Ok to take topamax (50mg/day) and amitriptyline (10mg/day) at the same time?

Meds. You don't state why taking in my experience in pain management, this combination is used for migraine prophylaxis. I'm not telling you what do but in my pts i recomment take amitryt. But I use nortryptilline( methylated form amitryt.) 1-2 hrs before bed. Topamax (topiramate) bedtime. But if too groggy, can take topamax (topiramate) 25 mg am 25 mg pm. This is question for dr. Who prescribed it. Ask about usual side effects.