Had a major thumper migraine for 16 hours. Had taken 2 Relpax--my limit--and called my neuro when it continued. Finally got thru to him and he said to come in for an injection. Stupidly, I took that to mean go to the urgent care in the same clinic. I waited for 2 hours in terrible pain, with all the noise and light, until I got my shot of Demerol and Vistaril.
I went in for an appt. with him 10 days later and asked if there were some protocol I should have for such pain. I have been on a low dose of Topamax, which he doubled, but he is not a fan of rescue meds. He said if it happens again, I am to come directly to his office, not the urgent care, for an injection. Yay! He was very sympathetic and even said, "why didn't you come into my office?" I told him I guess I wasn't listening very well then. He sort of clucked and said he understood. He also said that if the Topamax wasn't doing the trick, we'd try something else. Looks like I got a good one.


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Good for you! Now all we have to do is reduce the number of Migraines you are having.....are you doing a slow taper of Topamax? Continue reading this for more information; Dosage and Tapering Topamax for Migraine Prevention.
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Not exactly...been on Topa for a year at 25 mg. I am one of those people for whom small doses of meds have big effects. Anyway, my neuro increased it to 50 mg and said we'll leave it at that for awhile or if I need to we'll go higher or change meds if the side effects bother me. I told him weight gain as a side effect (from some of the other preventatives) was a deal breaker and he said that was ok with him, we'd see what we saw.