Did you have the weird constant imbalance /disequilibrium /light headedness symptoms?.. If so which of these do you feel helped with that?
It helped with all of them and more because, as my neurologist said, I had every single symptom VM can throw at us.
Here is Dr. Hainās flow chart:
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all day 24/7 on top of that I also had and Iām 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. Iāve noticed I always feel better I get some sleep esp in the morning. did u have that too?
I havenāt 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)
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 doesnāt 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.
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 itās too early to tell. I guess Iām just anxious about it being the correct med for me esp that its theb3rd option on Dr Hainās 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 Iām hoping it does the same again once I work up to the same dose again 