I suffer from severe depression, anxiety and ongoing 24 hour migraines. To try to combat this I take 375mg Effexor-XR , 60mg Oxycontin twice a day and 200 mg of Topamax twice a day.

There is an alternate to Epilim called Topamax that I currently take. I was given the option of either Epilim or Topamax.

The side effects of Epilim include weight gain (in most takers) headaches, nausea, tiredness and hair loss. Side effects of Topamax include weight loss.
To be bald and fat was definatelty not going to help my depression,so I chose the Topomax. The only effect I have found is slight tiredness with each increase of dose.
For me the Topamax has a twofold effect, it is also used as a migaraine preventitive.
Hope this helps. Don't let them bully you into the Epilim. Especially if they are old Doctors. Just because its been round for 100 years (as an anti epileptic) does not mean it is the best for this job.