Hi, I have been suffering from migraines since I was a child, now 31. I have taken Topomax. I went to a new Dr. in Feb. and she was great. She put me on Topomax, but you should know it's no for good. I was first on 50 mg. then my body adjusted so she put me on 100 mg./day. I took one pill in the morning, one at night. It has worked amazingly. It took about a month or so, but a huge difference. I've had a headache just about everyday for the last 20 yrs. After being on the Topomax it went to maybe 1-4/ month! Not bad ones either, just around my period it would hurt a bit. My Dr. had told me that every headache I had was a type on migraine. My blood vessels were just always swollen and never had a chance to go down. Everything triggered the headaches from food (smell) to shampoo, etc. The topomax was to retrain the chemicals in my head to not be so sensitive to the triggers. She had said that after about 6 months on it, I should be able to slowly wean off it. My husband could not believe the progess. This is the first thing that ever really helped me. She did give me Midrin to take if I began to get a headche. She told me to stop taking Mortin, Tylenol or anything for my headaches cause that wasn't helping at all. At the very first sign of a headache if I took Midrin, it would stop it. Well, my mother is also on the med., she suffers from headaches too. It has also helped her.
As I was about to go in for a follow up with my Dr., I found out I was pregnant. I stopped taking all meds. Baby is fine. I usually get massively bad headaches during the first trimester, but this time it's been much better, only a couple ( my third preg.) Not until about 2 weeks ago did I start to get headaches again and that's because all meds. are now officially out of my body and hormones are crazy.
I did have a couple side effects from Topomax. The tinglingin my fingers. It started about 3 weeks- month later. My mom never got it. It wasn't bad, just a bit of a tingle and only lasted a short time. The tingling went away for good after a few months. I also had the decreased appetite, my did not have that either.
I was worse in the beginning, not really hungry, but I made myself eat. This also went away. I always forget things, so I didn't notice a difference, I actually slept better than ever in my life!
My opinion is try it, it may help. The worst that can happen is you don't like it and go off it. Maybe try a lower dose first like 50 mg./day, and then increase if you need it. After my child is born and if I can take it while nursing, I will go back on it to complete my treatment.
Good luck with everything and I hope your headaches get better no matter what you choose.
R.