Doctor insights on:
Dilantin For Migraines
Dilantin (generic name phenytoin) is a drug that has been used to treat seizure disorders since 1938. It is a sodium channel blocker that is effective in treatment of epilepsy but it has significant side effects. Because of that many newer drugs have been developed ...Read more
Sometimes: Both may be used; each has a response rate about 50%. Other primary meds include Carbamazepine or oxcarbazepine, with a response rate of 70%. And, there are many others to try. If pain is not controlled, or side effects are intolerable, a procedure should be considered. ...Read moreSee 3 more doctor answers
Im taking Trileptal for tinnitus& hyperacusis &recently started Topamax (topiramate) for migraines.Is it true that trileptal reduces amount of topamax (topiramate) in system?
Maybe: It might help and will not cause any issues to try. It is just over the counter medications that benefit some people with migraines and is seen as an abortive medication. If it does not, then you will have to consider prescription medications, such as triptans or ergots that can be more effective for abortive therapy. Excedrin migraine does work very well for some people, and others it does not. ...Read more
No: Hypoglycemic seizures will not typically respond to anti-epileptic medications. The main treatment will be to keep your blood glucose level up by eating small frequent meals. However, be cautious, because a person can have both hypoglycemic seizures and epileptic seizures. So you may need to take a seizure med like Dilantin and watch your blood sugar levels. ...Read more
I am currently taking topamax (topiramate) for migraine and experiencing cognitive deficits (memory). What are the best alternatives for migraine prophylaxis?
NOT SURPRISING: Topamax (topiramate) (sometimes known as "dopeamax") very often causes both speech and cognitive issues due to it's affect on an short-term memory pathway (perforant pathway, ampa). Would advise considering possibly depakote, or Naproxen (not beta blockers or calcium channel blockers). But how about otc preps such as riboflavin, coq-10, butterbur, feverfew, maybe magnesium, and lastly botox? ...Read more
Many and varied: Topamax (topiramate) causes a number of side effects, ranging from mild (tingling around the lips, altered taste of carbonated beverages), to severe (liver damage, memory problems). It also causes appetite suppression, which can lead to weight loss in some patients. ...Read moreSee 1 more doctor answer
What has more side effects Dilantin or topamax (topiramate) and can topamax (topiramate) cause seizures?
Jeff24, U need help: I see that you posted many questions all related to your "seizure" which you may have had 14 yrs ago. Despite multiple answers from different docs, you are not satisfied and seem to obsess about this issue quite abit. Topamax (topiramate) is actually used to treat both seizure and migraine. Jeff24, call your doc and make an appointment for follow-up. I think you have obscessive-compulsive-disorder. Good luck. ...Read more
Yes, but: Ultracet contains tylenol (acetaminophen) and tramadol. The latter has prompted seizures in some susceptible patients, but this appears often dose dependent. If you are perfectly controlled on keppra, you may not be at high risk, but likely safer to try an opioid for pain relief, and drugs such as vicodin, butrans, Nucynta would be less risky. ...Read more
Yes it is safe, but: Doesn't work well to prevent migraine headaches, and is not fda approved for that purpose. Other far better meds are available. May work well for several nerve pain problems, but has a maximal effective dose of 2400 mg daily, and Lyrica (pregabalin) may be more useful. ...Read moreSee 1 more doctor answer
Are there risks associated with taking Imitrex (sumatriptan) for migraines on a long term basis, for 1-2 migraines per month?
None that we know of: So long as the long term usage remains at 1-2x/month. If at some point the patient or doctor recognizes that things are escalating to 2-3/month or 3-4/month...even though these are still below what would be considered CHRONIC patterns of dependency it should be clear that something is changing that needs to be dealt with...otherwise, long term use @ 1-2x/month is fine. BTW, you should start DIARY ...Read more