I take lamictal for bipolar depression. I really like it but I do have side effects. I seem to supersensitive to everything now and dry skin will give me a mild rash, the wrong lotion will inflame it to painful burning bright red welts. (On lamictal if you have a rash they usually take you off it. The idea of losing it was more upsetting to me then any rash and so I'm still on it but ANY rash I have has to be looked at by the nurse and reported) I also have a headache. It is almost constant, most days I go to bed with it and wake up with it. Mild enough most of the time I can ignore it, but occasionally it flares up really very badly. I carry 800mg Ibuprofins with me at all times, just in case. Also my periods are far more painful then they have been in a long time and I think thats related to the lamictal. Also I think my eyesight might have changed due to the lamictal and I'm having hotflashes that seem to med related (im only 32 and we are pretty sure its the medication).
Lamictal is the only medication that has really helped/worked for me in the last 18 yrs, so I'm very excited to be on it. I feel so much better and have gotten so much better that all those seemingly excessive painful side effects are quite tolerable for me.
The lamictal does not completely control my moods, but I havent noticed much depression on it at all. I still get into a hypomanic state. Lamictal seems to work well on the depression side of the bipolar (not my actual diagnosis, but how my treatment is going). I also have thorazine to take when I feel I'm getting hypomanic, agitated and can't sleep and ambian to take when I wake up in the middle of the night and need to sleep more but dont want to take the thorazine, or its close to morning. All my meds I am on very low doeses of. The lamictal might be upped to 200 mg (i'm only 125 after three months, very slow going).
I have no experience with topomax, but should the lamictal stop working
it would be one of the few other meds I'd be willing to try.
I really like this site and find it helpful for drug info http://www.crazymeds.org/
* I think there is a 1800NEEDMYMEDS number where you can call if you cant get your medication and they help you get them. For free in some cases. I'm not sure thats the actual number, but I think it is.
this has a list of programs that might help http://www.needymeds.com/
and also the crazymeds had some good info beyond just stuff about the medications.