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Doctor insights on: Is It Unusual To Take Topamax For Migraines And Still Have Eye Pain

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Is it unusual to take topamax (topiramate) for migraines and still have eye pain?

Is it unusual to take topamax (topiramate) for migraines and still have eye pain?

No: Most migraine prophylactic medications do not "cure" migraines. Instead, success is measured in decreased frequency and intensity of the migraines. ...Read more

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Dr. Colin Sanner
401 doctors shared insights

Topiramate (Definition)

Is indicated to treat epilepsy, but mainly a second line or adjunctive agent, and also useful to prevent migraine headaches. Has several adverse effects including: kidney stones, narrow angle glaucoma, metabolic acidosis, heatstroke in kids, paresthesias, slowing of speech and cognition, drowsiness. ...Read more


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Does Topamax (topiramate) need to be taking for say 6 months for persistent migraine aura and migraines, or can it be taken only until the aura and migraine stops?

Does Topamax (topiramate) need to be taking for say 6 months for persistent migraine aura and migraines, or can it be taken only until the aura and migraine stops?

Typically long term: I tend to keep my headache patients on prophylactic medications stable for 2-3 yrs (especially if they're high risk for headaches, or there are genetic predispositions) before weaning down on anything. I also slowly wean down over a period of several months as we are coming off as opposed to cold turkey. Write to me at: www.healthtap.com/drsaghafi if you'd like more information. ...Read more

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Dull pain/pressure in left temple to eye to ear all day took ibuprofen still not helping? Do not get headaches so this is new to me? More serious?

Dull pain/pressure in left temple to eye to ear all day took ibuprofen still not helping? Do not get headaches so this is new to me? More serious?

Headaches: see MD: New Headaches should be checked out by MD. See eyedoc2020@blogspot.com for headache/migraine diet (what to avoid). See eyeMD if you are farsighted or take certain meds to be sure not eye pressure or narrow angle issue. MD will check sinuses & do neuro exam. Drink plenty of water & avoid Asparatame & MSG for now ...Read more

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I take Depakote for seizures and it seems to cause a bad tremor. Is it related?

I take Depakote for seizures and it seems to cause a bad tremor. Is it related?

Yes: Tremor is a side effect of Depakote but you still need to keep your seizures under controll so don't stop your medication without seeing your physician first. Please discuss the problem with your doctor to make sure the tremor isn't a sign of another condition and discuss alternative treatment if the tremor is intolerable. ...Read more

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Have migraines but head is starting to really hurt for no reason now and one eye is dilated while other is fine. Why would that happen to my eye?

Have migraines but head is starting to really hurt for no reason now and one eye is dilated while other is fine. Why would that happen to my eye?

Cyclical Migraine?: Partial or total ophthalmoplegia of the third cranial nerve, the oculomotor nerve, can occur during cyclic migraine. This may include pupillary dilation. See http://www.Headaches.Org/content/childrens-headache-disorders for a review. Nevertheless, if experiencing progressive neurological loss, you should present to an emergency room immediately. Otherwise, visit a neuro-ophthalmologist. ...Read more

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On 75mg topamax (topiramate) for migrane, having heart palps several times a day. Is this a common side effect? And if so will it go away or should I be seen?

On 75mg topamax (topiramate) for migrane, having heart palps several times a day. Is this a common side effect? And if so will it go away or should I be seen?

Not common: Palpitations are not a common side effect of topamax (topiramate) but they are listed as a possible side effect. You should see your doctor. You may not need all 75 milligrams, or the palpitations may resolve if related to topamax (topiramate). ...Read more

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Herbal medication to take for sever sinusitis, headache pain that seems to be giving me teeth pain now. As well. Is that possible.?

Herbal medication to take for sever sinusitis, headache pain that seems to be giving me teeth pain now. As well. Is that possible.?

Yes: If you have a severe sinus infection, that is not something to mess around with. As the pain increases there is a good chance you are also clenching your teeth more. I have seen many patients who thought they had a sinus infection and it turned out to be severe clenching pain. Unless you are improving rapidly, i would visit your md. If your teeth pain intensifies, see a tmj/bite dentist. ...Read more

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Is it normal for a visual migraine without pain. To continue from three weeks now?Will i lose my vision if this keeps happening?

Is it normal for a visual migraine without pain. To continue from three weeks now?Will i lose my vision if this keeps happening?

Ocular migraines!: Ocular migraines usually only last from 1-30 minutes. They can last longer. Very rare for the symptoms to be permanent. I do not know of anyone losing their vision or the symptoms staying permanently. They can recur though. Sometimes there are triggers; the most common are stress, caffeine, chocolate, red wine, food with sulfates, some medications, alcohol, reflections of light. ...Read more

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I take topirimate and sumatriptan for my migraine is it possible to build a tolerance to them?

