I take topamax with 4-5 other meds, but not Pizotifen, so this is a ? for your doc. Why does he want you to be med free first? Have you told him about the increase in pain?
You must keep the doc in the loop. He may come up with another answer.
Moderator - Depression
Be still and know there is Peace.
Kabir says: "Student tell me, what is God? He is the breath inside the breath". from the poem Breath.
DX: reverse Trigeminal Neuralgia;Cluster headaches; Atypical face pain; raynauds;complex PTSD; recurring MDD,disassociative disorder;