2/11/08 #8 - High elevations, Topamax, caffeine?

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  • Full Question:
    Since moving to an altitude of 5200+ and being on Topamax 100mg, it seems I am tired all the time and caffeine has no effect on me to elevate my energy. Can Topamax at high elevations cause increased fatigue? Also, is there a relationship between the diminished effect of caffeine and Topamax? Rhonda.

     

     

    Answer:

     

    Dear Rhonda;

     

    I know of no diminished effectiveness of Topamax in the presence of caffeine, nor do I know of any specific effect of Topamax to increased fatigue. My strongest questions to you would focus on the sleep pattern and the quality of your sleep per se. Please seek out a Migraine and headache expert who also is familiar with sleep disorders.

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    Good luck,
    John Claude Krusz and Teri Robert

     

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    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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    © Teri Robert and J.C. Krusz, 2007.

    Last updated February 9, 2008.

     

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Published On: February 09, 2008