The doc explained the Topamax side affects going into it and I'm taking just 25mg daily. The pill is about the size of a lighter flint; not a very big dosage. My wife had some concerns about it, too, since she works for a state-run psych hospital and had seen some of the side affects after folks had been taken off, by that was all high dosage. All concerns have been talked about with the doc.
Other than aspirin to help with blood flow, though, there really isn't much on the market to help with my kind of migraine. The drug companies put the R&D money into kind that 90% suffer. Imatrex, others, and the OTC kind are meant to contract the blood vessels, hence the reason if I take one for my migraines, considering my blood vessels have already constricted...you get the point. Living for 3 years in almost constant pain, the migraines coming twice daily or sometimes even three times a day, can be quite dibilitating. A steady diet of aspirin, almost 2000mg a day, I was building up a tolerance to the stuff and was heading to stomach problems. Now 25 mg of Topomax and 81mg of aspirin for blood thinner is controlling them.
One of the things that has my primary physician and my neurologist concerned is that my first migraine came so late in life. It is an extreme rarity for someone to have their first migraine at the age I did. Most will suffer their first as teenagers. But my cholesterol is good, blood pressure is right where it should be, and the CT scans were all normal. Is it hereditary? My grandad died from a series of strokes and my father just suffered a series of a TIAs (if they hadn't used blood thinner in the ambulance he may have suffered a massive stroke). Who can say? They never suffered from migraines. Grandad was in his 80s when he passed and dad will turn 68 later this month. My blood vessels are younger and therefore stronger, so it may be manifesting as migraines now.
I'm just really not thrilled with the idea of going back and suffering so much pain at the moment. Or thrilled with the idea that I'll possibly suffer a massive stroke before I'm 40. I have repetive motion in my life elbow, and surgery is needed to take care of that. My wife is an occupational therapist and with stretching exercises and massage she gets me through that. I grit my teeth and work through it. I need a new right knee thanks to years of doing body and collision work. It stiffens up, I pop it, walk around with a brace and a limp, but I grit my teeth and get through it. My head, though, is intolerable. I can burn myself, throw welder slag down my boot, hit myself with a five pound maul, pinch my fingers, whatever and keep working. My head pain pisses me off (lack of blood flow to the brain which controls mood), causes massive amounts of pain, and makes me a complete a**hole to be around. My wife shouldn't have to live with that.
As for the kid I worked with, he was useless. Everyone treated him like he owned the shop and was a #1 tech. Can't tell you how many times I had to babysit him on the scanner or explain to him how to do something the right way. Everyone felt sorry for him because his daughter suffered from a heart defect. I didn't feel bad for him, though I prayed for his daughter. I lost my daughter and when I heard him talking about hanging out at the bars instead of spending time with her, I felt the sympathy I felt for him drain away. Not very Christian perhaps, but I am only human.