Hi Vowel Lady,

Topamax - Topiramate - is my med, too, and from the increase in dose/decrease in pain side effects I had at the beginning of the year, I know it works. But then, I am on 2x 100mg a day.

I cannot use creams, I used to use capsaicin and Voltarol cream on my neck, but it made me nauseated.

It is strange the things that trigger attacks, it must have been the rattling of the Trolley Car that caused it. You are right to avoid them now.

Keep on with the regimen that works, hope for respite.

Dave.