Topamax Or Nortriptyline?


Asked by Allie85

Topamax Or Nortriptyline?

Hi everyone. I have chronic migraines and my doctor has told me I need to go on either Topamax or Nortriptyline and I'm trying to decide between the two. Initially I was tole Topamax but never started it because I was too afraid of all the potential side effects. Now he gave me Nortriptyline as another option but I dont know which is better......The side effects for both intimidate me but I am at the point where I will do pretty much anything to not have these headaches anymore. Ive heard people tend to loose weight on Topamax and gain weight on Nortriptyline?

I would really appreciate the advice!



Hi Allie85,

Well, I hate to break it to your doctor, but there are over 100 medications available for Migraine prevention. We hear a lot about Topamax becasue it is heavily marketed to doctors and patients alike - that doesn't mean it is the best one out there. Take a look at this article, feel free to share it with your doctor: **** Migraine Preventive Medications - Too Many Options To Give Up!

It may be time to see a Migraine specialist, if your doctor isn't able to help you, it may well be time to consult a Migraine and headache specialist. It's important to note that neurologists aren't necessarily Migraine and headache specialists. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists.

Good luck


Answered by Nancy Harris Bonk