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New Member

Date Joined Feb 2014
Total Posts : 1
   Posted 2/26/2014 2:17 PM (GMT -6)   
Hello, I am new to the forum and I have a question.

I have had migraines for over 20 years and spent the last 10 years taking 150mg Pizotifen, However I have had an increase in migraines and saw a neurologist who wants me to start Topamax - I am happy to try this (I will try anything not to have a migraine!)
The problem is that the neurologist wants me to gradually stop the Pizotifen, have a month med free before starting Topamax. I got down to 100mg and was fine but everytime I try to cut down to 50mg I have a lot more migraines so there is no way I can have a month with no meds.

Does anyone know if I can take both meds at the same time and gradually decrease the Pizotifen as I increase the topamax?


Forum Moderator

Date Joined Apr 2012
Total Posts : 7438
   Posted 3/3/2014 10:20 AM (GMT -6)   
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;
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