Topamax (topiramate) will be used more often to PREVENT migraines

Topamax (topiramate) will be used more often to PREVENT migraines.

Nearly half of patients have 50% fewer migraines while on Topamax. This is comparable to current preventive drugs such as tricyclics...divalproex...and beta-blockers.

Patients start on 25 mg/day, then slowly increase up to 50 to 100 mg BID. This is lower than the dose used for seizures.

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