Hello, this is my first post and I am on mobile so sorry for any formatting errors.
I’ve had migraines since I was 8 years old and for most of my life they were manageable with OTC painkillers. In recent years however, they have gotten much worse and nearly constant. I was getting at least one migraine every other week, lasting up to four days.
In February I had a very severe one that lasted 8 days and went to ER. I got a referral to a neurologist who put me on Topamax. It has changed my life. I haven’t had a single migraine since. And I didn’t even work up to the initial dose, we stopped at just 50mg twice a day.
At my second appointment three months ago, my neurologist stressed to me the potential side effects of Topamax if I were to become pregnant. She kept insisting that I see my gyno for birth control, but I expressed that I didn’t want to be on any birth control. After a bit of back and forth, I asked her if she would refuse to prescribe these meds if I didn’t get on birth control. She said no, but that I at least needed to make an appointment and discuss it with my gyno because the birth defects from Topamax are serious and likely.
I did discuss it with my gyno and we decided against any birth control. There are several reasons why and my gyno was very understanding and is confident in my current method of avoiding pregnancy.
So today I had another follow up with my neurologist. When she asked about the birth control, I told her that I did make an appointment and speak with my gyno and we had decided against it. I told her my reasons, the precautions that I am taking to avoid pregnancy. Then she said that I HAVE to go back and get on birth control. She said that she couldn’t continue to prescribe the Topamax to me if I wasn’t on a hormonal birth control or copper IUD. Then she even said I needed to be on birth control to be taking my other medications (Lexapro & Wellbutrin) and that I need to bring that up with my psychiatrist (He works in the same practice).
Now I’m freaking out. Has anyone else had this experience? Can she even do this? Should I find a new neurologist?
I’m even thinking of going to my GP and asking her to be my prescriber for the new medications because of this. Having to go off Topamax would ruin my life, not to mention my other medications.
I don’t know what to do. I’m frustrated with her and scared. Any advice or kind words would be greatly appreciated.