My Neurologist had me increase my Topomax for the days that I have my Menstrual migraine so I did my first increase (200 to 300) last night... Today I felt miserable!!! I know that part of it was my Day one migraine symptoms... vision, nausea, speech and some fatigue... but I was sooooo, extremely fatigued that I could barely function and was even nearly in tears... partly from the migraine symptoms but much from the fatigue. Can that small of an increase affect me that much?? It's too late to call the doc about this and I'm thinking about taking my regular 200 mg of Topamax knowing I'm miserable in migraine anyway... Any thoughts that the Topamax could actually make me feel worse for a while... I'm also concerned about going back down to 200 after being on 300 because I'm very sensitive to decreasing on this med... all questions I should have asked the doc, i know, but was a very weird, frustrating appointment overall anyway... ;)
How long were you on 200mg before the Dr suggested the increase? Are you taking the Topomax all at once? I have been on 200 mg/ day for a few years (100 mg in am & 100 mg in pm) and I don't recall ever having the type of side effects you are describing. I started out w/2 doses of 50 mg per day, which decreased the frequency of my migraines but after about 8 months the frequency built up again. My Dr said it was okay to double the dosage so I did. The only side effect I had was an eye "twitch" on one side for a few months. It was very annoying but no one could see it & both my Dr & Pharmacist said it was nothing to be alarmed about. It eventually went away.
If you are taking all of your Topomax at one time, maybe you should split it up & take 1/2 in the morning & 1/2 in the evening and see if that helps with the sluggishness.
I have another question: Does your doc have you taking Topomax to prevent your migraines? If so I would think any increase for menstrual related headaches would begin a few days before (when your hormone levels change) not once you already have the headache!!
I am real curious to see how you are doing now!
- Topamax Information for Consumers
- Topamax Information for Healthcare Professionals (includes dosage details)
- Side Effects of Topamax (detailed)
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