Top 75 Migraine and Headache Questions, #57

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  • Full Question:
    I have pretty bad headaches when I get them. I take Topamax 200mg along with Lamictal 300mg. I was taking more Topamax but the side effects of making me sleepy to about 6 weeks to show themselves. It was working quite well up until that point.

    Any suggestions? In your opinion do you think the VNS (Vega Nervous Stimulator) would benefit me? I do know it helps for depression but I wonder if they started checking a study for headaches? Let me know what you think and if you have any suggestions. Lynn.


    Dear Lynn;

    Before thinking of VNS, there are a lot of medication options out there. All of the so-called anticonvulsants have been shown to reduce migraine burden, but only Topamax and Depakote have official approval. VNS has a very little amount of data; mostly anecdotes. Seek out a headache specialist.

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    Good luck,
    John Claude Krusz and Teri Robert

    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 for this section of our site, please click HERE. Accepted questions will be answered by publishing the answers here. No questions will be answered privately.

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Published On: April 08, 2007