Ibuprofen 400mg or Neproxen 225mg is best abortive for me, giving relief in just 20 minutes. Nabumetone 750mg sometimes gives relief in ab hour or two but if it takes more than 2 hours, I pop in one more Nabumetone 750mg. I am using Nabumetone at the moment due to GI side effects of the previous two. Acetaminophen or opioid painkillers like Percocet are useless abortives for me.
I was on Topamax upto 125mg and it was totally useless. 25mg is just a startup dose. You will have to up it every week or two and stay on highest dose suggested by your neuro for 2-3 months to see if its helping.
Just a word of caution, I am among the 'lucky' ones who got kidney stone. Can not be so sure its because of Topamax as I have ulcerative colitis too.
Diagnosed March 2007 with left sided UC at the age of 30.
Colazal 9 daily, Imuran, 200mg daily, Vit. B12, 1mg, Multivitamin, 1 tablet daily, Fish oil 2400mg daily, Vit D 2000 IU daily, Butterbur 150mg daily.
Verapamil 240mg for migraine, Migraine episode now at least twice a month,
Ibuprofen 400mg is the only solution (but leads to bleeding). Looking for alternatives.