Topamax for Migraine and urinary urge?

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  • Full Question:

    I have been on Topamax for menstrual migraine for 18 months and it has literally saved my life. My bi-monthly migraines are now minor headaches and I tolerate the drug beautifully. My dosage is 2 x 50mg daily. My problem relates to urinary urge that does not seem to relate to anything. I have had clear urine tests. Two ultrasounds and a CT scan turned up nothing. I do not have any infections. Have you heard of people with this problem whilst taking Topamax? It is listed as a rare side effect, but weight loss is also a rare side effect and this also happened to me and I was already slim.

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    Thanks in advance, Linda.


    Full Answer:

    Dear Linda;


    As you noted, this can be a side effect of topiramate (Topamax) Yes, we have had patients who experienced this. For some, it was somewhat mild and dissipated after they had take topiramate for a time. For others, it was more problematic and did not dissipate. For those patients, we changed to a different prophylactic medication.


    Good luck,
    John Claude Krusz and Teri Robert



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    About Ask the Clinician:

    Dr. Krusz is a recognized expert in the fields of headache and  Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and  Migraines. You can read more about Dr. Krusz or more about Teri Robert.


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    Last updated January 24, 2012.

Published On: January 24, 2012