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How can I combat the fatigue caused by Topamax?

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Question: How can I combat the fatigue caused by Topamax?

Answer:

Dear Amy:

Although it's not the preferred method of dosing, sometimes, dosing the Topamax once per day (only in the late evening) can get around the fatigue during the day; this has worked in several of my patients. There is a medication called ProVigil that can also be tried for fatigue from different causes.

Good luck,
John Claude Krusz
 

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