Hi, Natabelaknits, I am also new around here but not new to all these symptoms particularly horrible migraine headaches that for years I didn't realize were "migraines". Until I lost fine motor control of my right hand in July 07, no one thought I needed to see a Neuro til then but when I did he was more interested in the headaches getting under control right away and he put me on Topomax... started slow 25mg, then 50 mg up to 100mg and I've since cut back to 50mg (100mg puts me into a depression). But the tingly feet and hands are definite side effects that subside in a couple weeks. The Topamax seems to be controlling the migraines the best. When I tried to wean myself completely, they immediately returned. I still get one once in a while but only about 3 times a month instead of daily. I used dissolveable MAXALT for that without any side effects from it, (imitrex left me wiped out and sick after using it).
I like the Topamax alot. Elavil is good with some nerve pain but it's got the weight gain issue and dry mouth side effects. Topamax kills your appetite and taste buds so if that doesn't bother you, I'd go for the Topamax. (Coke/Pepsi lose their taste too).
PS, whatever you do, don't quit Topamax abruptly, it can cause seizures if you stop suddenly, it has to be weaned down slowly. Personally, it's an excellent Migraine contrller for me. I never knew such relief was available before this. I just thought I was a headache person all these years.