Age 65. I never had migraines except they started 7 years ago. For 2 years, I was on gabapentin to prevent my migraine headaches. During these 2 yrs, I had no headaches; not a single episode. Initially, I was taking 900 mg of gabapentin 3 times a day. Then I started tapering the drug. It was tapered down to 600 mg, tid. Then, 300 mg, tid, 300 mg, bid and finally 300 mg once a day. I was on 300 mg once a day for 45 days during the month of June and partly in July 09; still no headaches. In mid July, I tapered it down to 200 mg, once a day; that's where my headaches came back. Initially, they were minor headaches and they will go away on their own or by taking 500 mg tylenol. Then, things began to slip and began worse and my migraine came back before I knew it.

Presently, I have increased gabapentin doses to 600 mg, tid and I'm also taking virapmil 120 mg/day. My headaches stopped but I have to take precautions. But left side of head is not normal; it is weak. That's where the headaches come.

Hot food, hot water, hot weather, high humidity are triggers.

I was pain free for the last 4 days but slightly hot atmosphere and eating slightly warm food gave me mild migraine which went away with the use of cold air fan and applicacton of ice on my head. But it made my left side of head weak.

Please suggest what I should do.

Thanks