I’m currently in my second semester of a two year medical program (purposely being vague to protect my privacy), but I am always in fear of another migraine attack. Last semester I was diagnosed with status migrainosus with my first migraine ever. I went straight from an exam to the ER after having a two week long attack with aura. Luckily the timing of subsequent attacks and a primary doc willing to help allowed me to still do well, but now I’m in clinicals which requires me to think on my feet and I can’t afford to take any of the migraine meds due to the cognitive effects unless absolutely necessary. It’s not just written exams anymore, it’s interacting with clinical instructors in a professional capacity and being expected to perform well. Its a very demanding program and if you can’t keep up you’re lost. I’ve been getting headaches around my period every month but with the benadryl, compazine, toradol combo I’ve been able to keep it under control. I have not had any auras with these headaches and only very mild neurological symptoms compared with the initial attack. Today I am having a moderate headache off and on, I nearly passed out at school and I was having trouble talking like before my initial attack. No visuals auras so far. I have topamax which I haven’t yet tried for aforementioned reasons. Obviously the migraines are worse than Topomax as far as effecting my performance, but what should I expect if I decide to take it? I’m so afraid of making the wrong decision because so much is at stake. Worse case scenario I can’t complete the program and I will adjust my life but I’m hoping to make it through this.