My doctor wants me to try taking both Elavil and Topomax together at night before bed. The Topomax should conteract the weight gain issues of the Elavil, but I just can't get past those horrible side effects, I feel like I am floating on a cloud, real woosy and very tired the next day. Maybe I should keep it up to see if it will eventually work. I have never given a drug more than a day to work, I am very impatient with results, I guess I should try to change. Thanks to everyone for the input on the side effects of Elavil, if anyone has any on Topomax, I would love to hear them too. Thanks again and take care, I remain Cookie3 from New Orleans.