I'm new to the forum, 61 years old, have had migraines for 30 years but recently they have become more frequent, averaging 3 a week almost always occurring at 2-3 a.m. To abort, I am able to take a low (25mg.) dose of Imitrex and 2 ibuprofen. The triggers I have been able to identify are strong chemical, perfume and smoke odors.
Recently I started working with a neurologist who prescribed topiramate and on May 1 I started slowly tapering up the dose in 25 mg. steps each week. Soon after I had increased the dosage to 100 mg. I noticed I was anxious and then could not sleep.
After three nights of no sleep, I called the neurologist and asked her how to step down the dose as I was sure that was the cause. So far I have decreased the dosage to 50 mg. (25 in the a.m. and 25 in the p.m.) and I am still having trouble sleeping. I have been given Ambien 5 mg. as a sleep aid which I reluctantly take. I should also mention that I have given up all caffeine in my quest for triggers so that isn't what is keeping me awake.
Now for the good news--it has been over 2 weeks since I had a migraine which could be a fluke - it's happened before, time will tell. My question is - has anyone else had this problem with topiramate - should I stick it out and hope my body adjusts to it and I can sleep on my own again?
Certainly, if this is the preventative that is going to work for me at such a low dose, I don't want to abandon it too soon. Any advice would be welcome. My neurologist wants me to stay on the 50 mg. for awhile although she gave me a script for Verapamil but then there's a whole new set of side effects to deal with.
I am worried about depending on a sleeping pill so much. Anyone in my age group still struggling with this demon migraine?