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Word Loss, Confusion, Forgetfulness, Stuttering 8
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With your type of job, I would not chance an increase. There is no quarantee that the side effect will be reduced lower than an 8.
If you do decide to increase your dosage, I would do it very slowly-25mg at a time. Discuss with your doctor.
However, I must say you are luckier than most as far as suffering from the side effect. You are doing pretty good otherwise on 200mgs. Congrats to ya!
When you do have a migraine, what do you take as a preventative?
I take Zomig Spray 5mg. The spray stops it in it's tracks within 5 minutes when I spray up the nose when I feel the migraine knocking on the door. Works faster than the pill.
I've been on Topamax (100mgs-I refuse to go any higher as my doctor could not quarantee the side effects would get any worse or better. ) for 2 1/2 years.