INDEED-feeling like a new person describes it well! It's been 4 days, well, almost 4 1/2 now days since I took that last Topamax, and going off of half life data, it's definitely out of my system by now. Amazing as all the twitching side effects are gone, including that last tiny stubborn lower lip quiver. That took about two days, but by yesterday, gone for sure. It so obviously was a Topamax side effect. What's interesting is that I only get an olfactory aura (which is the possible simple partial, but probably at this point, neuro thinks is some sort of migraine). I last got the aura 9 days ago while still on Topamax. Now, four days since Topamax, interesting that I haven't had an aura. I feel great, but do have a very slight headache, though it is not disabling or interfering with me going about my day. So it really again makes me wonder about migraine. When I was on Keppra alone, one month I had 29 auras! This is why my neuro added Depakote ER when I mentioned vague headache (and occasional visual stuff that look like tiny bright white sparklers-very tiny, like floater things-have had these intermittent all my life-always attributed to an anomaly, but I wonder if it is tied into migraine now). But still had breakthrough Auras which was why the switch to Topamax. He is choosing the add ons that are dual use E and migraine. Eventual plan was back to monotherapy. The hope was for the Keppra alone to work which it didn't. But four days now of just Keppra, and no aura, so go figure. Therefore, I am now debating whether to start the Lamictil. I do NOT need my moods messed with. I think I am going to call him and tell him I'm not doing it-reassess for another medication or I'll see if the Keppra keeps holding me, or maybe he can bump my Keppra up again. (although this isn't a migraine use medication) But funny how I haven't yet had an aura while Keppra is my only AED type medication when before, being on it didn't do a thing. Maybe it still isn't and I'm just having RANDOM luck by being aura free-that would be typical for me! I may ask him about migraine medications only, but I know the ones with cardiac side effect potential like Imitrex I can't take-I have arrhythmia issues. Plus-my main issue actually does not involve a severe headache-it's the olfactory aura. Headache does not always accompany it, but I have on occasion, had a headache so bad where I had nausea and vomiting.