Does Topomax Help Cure Chronic Migraine?

Posted on Sun, 20 Aug 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 20 Aug 2017 Answered on

Mon, 11 Sep 2017 Last reviewed on

Question : My wife has been taking Topomax for over 6 months, prescribed to treat chronic Migraine/s. Two days ago, my wife began to experience parathesia in her face, which did not go away. When my wife presented to ed, the doctor told her to discontinue the medication if it still occurred afterwards. The parathesia has not subsided. They said anything like this occurring for over an hour is medically unacceptable. She had her last dose on Saturday morning, it is now Sunday afternoon. Will this be permanent? She also had very hot skin, which is why I initially suggested her to seek help. Really worried about this all...

Answered by Dr. Neeraj Kumar (23 minutes later)

Brief Answer:
The symptoms will improve

Detailed Answer:
Hello,
I have gone through your question and understand your concern.
Topiramate may be associated with tingling.
The symptoms are not permanent and improves gradually.
You should take increased fluids and lime juice.
Other options for migraine prophylaxis are divalproate, Amitriptyline, flunarizine, and propranolol.
You can start any one of these medications after visiting to your treating doctor.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Neeraj Kumar (19 minutes later)

Would it still be in her system because of Saturday morning? She can't feel her face, and feels like it is numb even though she stopped

Answered by Dr. Neeraj Kumar (10 hours later)

Brief Answer:
Requires opinion of neurosurgeon

Detailed Answer:
Hello,
You can get her to an emergency room for examination so as the objective testing is done. Not likely due to medication. Hit thanks if you found the answer helpful.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Prasad