If u dont mind, what’s the routine for most of you for Topomax dosage? Once nightly? Or twice daily? My neurologist has me on once nightly, only 75mg, but I still have 5-8 miserable migraine days per month. She also told me I could increase/decrease as needed, but gave no real guidelines, and now she quit practicing to go back to school. I don’t feel dopey like rumors I’ve heard, but can’t afford that in my technical job. I have the Heal Your Headache book and have followed those spartan, extreme diet restrictions for a few years now though I’m not sure with how much benefit. Not sure of the other preventive meds Buchholz mentions, some say they may drop BP……my blood pressure runs pretty low normally and an RX my urologist tried out on me made me pass out repeatedly, injuring myself. Antidepressants, well, maybe I could use a touch of those naturally, but scares me…I had heard in the past that coming off of them or missing doses could cause suicidal thoughts.!?!