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.




    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.

    Add This Infographic to Your Website or Blog With This Code:


    Good luck,
    John Claude Krusz and Teri Robert


    If you need to find a headache and Migraine specialist, please see our listing of patient recommended specialists.


    Another good source of information and support is our forum. To post to the forum, you'll need to register, even if you're already registered on the main section of our site. You can use the same email address and password for both registrations.



    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.


    If you have a question, please click HERE. Accepted questions will be answered by publishing the answers here. Due to the number of questions submitted, no questions will be answered privately, and questions will be accepted only when submitted via THIS FORM. Please do not submit questions via email, private message, or SharePost comments. Thank you.


    Please note: We cannot handle emergencies or diagnose via the Internet. Please do not ask us to diagnose; see your physician for diagnosis.


    We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer.


    © Teri Robert and J.C. Krusz, 2008.

    Last updated May 26, 2008.



Published On: May 26, 2008