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Medications & Prescription Treatment

Lamictal and Topamax Combo?

  • By Melly62

    I’ve been in Status Migraine for 78 days. Typical pain level is a 7 day to 8 each day. My neurologist started me on a slow titration of lamictal (currently on 50mg) to add to the 225 of topamax that I’m on. It’s actually working, pain level is down to a five and side effects aren’t that bad.
    Has anyone else had an experience with this combo?
    Inquiring minds 🙂
    Thanks!
    Melly

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  • By Nancy Harris Bonk Moderator

    Hi Melly62,

    I’m so sorry it’s taken me so long to get back to you. Let me see what I can do to help.

    Having extended migraine pain is exhausting, frustrating and downright nasty. There are things our doctors can do to help end difficult migraine cycles. Many times a steroid dose pack or IV medications can be used to break a migraine cycle. These two links have helpful information on how to deal with intractable migraine; https://migraine.com/blog/what-happens-when-all-medication-fails-for-intractable-chronic-migraines/ and https://migraine.com/blog/migraine-treatment-experiences-iv-therapy-intractable-migraine/.

    I’ve not taken these at the same time, but currently take Lamictal. Both these medications can be used for migraine prevention and I’m happy to hear you are seeing a reduction in your migraine frequency and severity.

    Keep us posted on your progress,

    Nancy

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