Migraine Elevated Estradiol

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2/11/08 #8 - High elevations, Topamax, caffeine?

Full Question:
Since moving to an altitude of 5200+ and being on Topamax 100mg, it seems I am tired all the time and caffeine has no effect on me to elevate my energy. Can Topamax at high elevations cause increased fatigue? Also, is there a relationship between the diminished effect of caffeine and Topamax? Rhonda.

 

 

Answer:

 

Dear Rhonda;

 

I know of no diminished effectiveness of Topamax in the presence of caffeine, nor do I know of any specific effect of Topamax to increased fatigue. My...

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