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Neuro has me abruptly stopping Topamax,?

I started Topamax 1 month ago for Migraines at 25 mg 1x a day and per my Neuro's instructions, went up to 100 mg per day over 4 weeks. She said she wanted to see me in 6 weeks but would only give me 4 weeks worth of pills which meant I would run out of the pills and have to abruptly stop taking them. I asked the nurses there about it and the wouldn't really answer me as to if it was safe. So I asked the pharmacist. He replied, "Well, neurologists ARE some of the smartest people on earth". So I called my family doctor and she wouldn't even talk to me about it because she didn't prescribe it for me. So I called the neuro's office back and they wouldn't really give me an answer once again. So today I took my last dose. I don't know what to expect. I don't go back for 2 weeks to see my neuro. It just doesn't seem right to prescribe a medication like Topamax and then have your patient discontinue it suddenly...

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  • 1 decade ago
    Favorite Answer

    I don't blame you for being concerned. I have a feeling your pharmacist was being sarcastic. I take 100 mg of Topax like that and I know that I feel 'strange' after missing just one day's dosage. (Which I do forget on occasion) If I were you, I think that instead of calling that Neuro's office, I would go there and tell that nurse that you wanted to make sure that the doc understood that you had been taking 100mg Topamax daily, did not have any refills and would not be seeing them for 2 more weeks. Was this what they intended, or was it just an oversight. If the nurse refuses to check with the doctor, make sure and ask their FULL name and write it down immediately. Don't be nasty or mean, but you have every right to assume at this point that this nurse is accepting responsibility for their actions if they refuse to speak with the doctor about it while you wait. Understand? I serious doubt they will.

    Source(s): Retired RN
  • Anonymous
    1 decade ago

    Topamax is an anticonvulsant however I'm assuming from what you said in your details that you don't suffer from seizures and are taking it for headaches. Given that, you should be fine to stop it abruptly, at the most your headaches will come back, probably with a vengeance. Keep your bottle in case you end up at the ER for the headache, so they'll know what you've been taking. And if I was you, I'd find new family doctor, one that's willing to work with your other doctors to insure you have the medications you need.

  • Anonymous
    1 decade ago

    Topamax is a drug that should NOT be stopped abruptly and your neuro should know that. Call their office NOW. It doesn't matter for what reason you're taking it (seizures, headaches, etc) as it acts on the brain and the chemical transmitters in the brain. Stopping it abruptly can be dangerous.

    Source(s): Registered Nurse
  • 1 decade ago

    Just because someone has an education doesn't make them smart. Neither does a degree in to be a pharmacist. You can try to win this thing the natural way if you want and forget about seeing these smart people again if you want. It's muscles in your back and neck that are causing you the problems for migraines. Once you get the muscles released you shouldn't have to worry about migraines again. The releases are simple but the neck one should be done once low at shoulder height and then right under the skull, holding the pressure on for a minute instead of the 30 seconds. It will help release the affected muscles. You will feel them releasing under your fingers as they start to release. It is going to take a few times to get them all but using that method should help you the most. Here is how to release back and neck muscles:

    For your neck:

    place your hand alongside your head and push your thumb in under your ear and place it on the muscle there. Take your fingers and place them on the back of your neck on the muscles there. Press them together and hold a good amount of pressure on them. Then relax, take a deep breath an happening, the muscle going limp under the pressure. Continue to hold until the entire muscle has gone limp.

    Back:

    Place your left hand on your left knee. Place your right hand over your left shoulder and with your fingertips find the muscle next to your spine. Press on it and hold. Relax, take a deep breath and exhale and don’t tense up any part of your body. After about 30 seconds there should be a release happening and when it does slowly lower yourself forward onto your right leg. If you can lean over the outside edge of your leg it will be better for your release. Continue holding for a total of one minute. Then release but rest your body there for one minute longer. Then reverse and do the right side.

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