Here's a forum we have on this topic - take a look at the community feedback: https://migraine.com/forums/topamax-3
The side effects are definitely tricky to manage and now that there are other preventative treatment options out there, it may be worth thinking about those instead. https://migraine.com/cgrp-new-direction-migraine-treatment
Hope this helps! Please let us know if you have additional questions- we are here for you. Warmly, Holly (migraine.com team).