I've been on Topamax for 3 months, 25 mg 2x/day to prevent my migraines. They had become weekly or more, sometimes wouldn't respond to sumatriptan, even a butabitol-caffeine-codeine-acetaminophen capsule sometimes did very little. My GP tried me on propranolol, but even at a high dose, it didn't help prevent them much, and it seemed to be making me gain weight (overweight to start with) and was making me lethargic and mentally sluggish. I went to a neurologist, he switched me to Topamax, and that has reduced the frequency and some of the intensity, although I've still had a few that did not respond well to the other meds (prednisone wound up helping).
I had tingling in my feet that came and went over a couple of weeks when I first started, and seemed to go away. Occasionally hands or face. Later, I had other tingling problems, but I think that can be attributed to an advanced infection of Lyme disease. With antibiotic treatment, those things cleared up...for a while.
I followed up with my neuro a few days ago, and since I've still had some bad migraines, we decided to try increasing my Topamax to 50mg 2x/day. I'm getting tingling in my feet, hands, and face, intermittently, stronger than before. But, I've also been experiencing a relapse of Lyme symptoms. Can anybody shed some specifics that might help me make a better guess as to which is the cause?
Also, I've had some speech issues: forgetting words, mixing up the beginnings of two words in a sentence, sometimes slurring a couple of words together, a couple of other things where words are said wrong, and the more troubling but less frequent experience of having difficulty in phrasing/sequencing things, having trouble getting my thoughts out. I had these problems at the peak of my Lyme symptoms before, about a month after I'd started the Topamax, and they were some of the first symptoms to clear up after I started antibiotics. I've read that Topamax can cause speech issues, but I've found nothing about what those issues are. Does anybody know exactly what? Again, I'm trying to figure out what's more of the culprit here.
And yes, I'm following up with a doctor about the Lyme symptoms on Monday, and I will be in touch with my neuro if stuff persists, too. :)