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Date Joined Jul 2008
Total Posts : 39
Posted 1/14/2009 11:31 AM (GMT -7)
My insurance changed at the beginning of the year and will not cover Topamax which had been helping my migraines a lot. My insurance DOES cover zonegran, so my neurologist is going to call that in for me. I am not sure what dosage he is calling in yet, but my question is, for those of you who have used zonegran, how did it work for you? Were the side effects very bad? I am always nervous when starting a new medication and wanted to hear some feedback from people who have actually USED the medication. I don't always trust what the patient info packets that come with prescript
ions say because often the side effects I will get from a medication are not even listed on them and I am left wondering if any oddities I am experiencing are from the new script
or something else. I appreciate any input you may have. Thanks!
Sigmoid Resection due to sigmoidocele 3/07
Total Colectomy due to colonic inertia 2/08
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Date Joined Jun 2008
Total Posts : 903
Posted 1/14/2009 8:27 PM (GMT -7)
I've used zonegran for a year now and, if I remember correctly, had some stomach problems for the first month or so, but the dose was too high for me. Since it was reduced, I have had zero problems. Topamax did wonders for my headaches but caused respiratory distress; zonegran is a cousin to t-max with much fewer side effects.
I'm still on it, it's still working and I have no complaints with it.
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Date Joined May 2007
Total Posts : 327
Posted 1/16/2009 9:27 PM (GMT -7)
LdyJane put it perfectly. I first took Zonegran when I decided to stop taking topamax because the side effects were just about
as unbearable as the headaches. My neurologist (at the time) pitched it as a drug that's very similar to topamax but typically has milder side effects. I found that to be right on. Others feel very differently, as you'd expect with any of these preventatives.
In my experience with zonegran (in taking it for something like 3-4 months the first time around and more than 6 the second), the drug seemed to prevent attacks about
as well as topamax did. At times I actually experienced some very good results with both of these meds. However, I discontinued Topamax after only 3 or 4 months because, as my headaches got worse--as they continued to get for several years to present date, I had to step up my dose to a very high level. At the highest that I went my headaches significantly dulled in intensity (from maybe an 8 to a 5 or 6) and I mostly was able to stay at that baseline and have very few spikes throughout the day. However, I was practically mindless and I literally wasn't eating. And when we dropped the dose to a bearable level, I resumed having an 8 or so around the clock.
Now, to contrast that with zonegran. One important point is that I did stop taking both of them because of side effects and not enough relief. But things went very differently with Zonegran. The first time around I only went up to a moderately high (speaking very relatively) dose. I stayed at that dose for a while and achieved some of the same relief that topamax brought me. But after a few months I decided it wasn't helping enough and (being at the highest recommended dosage) moved onto something else. During that time the side effects were very mild compared before. I was still somewhat dullwitted and I experienced a bit of parathesia (tingling/pins-and-needles). But, without sufficient headache prevention I couldn't stay with it.
The second and longer time I was put on it again after having a bad experience with topamax (new neurologist). But that time I went up to a MUCH higer dose. It worked to some degree, though I stayed on it for so long mainly because I had exhausted nearly all other drug treatment options. At that really high dose I felt, as best as I can describe it, "half there", or less. I couldn't think straight, my balance was way off, etc.
[I've rambled a whole lot, sorry--here's the main idea]
The important point is that, for me, zonegran was indeed very similar--in its preventative capacity--to Topamax. At high doses both drugs were very cognitively impairing and had other not-so-fun side effects. BUT, zonegran seemed to make getting through the days more difficult, in a quicksand-ie way making me have to push hard to do complex tasks (and some not so complex ones). Topamax didn't just slow me down--it made me fully stop. Not slow thinking, nearly no thinking; not just irritable but emotionally debilitated. So, if zonegran works for your headaches it's much more bearable, as most people will tell you.
Just keep in mind that my experiences with both of these medications happened while I was at VERY high dosages. I was monitored very closely by several neurologists at the Jefferson Headache Center because I was taking significantly more than the "maximum daily dose" in those prescript
ion information pamphlets. And I'm really describing how things were largely at the most extreme cross sections of the time I was taking each medication, with the intent to contrast the differences between these cousins at their "most potent". So, remember, most people do just fine and won't experience the worst side effects. Unless you get put on a radical dosing regime you can probably expect some of the side effects that I described at much lesser magnitudes....I'm afraid that I made things sound really intimidating, so just remember that I mention the worst just to show the difference. In my opinion zonegran is a fantastic option, even though it didn't end up working out for me.
DX: NDPH, Recovered CRPS
RX: Lamictal, Provigil, Clonazepam, Ambien CR, Emsam, Namenda, Oxycontin, Oxycodone
PRN: Haloperidol, Zyprexa, Lodine, Zofran, Skelaxin
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