This is not a failure of the medication but rather evidence that your physiology is responding to sustained treatment and lower body weight
Serious adverse effects are uncommon but possible, including allergic reactions, severe injection site reactions if improper technique is used, and excessive detoxification responses in susceptible individuals
Conversely, many patients feel absolutely no difference in their hunger levels during the first week or two
The tablets must be kept in their original packaging until immediately before use, as the specialized packaging materials are designed to provide an effective moisture barrier that prevents premature dissolution or degradation of the tablets
** Topiramate tablets (25mg, 50mg, & 100 mg), Rx only, has not been approved by the FDA as safe and effective to treat weight loss, however studies have shown that it can help individuals lose weight