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Regular Member

Date Joined Oct 2007
Total Posts : 138
   Posted 11/3/2007 10:22 PM (GMT -6)   
I was put on 50mg of topomax for a preventative in august when I stopped my birth control pills. I had been on the pill for over ten years and when I came the migraines! Anyway, I had no migraines for several weeks but now I'm starting to get them again. I take imitrex when I get them but that rarely takes the pain totally away, I usually end up having to take darvacet also. My doc suggested upping the topomax to 75mg which is fine with me but my question I going to keep having to up this medication every couple of months for it to work?? I already feel like I take too many meds....

Regular Member

Date Joined Aug 2007
Total Posts : 31
   Posted 11/6/2007 4:22 PM (GMT -6)   
My doctor told me that with topamax in the beginning you sometimes have to up it a few times, but eventually you get to a level where it's good for your body and you'll stop getting them and you won't have to increase anymore. It didn't work so well for me. I was up to 200mg a day and still getting them, but the fact that it helped you to begin with is promising because I never saw much of a result with just topamax, they added welbutrin to mine and it was much better.
Diagnosis-- Chronic Severe Migraine with daily headache usually caused by tension
Medications-- Daily: Topamax 100mg & Welbutrin 100mg
                    PRN: D.H.E. 45 Injection or Migranol, Phenergan, Ultram, Fioricet 

Veteran Member

Date Joined Dec 2004
Total Posts : 921
   Posted 11/7/2007 9:12 PM (GMT -6)   


I think that there is a threshold or a level to which Topamax "peaks" for each person. I have a best friend who has migraines that are VERY similar to mine, My Topamax dosage was 400mg daily (which is twice the recommended dosage)...hers was 75mg, it varies with each person.

Stick it out, when I could afford Topamax (no insurance right now) I felt better than I ever have, it is at least worth a try.

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