5/26/08 #3 - Topamax for migraine prevention - have to take it the rest of your life?

Ask the Clinician Health Pro
  • Full Question:
    Does anyone have experience with Topamax and do you have to take it for the rest of your life or can you stop after a half year or so and are your migraines then less than before? Bella.
     

     

    Answer:

     

    Dear Bella;

     

    This goes for any preventive regimen -- You just can't predict the answer to your question. Preventive meds work only while you're taking them. Once you stop taking them and they're out of your system, you're on your own with your Migraines again.

     

    That said, Migraine patterns can change over time, becoming more or less frequent, more or less severe. After a period of time on a preventive agent, some patients work with their doctors to taper down on the medication. If their Migraines do not increase, they may completely stop the medication. If their Migraines increase as they decrease the medication, they usually taper back up to their former dosage level. One risk with doing this is that a medication that's working may not work again if a patient decreases or stops taking it.

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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, 2008.

    Last updated May 26, 2008.

     

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Published On: May 26, 2008