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Dr. Banita Sehgal
Internal Medicine Physician
My approach to healthcare is rooted in building genuine partnerships with my patients.
Taking the time to understand their needs and goals helps us collaborate effectively and find the best path forward together. What I love most about my work is being someone they can count on — familiar, accessible, and focused on their well-being.
Frequently asked questions
Topiramate may be right for you if you have frequent migraines, seizures, or another condition your provider believes could benefit from calming overactive brain signals. It might also be considered for weight management or binge eating, depending on your health goals and history.
A healthcare provider will help decide based on your symptoms, medical history, and how well you might tolerate the medication. It’s not a good fit for everyone – especially if you’re pregnant, prone to kidney stones, or have a history of mood or cognitive issues.
The best way to know is to talk with your provider about your treatment needs and whether topiramate could help meet them safely.
No, topiramate is not a controlled substance. That means it’s not considered addictive or prone to abuse the way medications like opioids or stimulants are.
However, it’s still a prescription-only medication, and you should take it exactly as directed. Even though it’s not classified as controlled, it can cause serious side effects if misused, including mood changes, confusion, or fatigue – especially if doses are too high or stopped suddenly.
Yes, topiramate can support weight loss, though it’s not FDA-approved for this use on its own. It’s often prescribed off-label or included in combination medications like Qsymia® (topiramate + phentermine). It may help by reducing appetite.
Topiramate is also one of the three medications used in LifeMD’s Triple Therapy option in the Weight Management Program. This doctor-trusted treatment plan combines metformin, bupropion, and topiramate in carefully selected doses to support weight loss. If you’re considering treatment, the first step is to complete a free medical intake form through LifeMD. If you qualify, a provider will work with you to determine whether Triple Therapy – or another option – is right for your needs.
Yes, topiramate can cause hair loss in some people, though it’s not very common. Hair thinning or shedding may happen as a side effect, especially when starting the medication or changing doses.
If you notice significant hair loss after starting topiramate, talk with your healthcare provider. They can help determine if the medication is the cause and discuss ways to manage it or consider alternative treatments.
Constipation is not a common side effect of topiramate, but some people may experience changes in their digestion, including constipation or other stomach issues. If you notice constipation after starting topiramate, it’s a good idea to mention it to your healthcare provider. They can help you manage symptoms or adjust your treatment if needed.
Yes, topiramate can cause sleepiness or drowsiness, especially when you first start taking it or after a dose increase. This is a common side effect because it slows down certain nerve signals in the brain. If it makes you too tired, talk with your healthcare provider – they may adjust your dose or suggest taking it at a different time of day.
The most common side effects of topiramate include:
- Tingling or numbness in the hands and feet (called paresthesia)
- Feeling tired or drowsy
- Dizziness or lightheadedness
- Difficulty concentrating or finding words (sometimes called “brain fog”)
- Loss of appetite and weight loss
- Changes in taste, especially a metallic or bitter taste
- Nausea or stomach upset
If any side effects become severe or interfere with your daily life, it’s important to talk with your healthcare provider.
Yes! With LifeMD, you can connect with a licensed healthcare provider from the comfort of your home within an hour. If appropriate, your provider may prescribe a medication and send it directly to your local pharmacy.
For even more flexibility, a LifeMD+ membership gives you 24/7 access to care, same-day prescription refills, exclusive wellness perks, and easy access to lab testing — all designed to make managing your health simple and stress-free.
Skip the waiting room. Join LifeMD and take control of your health today.