I take topirimate and sumatriptan for my migraine is it possible to build a tolerance to them?

Possible: you can build up a tolerance but the real truth is often it is a rebound headache from the medications You need to see your provider and perhaps witch medications or try other methods The rebound headaches are difficult to handle since you think you need more medications and the truth is that the withdrawals are causing the headache ...Read more

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I get migraine headaches once every 7 to 10 days. I usually take aspirin to alleviate the pain. Is it safe? Have this headaches since the past 12yrs.

I get migraine headaches once every 7 to 10 days. I usually take aspirin to alleviate the pain. Is it safe? Have this headaches since the past 12yrs.

Can do better: Asa is safe but not really the most effective way of handling this. Might consider preventing headache by using otc preps such as riboflavin, co-q10, butterbur, feverfew or magnesium. Your doctor can help advise approaches, but do not use Depakote as you already have ovarian cysts. ...Read more

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Is it possible that i take Excedrin migraine for hunger headaches?

Might help but:: Hunger headaches are muscle tension and low blood sugar. Hunger can cause your muscles to tighten, triggering a tension headache. Skipping meals, sleeping later than usual or delaying meals or snacks may result in a drop in your blood sugar levels. When your blood sugar drops, your body releases hormones to counter low glucose levels, which can trigger a headache. Excederine might help. ...Read more

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I have had a painful headache for 2 weeks now its not a migraine i've taken medicines for it ¬hing when the pain comes my vision is blurred. Help?

I have had a painful headache for 2 weeks now its not a migraine i've taken medicines for it &nothing when the pain comes my vision is blurred. Help?

Get it checked: This is not the type of headache that is usually caused by eye disease or eye strain. The blurred vision is probably secondary to the pain and the headache. You should go see your primary care doctor or a neurologist and not delay any longer. ...Read more

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I was prescribe fiorinol for my bad pressure headaches that i've had for months now with dizziness! is this a proper for these symptoms? Not taken yet

Not a great med: You don't mention in your summary how long you've had headaches. Assuming that you've had headaches for awhile, they are likely migraines. It is very common to have migraines with dizziness. Good medicines for migraines are the tryptans which include medicines like imitrex, zomig, (zolmitriptan) maxalt, etc. The problem with fiorinal is the same problem with many short acting pain meds, rebound headaches. ...Read more

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I have frequent migraines. After being prescribed butalbital, i realized that it does nothing for the headache or pain. Any recommendations?

I have frequent migraines. After being prescribed butalbital, i realized that it does nothing for the headache or pain. Any recommendations?

LOTS OF CHOICES: To prevent headaches, which may be your best choice, try depakote, beta-blockers, topirimate, or otc like riboflavin, coq-10, butterbur, feverfew, or botox. Butalbital not a great choice, as triptans work best (imitrex, relpax, (eletriptan) frova, zomig, maxalt, etc) and ergotamines may help. Also, Cambia and dolovent might be useful. ...Read more

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I have migraines but I have been taken Effexor XR for fibromyalgia will it be okay to take Relpax (eletriptan) also for my migraine o will it be too much serotonin?

I have migraines but I have been taken Effexor XR for fibromyalgia will it be okay to take Relpax (eletriptan) also for my migraine o will it be too much serotonin?

Effexor w/ Relpax (eletriptan): Both have an effect on serotonin. If Relpax (eletriptan) and Effexor xr are used together, it is the best to start with very low doses of each drug under the careful supervision of your prescribing physician. ...Read more

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Is it normal to have some pressure an pain with occipital neuralgia migraine headaches? Is the something I can do

Is it normal to have some pressure an pain with occipital neuralgia migraine headaches? Is the something I can do

Occipital neuralgia: Yes. Occipital neuralgia is caused by impingement of the greater occipital nerve from tight muscles in the neck. The result is pain from irritation of the nerve and pressure from tense neck muscles. Physical therapy, massage, injections of the nerve and surgery can relieve the pain. See a neurosurgeon for evaluation and treatment. ...Read more

Dr. Sandra Lora Cremers
568 doctors shared insights

Eye Pain (Definition)

Depends on further explanation by history and findings on evaluation and examination. An ophthalmologist can resolve this issue ...Read more


Dr. Dariush Saghafi
1,887 doctors shared insights

Migraine (Definition)

A type of headache that is associated with throbbing localized pain and usually causes light ...Read more