I made an appt with another neurologits to get a second opinion on my brain white matter brain lesions. The medication the neurologist put me is not helping at all. He put me on Topamax 100mg a day and Fiorcet as needed. My blood pressure has been extremely low and I have not been feeling good at all. I tend to have my words mixed up, not able to think straight, get confused, balance is off, very fatigue & i know noticed when my migraines are bad & blood pressure is low the symptoms are worse. There is something wrong and I need more answers. Feels like I am just not getting the answer or solutions to the problem. I have been keeping a diary of my triggers and been working with that. Any more information or suggestions from anyone will be helpful.