A 25-year-old female asked:
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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 doctor answers
Dr. Bennett Machanic
51 years experience Neurology
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 on Jun 30, 2014
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Dr. Alan Ali
Dr. Alan Ali answered
31 years experience Psychiatry
Pamelor/Topamax: At that dose & if ok with your doctor, should be fine.
Answered on Mar 20, 2015

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