Migraine: Prophylaxis with either Topamax (topiramate) or Depakote would be considered first line aggressive therapy (for males). With Depakote (sodium divalproate) we often see weight gain and a fine tremor (especially in older adults). With Topamax (topiramate) there are more side effects (weight loss, parasthesias, change in sense of taste, inability to sweat, glaucoma, kidney stones ) www.healthtap.com/drericweisman
Answered 1/20/2020
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