"i have been on topomax for bipolar ii disorder, with lamictal. however topomax has been a life saver for me. i tend to have racing thoughts and impulsive behavior, as well as bouts of irritability and anxiety, i am also on nuvival which can exacerbate anxiety and klonipine as needed. i am quite used to the cognitive changes, they do not make you stupid. misconception. intellectual level is unchanging. however, i had to learn to compensate for word find instances, word pronunciation and some fatigue. i should probably take half in day, but i have days fatigue but would rather not due an extra klonipin added to night dose. but this may be needed. don&#039;t let the bad experiences stop you, we really have to experiment to find what works for us"