Migraine drugs and keto diet - side effects?!

Hi Claire- These are such good questions. I'm glad you'll be calling your neurologist to set up an appointment/evaluation. I was looking back to remember when you started the venlafaxine because I recall you asking about side effects to that drug. Looks like you've been on it maybe around 4 months? I wonder how long you've been on the Topamax? Both of those meds can take a while for our bodies to get accustomed to. If you then added in the Keto diet, which can also cause side effects like lightheadedness, nausea, dizziness, etc- there may be so much transitions occurring in your body at the moment that are leaving you feeling unsettled. We cannot provide medical advice here so it's great you are seeking care. In general, we would recommend you introducing one approach at a time so that you can be clear on what's causing which side effect and challenge. Perhaps you've done that, and if Keto was the most recent thing, that could be the issue. Have you considered an elimination diet to try to gain clarity on what foods may be setting you off before you head down any specific dietary approach? https://migraine.com/living-migraine/elimination-diet-length
You mentioned seeing a nutritionist so you are probably in good hands getting your answers there. Hope you can see your doctor soon! Thinking of you- Holly (migraine.com team).

This is a really important topic! We always think about drug-drug reactions but not drug-food reactions. There is some really good information about the keto diet and certain medications that may not be compatible. Definitely ask your doctor, and I think the nutritionist would be even more helpful as he/she will know about the effects of keto in relation to your medical condition and meds.