I have never personally taken Topamax, but over the years, I have seen patients on the Chronic Pain forum and the Thoracic Outlet Syndrome forum discuss using Topamax for nerve pain.

From what I remember, most patients were happy with the Topamax in terms of nerve pain reduction... but as with any medication it doesn't work for everyone.

Do you keep a pain journal? That can help to be able to show your doctor your daily pain levels, how well the medications work (or don't work), any medication side effects, etc...

Pain journals have helped many patients on the chronic pain forum to commuicate better with their doctors and get better pain relief.