I am at the end of week 2 on Topamax for daily migraine relief. I am enjoying the low appetite side effect (-5lbs!) but am having a severe problem with my eye twitching. Was quite relieved to read through to see another had also experienced this annoyance. How long do the side effects last? My migraines are not as strong though they are still present on a daily basis. My main problem is dizziness - does anyone else have success with controlling dizzy spells? I was hoping the Topamax would help. Maybe when the dosage increases?