Hey there, this is my first post, but I also have the combination of epilepsy and migraine. Since I already take anti-convulsants for grand mal epilepsy, the addition of Topamax for the migraine is problematic. Hate Topamax, makes me fuzzy, confused and in general does not mix with my other meds. Specifically speech disturbances, which are a deal breaker. Both epilepsy and headaches began after severe head trauma at age 33.