So after a two week trial, I had to give up on Topamax. This is my second attempt to use this drug. I found it very effective in eliminating my migraines but I kept getting eye pain. It became severe as my Neuro increased the dose after the first week. I actually tried the brand name (non generic) and it seemed a little better. Maybe I was just starting to adjust to it on the second trial. So....my choice is live with migraine once a week or so or live with continual eye pain. I chose migraine plus triptans. My optometrist will be happy. I guess it's back to Nortriptyline for now.