Check the patient information sheet with your meds to see if tiredness or muscle weakness is a side issue. But it does take a few weeks for the body to adjust.

My guess is that your body may need to just get used to it, especially if the blood tests are normal. I also know from experience that some medications deplete certain vitamins and minerals in your body. You may want to look into that and maybe take a multi vitamin. There is a brand of those called "Olly" that are really good. A little pricey but worth it.
Your body can take up to 6 weeks to adjust to a medication. So it may be taking a little longer to get used to it.

I hope this clears up quickly. I like the advice given above. Just as an extra thought, I have heard Topomax can help with weight loss.

Roughly 1 - 10% of Topamax users experience muscle weakness when beginning use, it's not a permanent side effect, it wears off as your body adjusts and your BPL (Blood Plasma Level) maintains a steady drug level.

Your on a very low dose so it should be short lived. Topamax has a lot of Metabolic effects on the body, so there is an adjustment period. Increasing your potassium (eat a couple extra banana's a day) and increasing your electrolytes (drinking something like low sugar G2 Gatorade) should help.

I've used Topamax for 13 years for a Seizure Disorder, Chronic Migraines and BiPolar and I take 400mg per day. The only side effect I have any more is it wipes my appetite, so I have to make myself eat. I'm at the gym 4 days a week and have no trouble with my fitness routine. I stick to a pretty high protein, no sugar, no carb, clean food diet so that the food I am eating is pure body fuel.

Give it some time to let your body get used to it, it can take a few weeks.

Take care,
Kat

Thank you all for your replies. My body has been going downhill since I started taking Topomax. I am not sure if it's because of Topomax though, since I also started taking Rozerem for my sleep shortly after. Now I still can't sleep, but have zero energy and haven't been able to assert myself for any real physical activity. I am hating it.

Rozerem is a lovely little drug. Some side effects being: Fatigue, difficulty moving, muscle cramping, stiffness, joint pain, unusual tiredness or weakness. And for 1 - 10% of patients it actually Exacerbated the Insomnia....making it worse.

You might talk to your Dr. about stopping the Rozerem and see how you feel, especially if its not working anyway. Your on such a low dose of Topamax, it'd be very unusual for it to be causing your issues at this point.

There are also some Moderate Interaction warnings between these 2 drugs since they have many of the same side effects, they become worse when taking them together.

I hated topomax. Within just a few days of starting it I became severely forgetful. Not just forgetting little things but I couldn't remember how to make a pot of coffee or start a car. I stayed on it for a couple of weeks thinking I would adjust but it got worse. My Dr took me off it and all was fine within a few days. That is one drug I will never try again.

Yes it does affect some people that way, among them it got the nickname "dopomax". But like any drug it affects people differently. When people have that effect they stop taking it.

These are strong meds we take that affect our brain chemistry and neurological function....some of them are going to have some not so nice side effects.

Its why it's really good to learn about your medications when you start taking them, so you can be aware of what potential side effects to look out for.

I saw my psych doc and he is having me stop Topomax, but he gave me Naltrexone to take before bed. I took the first one last night. I still didn't sleep through the night, but I slept a bit better and today I'm so tired and lethargic that I haven't even brushed my teeth much less go do my morning workout!

I read about it that it does cause fatigue, but I wonder if my body will get used to it and the fatigue will go away?

Ummm....ummm....Okay I give up. I don't know on this one. I've never heard of Naltrexone being used for sleep. It's on Opioid Blocker used for Narcotic and Alcohol Withdrawal. Its used in low dose form in some cases of Fibro and MS, completely unsanctioned and off-label by the FDA.

I searched through every Medical Database I have and found 3 obscure references to it being used for Insomnia in a couple of small Journal's that I've never heard of, without closed research data that there was success.

It has quite a few side effects, the main ones being: trouble sleeping, restlessness, fatigue, anxiety, nausea, diarrhea, joint/muscle pain and headaches.

Its chemistry and pharmacology don't support it working for Insomnia as it works on a part of the brain and receptors that have nothing to do with sleep.

So ya got me on this one. I guess if it works, yay! But I'm dumbfounded why you'd be prescribed this med for sleep. I hope you're not on any narcotics...because they won't work. Do Not drink Alcohol while taking this, because you'll most likely become very ill.

Take care,
Kat

Hey Sepi, I'm curious to know if the Naltrexone helped your sleep any??

Hope your well.

Kat

I don't know what idiot told you Naltrexone wouldn't block Tramadol in your system....but its an Opioid Blocker...it will affect any and all Opioids in your system from working on pain. The brain can't tell the difference between one Opioid or another, they all work on the same receptors and same part. The only difference with Tramadol is that it's also an SNRI Anti-Depressant that alters your Serotonin level at the same time, so you have to be careful taking it if your on other drugs that do the same. Most Dr.'s that RX Tramadol, forget to mention that part, and many aren't even aware of it.

It has helped by allowing me 5 hours of consecutive sleep. So it's better than before, but not ideal. I usually wake up at 3:00 am now! But now what has happened is that my body is so tired and weak. I have been working out consistently for the last year and suddenly now, I can't do the same workouts anymore. I can't push myself even though I do exercise. I am only hoping the my body will get used to the medication and this feeling will go away, otherwise, I'll be forced to stop it.

I'm glad your getting some regular sleep. Hope the fatigue lets up and you're able to get back to your normal routine soon.

Kat