I was just diagnosed with hormone related basilar migraines. Ten days ago, after having dizziness that was getting worse, an ER doc finally did a head CT and found that I had suffered a very small stroke some time ago in the left hemisphere of the basal ganglia. Three days ago, a neurologist put me on Topamax 25 MG. The first two days, I was too scared to take the full 25 MG, so I broke the pill up and took 18 mg. Last night, I did the full 25 MG, but did it half a pill at a time, two hours apart. I noticed a dip in my heart rate down to 65 - which is pretty low for me (I usually stay around 80). Being that it was a holiday and I was temporarily wired from the Topamax, I decided to eat a triple chocolate ice cream cone (serious chocolate here, folks - serious chocolate). Almost as soon as the ice cream hit my system, my heart rate plunged to around 40 and then shot up to 148. It stayed high for about 10 minutes and afterwards, my head pounded like ca-razzzy! I had a pulse oximeter on and my oxygen seemed to dip down to 91 for a few seconds, but I think that's probably because I was freaking out. Within those 10 minutes, it was back up to a steady 98 or 99, where it normally sits. Compare and contrast, the weekend before they found the tiny stroke and subsequently told me that I had migraines, I had been bowling. I had felt like crap, but didn't want to let people down. I tried to sit it out by saying that I wanted to eat a sub first. After a while, someone asked me if I would bowl for her. I was a bit tired but stepped up, grabbed a ball, sent it down the lane, and as soon as everyone was cheering my strike, my head was pounding and my heart rate was up to 180 and it stayed above 110 for almost an hour. I was super dizzy and tired. I was not diagnosed or on any migraine medication at the time.
In the first two days of my Topamax, I was super dopey all day on the the 18 MG. Today, after having the 25 MG, I seem to be more alert during the day. Stil a little dazed enough not to want to drive, but I'm not walking into walls! My headache is definitely better too. Is it possible that the episode I suffered last night was actually a extreme chocolate induced migraine and didn't have a darn thing to do with the Topamax? I don't want to be paranoid, but I do have medication anxiety and they say that you shouldn't have irregular heartbeat with the Topamax. So, the question is, could a chocolate induced migraine have caused this unpleasant episode? Being that this is the first day that I'm not in pain, I'd like to keep taking the meds. Any input would be appreciated.
IMPORTANT NOTE: I HAVE BEEN ON TOPAMAX BEFORE. But, it was for severe migraines that I was experiencing while in a law enforcement career. I didn't recognize the migraines as migraines this time because I didn't have the same level of earth shattering headaches, wavy lines, and blinding pain. I'm not sure why I stopped taking the Topamax last time, but I suspect it had something to do with how expensive medical care was on COBRA (almost $700/month just for the premium). I don't remember dizziness with those migraines either, but I was 8 years younger and lady time didn't have a control of my reproductive hormones like she does now either. I have had two normal EKG's and have seen a cardiologist in the past week. My cholesterol sucks, but my overall numbers aren't in serous coronary artery disease zones. I am currently wearing a wireless Holter Monitor, but a very seasoned cardiologist hasn't seen anything so terrible that it has warranted any type of medication yet. So, can a migraine cause a crazy heart rate issues?