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I'm 24 and I have had increasingly more migraines as I get older....

Posted at 8:32 PM on Jan 27, 2008 by saturn_shimmer, #26688
I'm 24 and I have had increasingly more migraines as I get older. I now have them 2-3 times a month, and they sometimes last 3-5 days. I went to the doctor, for the first time for migraines, three months ago and he just gave me a to take as needed. those were gone quickly. I had another appointment a few days ago and asked to be put on a daily preventative med. he prescribed topamax. what concerns me is the dosage. he gave me 200 mg to take twice a day. I have never taken any daily med for migraines before, and I see that most people start at 25 mg a day and gradually increase the dosage. I'm very sensitive to medication and I'm worried I can't handle 400 mg of Topamax right off the bat. I was considering cutting the tablets into halves or quarters and starting myself on a lower dosage. perhaps I should just call the doctor for clarification. is this dosage too high for a first time taking Topamax? any advice much appreciated, Sarah
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Reply about 1 year ago on Jan 27, 2008 by medgirl, #4408

It's always a good idea to start at a lower dose and work your way up. Maybe you won't even need to go to 400mg to feel better, however, I am not your doctor, so check with him/her. Your doctor might be trying to treat other things, like seizures, so check. Cutting the pills in halves or quarters is not a bad idea, but what size are they? Can they be cut? Some shouldn't be, so check with your pharmacist first, a quick phone call will help. Topamax is a great drug, it gave me my life back, just make sure to eat enough, good luck! :)

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Reply about 1 year ago on Jan 27, 2008 by saturn_shimmer, #4415

i went back and talked to the pharmacist. turns out the script ACTUALLY said 25 mg twice a day, and not the 200 mg twice a day they gave me. my skeptical nature paid off.

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