I've been on Topamax 100mg for almost 3yrs now and don't have the joint pain but I do have the tingling hands like crazy!!! Also could be due to nerve problems in my neck ....hard to decifer. Have never heard of Zonegram. I may have to check it out. However the Topomax has worked for me. I went from 3-4 Migraines a week, literally!!! ....to maybe 2 every 3 months or so. Not bad at all!

The only ones I get now are related to my neck.

I'm afraid to switch to anything else since it took almost 8yrs to find something that worked and two trips to the ER with allergic reactions. One with Depakote and one with Botox.
Nora