A member asked:

Migraine taking topamax 50mg but get really tired and fall asleep even after 8 hr night sleep cause? f 21 yrs old pcos htn dm ddd spondylosis

2 doctors weighed in across 2 answers
Dr. William Kimlinger answered

Specializes in Family Medicine

Fatigue on topamax: Topamax can be effective in preventing or lessening migraines symptoms but has side effects including daytime drowsiness. Other medical problems (such as diabetes and polycystic ovarian disease among many others) can also be associated with drowsiness. A person in this situation should consult with their physician for further recommendations.

Answered 1/27/2017

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Trial and error: Give some time to adjust. If you do not, then ask your doctor for an alternative medication. I have had some success with both Zonisamide and Extended release Topiramate in those that could not tolerate regular Topiramate.

Answered 1/27/2017

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