Hi, first if the topamax isn't working or helping. Ask if you can try one of the other drugs that sometimes helps with migraines too.

I would suggest depakote ER as one. I would suggest this in place of both
the drugs you are taking too. I know a little about Migraines, PCS, and also wanting to play soccer and having been hit by the ball. My son who is now
23 was hit with the ball and it didn't register with us that this could have
been some of his problems. But part of the reason was because Migraines and seizures run in our family. So when he was in 5th grade the migraines
got bad, so that he was missing lots of school. And nothing started to
work for the migraines.

By the time he got to high school, and the times after he would have gotten
hit with the soccer ball and could have had the concussions, he had missed
many more days of school. But also started having seizures.

His neurologist chose to try depakote ER because it works on both migraines and seizures. And we wanted to see if it would stop them. But so does
topamax, but the reason we chose the depakote ER was his older brother
had good experiences with it, for other reasons. And his younger brother
had once been on it for seizures for over 5 years. So its track record
for our family was the better.

Even though I take and took at the time topamax for migraines. But it is
only a maintenance drug for me.

Also another to try is amtrypline. ITs something that helped him a lot in the
younger grades. Till he started sleeping to much. And then wouldn't take it, and didn't tell me till to late why.

Donna