Can I ask a Question?

One, you should never be scared of telling your doctor anything.  And if he doesn't listen to you, what is the point of going to him?  You need a doctor you can have a working relationship with.

Two, if you are still having near daily migraines after 4 months on Topamax, time to switch drugs.  It is obviously not the preventive for you.

As for your other question, you do seem to be running through the hydrocodone a little fast.  You may be risking medication overuse headaches.   Are you using a Triptan? (ie, Imitrex, Relpax, Treximet, Frova)  Because unless is is contraindicated by a medical condition, that should be your first line of defense.  If you are taking a triptan and still need the hydrocodone, it might be time for a new abortive.  There are 8 or 9 out there, and another one might give you more relief. 

I also use hydrocodone as a rescue, but only if my triptan has failed or if I've maxed out my triptans for the week. I also have near daily migraines too.  I try to make it a point never to take my hydrocodone more than 2  times a week. 

I hope you find a better doctor and some real releif soon.

here is a quiz that may help you decide if you need a new doctor. Is Your Doctor Right for You?

Here's the deal, if your doctor is not listening to you, and your Migraine frequency and severity is not reduced after four months on a preventive, it's time for a new plan.

Don't lose hope, there are over 100 medications that can be used for Migraine prevention. Migraine Preventive Medications - Too Many Options To Give Up! 

Our  patient recommended Migraine specialist list can be found here, because it is time to look for one, right   ?

Definitely look for a new doctor and possibly one the specializes in migraines. I live in Indianapolis, IN and have a  migraine neurologist who understands what I'm going through. I would look for someone that understands but also never feel like you can't communicate to your doctor.

An alternative method is acupuncture, I've just started and have had 2 treatments, I'm keeping my fingers crossed for me but so far so good. I also take lacitmal which isn't marketed as a migraine preventative drug but has been used for migraine preventative treatments and again, so far so good.

I too take Topamax.  It took about a six months to find out what dosage is good for me.  And even after that, after you are on it for a while you may start getting them back and have to have the dosage raised up.  Don't give up on a drug that is a life saver!!  It really does work.  I have suffered since I was a teenager and I am 53 now.  Really you ought to give it a chance.