I've been on a very low dose of topomax for about 6 weeks now, 15 mgs 2x a day. I've not noticed a dramatic improvement, but also not any bad side effects at this dose. We're starting so low because I've reacted poorly to every other drug prescribed. I expect the dosage will increase at my next appointment.

One thing I have noticed, is I haven't woken up crying at night because of my headaches for a couple weeks. They still wake me up, I'm just not crying. That IS an improvement, really.

I'm hopeful that a slight increase will bring more relief and not too many other problems.

Starr