of some sort maybe

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I just started on 25 mg Topamax to help me with severe B.E.D. It is nowhere near as helpful as Vyvanse 30mg was for me, unfortunately. But after several very successful months on vyvanse, my BP soared dangerously high and I had to go off. I'm crushed as the depression, the constant pangs of hunger, and the inability to concentrate have all returned. I'm praying that once the Topamax kicks in it will begin to help me more. If you can take Vyvanse, I would try it. My BED was completely under control with it.

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OMG!! I cannot believe this reply that I just read!!! Obviously you do not have BED!!!

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Hi there, I too have night eating syndrome. I have been battling it for almost 10 years and it started with purging and anorexia. I tried tooamax years ago but could not get past the side effects. I added a different anti seizure medication which worked for months then stopped working. I think it was oxcarbazeine. I lost 30 lbs and then I brew immune to it and am now on cymbalta which seems to be working although the side effects are bad for me.

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Hi Sweetie, Please don't hate yourself for an illness that you have--no different than if you had Diabetes. You did NOT choose this illness. There is a part of the brain that seeks immediate gratification. Without the normal filter working, we cannot stop what we are doing. Those of us with BED have that malfunctioning filter. Having said that, I found Topamax not be as helpful to me as Vyvanse is. Ever since I started Vyvanse that filter I spoke of began functioning for me. I literally stopped having any need to binge. It has been wonderful for me. I unexpectedly found that my thinking is clearer, and I'm calmer because of a stimulant--go figure! :) My normal low energy is now normal energy. And lastly, for me, my depression has been lifted and I'm slowing going off my depression meds with my doctor's help. Everyone is different, don't forget. These are my experiences for which I am truly grateful. (I take 50 mg, one step up from the starting level of 30 mg.) I hope this helps you in your decisions. My best to you. And remember to nurture yourself, not berate yourself for your illness!

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I am in the UK and basically, it is very hard. Vyvanse (known as Elvanse in the UK) is actually made in the UK, but it is much harder to obtain than in the US. It is a controlled drug so GPs cannot prescribe it. It is not acknowledged as a treatment for binge eating/bulimia at all and is certainly not listed as a recommended treatment even in eating disorder clinics etc. You could try privately, but there are not many doctors around that would be willing/able to prescribe it to you. Most would be able to for the purpose of treating ADHD, so you would have to find someone who specialized in eating disorders. You would have to be confident that they would be willing to prescribe it to you in theory, then attend a private consultation (which is very expensive) so they could assess you officially. You would also have to pay for the drug, which is very expensive. You would also first need reassurance that they would be willing, in theory, to prescribe long-term (i.e. not just a month or two worth). There is also the consideration that this drug is basically speed (it is an amphetamine). If you don't have levels of dopamine that are too low (ADHD people have that problem), then taking this drug can do you harm in the long run. Also, if you drive a car and take Vyvanse without being prescribed it, if you were to have an accident, you may be caught with an illegal substance in you and you could face criminal charges, not to mention your car insurance being invalid. I was desperately trying to get some, but I realized it is just a dream and that it is not worth it. That is why I am trying to get my GP to prescribe me Topiramate. The standard treatment for binge eating/bulimia on the NHS is a prescription of Prozac. If that doesn't work then referred for CBT. CBT is lengthy and has a very low success rate. If you see your GP and ask to try a certain thing they may be willing.

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Re: Beverly (# 26)

Are you in the UK? I cannot get my local GP, or an online GP to prescribe me Vyvanse or Topiramate. I have looked for private doctors, but I can't seem to find any. I have asked a couple, but they either ignore me or say no-one will prescribe me this. Now I have gone to the GP and asked for Topiramate for BED, so I can't now go back and say can I have it for migraines.

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Clearly you don't have N eating disorder.

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I'm not a Dr. just a someone who has been on Topamax for years in combination at the beginning for my migraines and + side affect for gaining more than I would have like to after child birth yes it was very beneficial best and lowest dose 100mg X2 day but also keep in mind sweetie that I was not a bulimic and you should need consult a nutritionist to get the best advise but ultimately I listen to my own body when it said it was full I stopped eating also I kept very active that helps a lot I hope this helps ultimately you need listen to your heart and listen to your stomach you will know when you know when your content piece be with you. 0:-)

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I don't have any experience with such disorders, but did have a random idea.

Have you tried not keeping so much stuff around the house? it may be helpful to buy only a day or twos worth of groceries, at once, to minimize what's available to you, when the binge moments hit.

It could also be helpful to make sure that all trash, which may contain rancid food is disposed of as soon as possible and not left to sit nearby, where you can access it.

These are the types of things they would do, if you were in an actual treatment facility.

https:/­/­rxchat.com/­wiki/­Topamax/­

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