# For those on topamax for MAV please help about the dose! **URL:** \ **Category:** Anticonvulsants\ **Created:** [May 2, 2018, 9:18pm UTC](https://mvertigo.org/t/for-those-on-topamax-for-mav-please-help-about-the-dose/15286 "2018-05-02T21:18:09Z")\ **Posts on this page:** 7\ **Page:** 2
**Author:** ![Slightly\_Athletic](https://mvertigo.org/letter_avatar_proxy/v4/letter/s/f19dbf/32.png) [@Slightly\_Athletic](https://mvertigo.org/u/Slightly_Athletic)\ **Post date:** [May 8, 2018, 11:01am UTC](https://mvertigo.org/t/for-those-on-topamax-for-mav-please-help-about-the-dose/15286/21 "2018-05-08T11:01:20Z")
Did you have the weird constant imbalance /disequilibrium /light headedness symptoms?.. If so which of these do you feel helped with that? ---
**Author:** ![Revolving](https://mvertigo.org/letter_avatar_proxy/v4/letter/r/bc79bd/32.png) [@Revolving](https://mvertigo.org/u/Revolving)\ **Post date:** [May 8, 2018, 12:06pm UTC](https://mvertigo.org/t/for-those-on-topamax-for-mav-please-help-about-the-dose/15286/22 "2018-05-08T12:06:22Z")
It helped with all of them and more because, as my neurologist said, I had every single symptom VM can throw at us. ---
**Author:** ![Manatee](https://mvertigo.org/user_avatar/mvertigo.org/manatee/32/615_2.png) [@Manatee](https://mvertigo.org/u/Manatee)\ **Post date:** [May 8, 2018, 3:13pm UTC](https://mvertigo.org/t/for-those-on-topamax-for-mav-please-help-about-the-dose/15286/23 "2018-05-08T15:13:04Z")
Here is Dr. Hain’s flow chart: [http://dizziness-and-balance.com/disorders/central/migraine/resources/migraine%20prevention%20for%20patients.pdf](http://dizziness-and-balance.com/disorders/central/migraine/resources/migraine%20prevention%20for%20patients.pdf) ---
**Author:** ![Deedee1](https://mvertigo.org/letter_avatar_proxy/v4/letter/d/bbce88/32.png) [@Deedee1](https://mvertigo.org/u/Deedee1)\ **Post date:** [May 8, 2018, 3:57pm UTC](https://mvertigo.org/t/for-those-on-topamax-for-mav-please-help-about-the-dose/15286/24 "2018-05-08T15:57:26Z")
all day 24/7 on top of that I also had and I’m still experiencing head motion intolerance n light headedness in general. seems to get worse with stress and fatigue and before that time of the month. I’ve noticed I always feel better I get some sleep esp in the morning. did u have that too? ---
**Author:** ![Deedee1](https://mvertigo.org/letter_avatar_proxy/v4/letter/d/bbce88/32.png) [@Deedee1](https://mvertigo.org/u/Deedee1)\ **Post date:** [May 8, 2018, 4:00pm UTC](https://mvertigo.org/t/for-those-on-topamax-for-mav-please-help-about-the-dose/15286/25 "2018-05-08T16:00:15Z")
I haven’t tried effexor, nortryotylline or verapamil though. just kinda went straight to topamax. think it would be worth it to try out the others first as they have been mentioned first? ( although not sure is it because of efficacy or less side effects) ---
**Author:** ![Revolving](https://mvertigo.org/letter_avatar_proxy/v4/letter/r/bc79bd/32.png) [@Revolving](https://mvertigo.org/u/Revolving)\ **Post date:** [May 8, 2018, 4:25pm UTC](https://mvertigo.org/t/for-those-on-topamax-for-mav-please-help-about-the-dose/15286/26 "2018-05-08T16:25:06Z")
I cannot advise on effexor as I never tried it. I was put on verapamil ten years ago for a heart arrhythmia which did nothing for VM symptoms so I can only say that the best combination for VM for me is topiramate and nortriptyline. I know some people struggle with topiramate, but some people struggle with a lot of meds so as you have topiramate already I would go slowly with a very small dose and ask to add on nortriptyline in a tiny dose too. If it doesn’t work then you can try another combination . I think it is all too easy to take too much too soon and then dismiss the med as a problem. I do hope you find the right combination soon and get your life back. ---
**Author:** ![Deedee1](https://mvertigo.org/letter_avatar_proxy/v4/letter/d/bbce88/32.png) [@Deedee1](https://mvertigo.org/u/Deedee1)\ **Post date:** [May 8, 2018, 4:54pm UTC](https://mvertigo.org/t/for-those-on-topamax-for-mav-please-help-about-the-dose/15286/27 "2018-05-08T16:54:36Z")
thnk u for the advice dear, I know topamax is a medication that is slow to work and I have only been on the 75mg dose for 8 days now so it’s too early to tell. I guess I’m just anxious about it being the correct med for me esp that its theb3rd option on Dr Hain’s list but I was advised to take it a few years back for migraine control and it worked well on the 100mg do we so I’m hoping it does the same again once I work up to the same dose again 🙂 [Previous page](https://mvertigo.org/t/for-those-on-topamax-for-mav-please-help-about-the-dose/15286.md?page=1)