Helps with headaches.
Can cause heartache with memory.
My thought is to take the smallest dosage that might make a dent in a bad headache/migraine problem (or whatever the health issue might be).
Try natural supplementation combined with the Topamax....also relaxation. From personal experience...again...my thought is to keep the dosage as small as possible.
It's a weird medication...I could go on and on and on.....

p.s. The glaucoma would concern me...there are ocular warnings w/ this medication!