Has anyone else tried Topamax and had it simply NOT HELP for migraines? I'm able to tolerate the side effects ok (but word-finding is an issue, a real problem for a Speech Pathologist!) but at 100mg/day (6 months) my headache diary is not showing a positive change. HOWEVER, we have found that we can finally stop my migraines with a one-day course of Solumedrol (a steroid) 8mg 3 doses 6 hours apart; no triptan works for me. I'm using the Solumedrol a couple of times a month; keeping careful track but feeling very positive about it. I know at my next meeting with my neuro we are going to have to decide "up it or leave it."