I had been a Department Head for 12 years with a tremendous amount of stress in the last couple years, I had been taking 750 mg Keppra and then was switched to 200mg Topomax as a prophylactic with 40mg Relpax for attacks. On the Keppra, I was having maybe one in a quarter and they were fairly mild, but since it was off label, my new insurance company refused to pay for it, so I was switched to Topomax on which, I was having about one good Migraine a month, sometimes tolerable, sometime not. I finally got into the job I wanted, great boss, very little stress, great people to work with and suddenly the Migraine count has gone to 1-3 a week and is taking me out of work completely. Do you think it is the sudden change that has caused the flair? This has been going on for a month now and I am wondering when it is going to let up. Can topomax be increased? I am going to see my Pain doc tomorrow finally, but it has been extremely frustrating, having worked in an environment that I was constantly having to watch my back, not to mention having people in my face all day long to a very busy and hectic job, but very little stress, one I am happy in (some people would be stressed out, but after my experiences, this is nothing) and a boss who has been very good to me through it all.
Any suggestions? I'm exercising daily (when I am not having a migraine), being very careful as to what I eat and getting plenty of rest.