Are you just taking Topamax for bipolar? I have never heard of just taking it alone. Usually there is another medication along side of it. You really need to talk to your psychiatrist. Do not up your dose of anything without speaking to a doctor, because those medications need to be monitored. I’ve never taken Topamax, something similar I have taken was Lamicatl. I never had any issues with Lamictal. I do recall having to be observed closely when I first started it, because of the rash it can cause. But, I’ve known many people who have taken Lamictal successfully. Lamictal usually goes alongside something like Lithium. This is for bipolar. I’m guessing that’s what you’re talking about, because of your tags.