I have chronic migraines and bipolar type II. My main bipolar symptoms are depressive, with occasional spells of hypomania. I have had chronic migraine since 2009 but this has recently worsened to 3 x migraines a week each lasting up to 48 hours. I am never pain free.
I am concerned because the last time my migraines got this bad, it came shortly before a serious mixed (depressive and hypomanic at the same time) episode of bipolar.
I currently do not take any treatment for either condition, and am considering my treatment options. I have previously tried amitriptaline and gabapentin and propranolol for migraines, and lamotrigine, lithium and a whole bunch of SSRIs for bipolar. Nothing has ever worked and very often the side-effects (exhaustion and concentration) have made it impossible for me to go to work.
Has anyone had any experience of treating comorbid chronic migraine and bipolar depression? Topimarate and sodium valproate seem like possible options but I am not sure if I would get a prescription for either.