1) can I take feverfew and butterbur with topamax and triptans ( by the way if I an at 100mg/day of topamax and have been on it for a month but am seeing no effects should I give it longer or increase the dose)
2) I am looking for a good and safe neurologist to administer botox for migraines in either new orleans or houston. Can anyone help me find someone that they trust who has a good track record? I am really interested in trying this. I have chronic migraine and am desperate and I am also starting medical school in August. I need help.
On your first question about taking feverfew, butterbur, topamax, and treiptans -- Nobody can safely answer this question but your own doctor. There are factors to be considered in addition to possible interactions between these medications -- any health issues/conditions you may have, and ALL other medications you are taking including prescription medications, over-the-counter medications, dietary supplements, etc.
Also, we should always check with our doctors before adding supplements. "Natural" or not, they ARE medications. See Supplements for Migraine - They ARE Drugs.
Regarding feverfew -- it should never be taken by a woman who is or could become pregnant because it can cause miscarriage.
For the Botox, consider contacting Dr. Randy Evans in Houston. You can find his contact information in our listing of Patient Recommended Migraine and Headache Specialists.
Hope this helps!