Hey, I did some searching online and found a new FDA approved titration schedule, starting from 25 or 50 and going up 25 a week for 4 weeks then up 50 a week until effects are acheived, though that wasn't for mood stabilization.
I realize that this stuff isn't very good at mood stabilization, but for me its usually been *okay*. Its not depakote to me, but it isn't as sedating either. Actually, I took 50mg this morning and i'm not tired at all. I might feel the methadone a little more than usual, a little bit dizzy, but I'm also working the fentanyl out of my system so its hard to say how much is due to the topamax.
I do a lot of writing, and am in some very hard courses, some very self-ran courses. It'll be interesting to see how much the Dopamax hurts mah brain. Mebbe I'll get back down to 170, though? hehe