Personally, I am the queen of getting all the bad side effects that come with a medication. Topamax was the worst, but others, like Depacote was almost as horrible. I gained about 80lbs(post-gastric bypass!!!), got a weird eating disorder...would only eat one food for weeks, then switch to another. Constant dry mouth, which rotted all my teeth in less than a year...you name it. Weight Watchers is for people that have normal issues with over-eating or eating the wrong things. Any doctor that would tell you "to just go to Weight Watchers" for weight gain from a medication side-effect is one lousy doctor. I'd dump him pronto.
There are probably 20-30 effective migraine preventatives/abortives being used these days. After 35 years of migraines, since I was eight, the only thing that works for me these days is Stadol Nasal Spray, a narcotic. I'm also taking Atenelol as a "preventative", but more to shut up doctors who are "phobic" about giving opioid medications to relieve migraine pain. I average about 1-2 bad migraines a week, so I'm constantly seeing new doctors that I have to explain my history to, just so they will follow my PCP's standing emergency treatment order. I ran into a new doctor about a month ago who refused to honor my treatment order. She stated that she only used imitrex and reglan for migraines. Imitrex makes me violently ill, and makes my migraine worse, so there's no way in heck that I'm going to accept that treatment. Patients are not the same, thus, treating all migraines the same way makes no sense. This doctor was "take it or leave it", so after being in the ER for almost six hours, I had to walk away without any help. Not a position I'd wish on anybody.
Luckily, I'm going to see a new migraine specialist in October. Apparently, it takes four months to get a new patient referrral. Got through a bad day today with my abortive, which makes me sleep. Thus, I've been up all night making up for lost time. I hope you all can find something that works for you, without the bad side effects.
Post Edited (CRANKY 1) : 7/24/2008 8:42:21 PM (GMT-6)
I'm on Zonegran for seizures and migraines. I really feel no effects on the migraines so we are on nubmer 6 of the preventatives and have tried 2 narcotics and were still working at the right combo. My nuero says everyone has a combo you just have to find it. I do have friends that swear by the Zonegran for migraines that is all they take, for me uh, no.
Mine are WHOPPERS and sometimes with auras. I have even had black outs and have to be taken to the ER by ambulance. Usually, if I can't get it to break after a few days my nuero, if he can- will get me in for a Stadol shot that will do the trick but knock you out for two days.
If you search migraine preventatives you will find a list of over 50+ and most were not created for migraines at all.
Zonegran is listed as an "anti-seizure" medication, and isn't even mentioned as an "off-label" medication for migraines, so it suprises me that you know people that are using it as such. It's very odd that your doctor won't give you a Stadol shot for two days. You are very lucky that it will knock you out for two days. Stadol works for me as an abortive, but doesn't do much for an all out migraine. I have to get a shot of 3mg Dilaudid and 50mg of Phenergan and even that won't knock me out. I'm usually a slight bit woozy after the shot, but then I'm wide awake for hours. I usually end up sleeping the next day because I was wide awake the whole night before. I'm much more of a night owl these days.
You didn't say which medication you were just prescribed. Which one was it? I didn't have a weight gain problem with Topamax, but it turned me into a mental zombie, with some significant permanent memory impairment. However, I was on Depakote previous to that, and I gained about 80lbs in roughly 6 months, in spite of the fact that I had just finished losing 150lbs thanks to a gastric bypass. The weight didn't come back off. If you're worried about weight gain or serious damage to your teeth, avoid the Depakote. Please let us know what which drug you are taking, so we can give you better info if you need it.