Tanya9, I came across your post while researching Topramax. I wanted to offer a possibility for the cause of your Headaches. I'm 40 years old. My headaches started about the same time yours did. It took me several years to figure out that they are hormone related. When I started tracking them with my period, I found that I would get a bad HA about 3-4 days before my period starts, around the 3rd day of my period and when I'm ovulating. I do have another trigger which is heat. I live in the South and when it is really hot and humid and I'm out in it all day, I'll get a HA. My ha's sound similar to yours...feels like a knife in the eye and wraps around to the base of my skull on my right side only. They've gotten worse through the years. I've taken Phrenalin, Midrin, Amerge and recently was put on Topramax and Zomig nasal spray. The Topramax make me feel like a slug and I want to sleep all the time. I'm not sure if I'm going to be able to stay on it. There is one thing that has helped me. I go to a massage therapist that does accupressure massage. He can hold his thumb on the "hot spot" at the base of my skull and my ha will be gone in just a few minutes. Unfortunately, I can't go see him everytime I get a HA. Thought this might be helpful.