Caffeine till you can see a dr and ask for a mild stimulant like Provigil or Nuvigil. Others out there too but you will need a stimulant.
LAF4; Many times too if you're just starting the Topamax that is a normal side effect but it normally goes away shortly after and if it does not call your doctor it may need the dose adjusted or try something other than this to try and control your headache. I don't see how much you're taking but they normally start low and work up to avoid this problem. If it were me I would call the doctor Monday and let them know. Best of luck.
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