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A member asked:
On 50mg pamelor migrane + 50mg topamax (topiramate) qhs, neuro wants me to take 25mg topamax (topiramate) in am too but makes me sleepy, can i take all 75 topamax (topiramate) + pamelor qhs?
2 doctors weighed in across 2 answers
MY OPINION: In some cases, the topamax (topiramate) will be more effective if used once every 12 hrs, but the drowsiness adverse effect may not go away. Although the Pamelor is a rather poor preventative, and not fda approved, this could be used once daily at higher dosage perhaps. But how about an otc approach using butterbur, feverfew, or riboflavin, or co-q10? Likely fewer side effects, if any.
Answered 6/30/2014
5.3k views
Pamelor/Topamax: At that dose & if ok with your doctor, should be fine.
Answered 3/20/2015
3.1k views
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