
This article is a follow up to "A Word of Caution for a Popular Headache Prescription" (written January 25, 2009) in which I described my reaction to Topamax after my first two weeks of usage. This is meant to provide an update after five weeks for those who have yet to try Topamax or those who have tried it and have had mixed results.
A little background is in order. I have had a serious migraine headache problem for at least 40 years. I have tried several prescription and natural methods to overcome this problem. I have tried several over the counter, prescription and medical methods to combat headaches over the past several years with very little success. During the past year I tried a different approach. I made great strides against the problem with natural, herbal and homeopathic treatment methods but have not been able to completely wipe it out. I went from having headaches 6-7 days per week to an average of one every 7-9 days, which is a substantial improvement. I am still trying to completely eradicate the plague. So I went back to my medical doctor (who takes a very balanced approach with regard to natural healing) on January 9, 2009 to see if she had any advice. She recommended that I try Topamax, which she said had produced some great results with little to no side effects.
The prescription she gave me was to take 1 pill (25 mg) twice a day for the first week and then increase it to 2 pills twice a day for the remainder of a 5 week period. At which time I was to come in for another appointment.
In the five weeks since I have been taking Topamax I have noticed definite differences. The most notable difference on the negative side is that of fatigue. I have not been able to increase the medication to two pills twice per day yet because whenever I do I just feel too exhausted. On the other hand I think I have felt some differences in a positive direction also. I have had three migraine headaches in the 5 weeks since I have started taking Topamax which is only slightly better than one every seven to nine days, but it is a little bit better. I can definitely say that the pain level of these headaches has not been as severe as it was before I started taking Topamax. It has been on the 70% - 80% level. Which, once again, may not sound tremendous, but for a severe migraine headache victim, it is a real difference.
What about the cost? So far I have been lucky. I have only had to have one prescription filled and my insurance has covered it completely. My doctor told me I was extremely fortunate because Topamax is very expensive. I will find out what the cost of it is and when I give my next report at three months I will report what the cost would be if a person had to pay out of pocket.
Conclusion
The results I have experienced from Topamax so far have not been as positive as what my doctor had said some people have enjoyed. Granted, I have only taken the prescription for 5 weeks and I have not yet been able to take the full dosage either. I am not ready to give up yet as I am still optimistic. The cost factor is going to come into play sooner or later though. After a while, the 100% insurance coverage will run out and I will be paying for a portion of the prescription for the rest of the year. The fatigue factor needs to be taken into consideration also. For some people this would be totally unacceptable. Vitamins, herbs and homeopathics are still probably the preferred solution for headache treatment if possible. They are far less expensive and produces far less side effects. For some many they work wonders. For some people they just do not seem to go all the way, and something extra may be required.
Tom Thorne
http://www.feelingoutstanding.com/






