Hi guys,
I’ve been on what must be the longest Topamax drug trial in history - starting in Oct 2010 - a year and 4 months ago - can hardly believe it myself! This damn drug has fought me every step of the way, with side effects, etc - I guess we just haven’t seen eye to eye. As a result, I tritrated very, very slowly, sometimes having to retreat back down to a previous dosage and then increase more slowly in order to reach a target. Also, because I know that many people don’t get their fix until spending 3 months or so at a particular dosage, I have tried to find the minimum possible dosage that might work (for example Rich2008 got his fix after 3 months at only 50mg - a story that inspired me to try all this). That’s what’s taken so long - spending 3 months at 50mg…no that hasn’t worked…increase to 60mg…wait 3 months…etc…etc.
At 50mg, things seemed ‘acceptable’ - my neck-ache had gone by now, which was great, but the dizziness was still there 24/7, albeit stable and ‘benign’ (in that I wasn’t having too many ‘attempted mini spin attacks’ or sudden feelings that I might spin-out or fall over). But things slipped back after a visit to Disneyland Paris with the family, and never seemed to recover, plus ‘stable’ wasn’t really the fix I was after anyway. So I continued on my journey…
And so, I reached 100mg, about 9 weeks ago. And I know this is a dosage that many people get a fix at, after 3 months or so (like maryalice and others). And after just 2 weeks at 100mg, I had some positive signs - a few days with a really clear head - it was beautiful: fog free, not heavy like it usually is, and the dizziness was a little less as well. Then the usual foggy-head and baseline 24/7 dizziness returned - never mind, continue on…then after about 7 weeks or so at 100mg, things all started to go pear-shaped. I started experiencing mild headaches, neck-ache again, an increased general level of dizziness, but worse of all - lots of sudden ‘attacks’ - quite severe, where I felt that I might spin, or fall over, accompanied by massive surges of panic and anxiety. Despite this, I thought I’d fight on, to the 3 month point (which would be on 22 March). But each day just seemed to get ever worse - I almost fell over in the office the other day, after trying to walk back to my desk from the water cooler - a work colleague came to my aid. I stood there for a while, unable to move, feeling like I would fall if I so much as took a step - and since then things have just gotten worse…
So now I feel I cannot continue on. All this, and I don’t think I can make the ‘magical’ 100mg/3-month mark - seems like an oasis in the desert, that I’m just not destined to reach. The question (and it’s one that worries me) now is: are these extra sypmtoms that I’ve never really had this bad before really a result of the Topamax at 100mg building up in my system, as I first suspected? Or has my MAV after all this time (3 1/4 years now) started to morph into a more sinister form…? I know that MAV is a sinister, malleable beast - always suspectible to change, etc. But, my lifestyle in all other respects is as stable as can be - work, home life, stress, diet, exercise, etc…
One things for sure - regretably, I can only know by retreating back from this ‘desert oasis’ I’ve been trying to reach (100mg for at least 3 months). Last night, I took only 40mg, and will take another 40mg today, for a total of only 80mg (the dosage I was on before I jumped to 100mg). If the MAV monster returns to a less severe form, then I will conclude that the Topamax can indeed worsen migraine activity!! If the MAV doesn’t return to the ‘milder’ form I experienced before the sh*t hit the fan…well, that’s something I really don’t want to consider at the moment.
What do you guys think - can Topamax (or any drug) taken at a dosage that your system doesn’t ‘agree with’ actually worsen migraine activity?
Your depressingly,
Tony.