From a cost standpoint, the Prozac Weekly is less expensive than the 20 mg daily Prozac regimen. Some feedback on off label use of some of the anticonvulsants. I had strongly hoped that Topamax would prove to be not only be a good mood stabilizer, but would result in weight loss rather than weight gain. As most of you know, our current mood stabilizers such as lithium and Depakote lead to a great deal of weight gain and fluid retention. Parenthesis are commonplace.
Excessive sedation can be a problem.
Heartburn and possible gastric upset have been rather common. Like Lamictal, it may take considerable time to titrate to the appropriate dosage. Within the next six months, several large studies comparing Topamax to Depakote should be available. Ritalin-Bashing newscasts and articles apparently draw in many viewers and readers. However, the scientific facts remain that the use of psychostimulants are the single most important treatment for this most disabling condition of Attention Deficit Hyperactivity Disorder in children.