Debra, The only reason to see a pain med specialist is to finish coming off of the drug! You don't have to be in pain to see a pain specialist - it can be for simply getting off of an addictive drug.

You could see if there is a liquid form of Topomax to continue the slow withdrawal off of it. I have known people who did that with Paxil and it worked.

The danger is not the dose alone!!! Let's see if this example works. You know how when someone takes Prednisone they can't go off of it quickly or at all. They can get down to a dose like 5 mg. and they can't get off. Why? Because their adrenals have shut down. It's similar with pain meds. Often it's the final doses that can cause the most problems. That's why you need an EXPERT on pain to help you. Do you understand?

And, yes, the withdraw symptoms can still be dangerous. Someone going off of Pred too soon can cause an adrenal crisis, which is life-threatening.

Drugs are not benign. Always look to a drug if you are having unusual symptoms or signs like tachycardia.

I hope you can get it all worked out.

Annie