Hi Browneyedkygurl,
If your doctor isn't listenting to you it may be time to find one who will. That may be the first order of business. This quiz may help you work things out: Is Your Doctor Right for You? We also have list of patient recommended Migraine specialists you can see HERE.
Topamax works wonders for some people, not so much for others. How is your head pain? Are you seeing a reduction in your Migraine frequency? If you have to put icepacks on the back of your head every night this may not be the right Migraine preventive Medication for you. Don't lose hope, there are over 100 others. Migraine Preventive Medications - Too Many Options To Give Up!
Good luck
Nancy