Something is triggering your migraines. Suggest that you have a looksie at the following links:
[url]http://healthboards.webmd.com/search/search_results/?query=migraine+triggers&Submit1=Search[/url]
[url]http://healthboards.webmd.com/search/search_results/?query=headache+triggers&Submit1=Search[/url]
You should also keep a Migraine Diary & take it with you at your next doctor visit. You can print one out at the following link:
[url]http://healthboards.webmd.com/content/article/46/1826_50671.htm[/url]
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Now I have a really good job and I have to keep it!
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Then I strongly suggest that you have a long chit chat with your doctor about the side effect of Topamax & wheither or not if he/she is going to increase your dosage or keep it at 50mg.
You should also do your own online research regarding the side effects of Topamax starting off by reading some of the Topamax threads here in this forum.
Do not be put off by what you read about Topamax. There are some "good, bad & ugly" side effects. However, they do not affect everyone and/or everyone does not suffer from them the same way, some worse than others.
Good Luck!