DO NOT GO COLD TURKEY VERY BAD IDEA.
I am on 200 mg of Topamax, started 3 years ago at 50mg.
The sides effects I experience the most are: loss of appietite; tired; dizziness.
All of these are managed relatively well, with gingerale, lots of water and getting up slower when sitting for long periods.
It is the only drug I have found that works to manage my pain level for my daily migraines and cluster pain. If the drug keeps you at functioning level, I recommend you try to deal with it.
The panic attacks I am not sure are from the medicine, I would definately talk to your doctor about them. A low dose of Buspar may take care of them easily.
Communicating with you doctor is the most important thing you can do at this point.
Be still and know there is Peace.
Kabir says: "Student tell me, what is God? He is the breath inside the breath". from the poem Breath.
DX: reverse Trigeminal Neuralgia;Cluster headaches; Atypical face pain; raynauds;complex PTSD; recurring MDD,disassociative disorder;