topamax has no proven value for bipolar or other mood disorders and can sometimes cause depression so if your perception is that your mood is worse on it consider discussing with your doctor the idea of stopping it to see if your mood improves. probably the best strategy for premenstrual flares of mood superimposed on bipolar disorder is to focus on the traditional treatments for bipolar disorder in combinations -- lithium depakote lamictal and potentially an atypical antipsychotic.
i started taking topamax for bipolar disorder but it's not helping my mood swings before my period. what should i do?