I have been on 50mg of Topamax for the 2nd time for about 8 months. This time not near as much weight loss but so many more side effects. I have had 3 kidney infections and just found out I have an ovarian cyst which is now being linked to this medication. It keeps the migraines away but I am not sure if the other pain is worth it, has anyone had any luck with other migraine medications? This had been the best for keeping them away but now I am at a loss as to what to do. A little toe and finger tingling I could handle....cyst that make me double over in pain, NOT SO MUCH!