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Old 02-21-2011, 09:02 AM
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Topamax for olfactory aura (SPS)


Well-this is the latest and greatest in my two year medication game. I've posted before so not going too long into my history, long story short-olfactory auras started in February 2007 but weren't looked as a neurological issue until two years later. I have olfactory auras only which sometimes have headaches with them, but nothing else, although this fall I did have a very severe headache epsidode, and my neurologist does not rule out I have some sort of migraine and E combination which is why he tried the Depakote, especially as Keppra alone was doing nothing. I remain on generic Keppra 2000 mg BID, and now generic Topamax 25 mg BID just started, and my generic Depakote 500 mg which was ER just got discontinued. The Depakote was the first that showed marked reduction of the auras. at next visit in a little over 4 weeks, no doubt, the Topamax will be increased. I am definitely having breakthroughs with it and not happy, but guess this is part of dosage increase adjustment process; but not headaches at least. neurologist is choosing an anti-epileptic drug that is also an anti-migraine. Sometimes a fried food smell seems to trigger the aura, but the aura also happens quite randomly too and in fact in the beginning was always random which led to the immediate suspicion of simple partial seizures. Hence, it still may be both, but it is annoying nonetheless. What are people's experiences with Topamax and dosages for effectiveness? I'm ready to be maxed out on it already!!
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