I am allergic to triptans so this limits what I can take for migraines. I am also diabetic. I spent a week in the hospital in December of 2007 where a team of specialists put me on 200 mg of topamax and 60 mg of cymbalta. I am also not allowed to have caffeine. This was a very hard adjustment since I drink a lot of diet mt.dew. However, my migraines have subsided greatly and I have lost about 50 pounds.