Topamax

[vazzax]

I have recently been diagnosed with basilar migraine and told to try Topamax, which I have to take over a period of months. We were hoping to have children soon, and were told I couldnt get pregnant while on this drug. What happens if we want to start trying for a baby, do I come off Topamax, and the symptoms come back? Or do I stay on it and not try for a baby for a long time??? I really want to get better but this is tearing me up choosing,,,

[vazzax]

Thanks for your reply, I am yet to start on Topamax, but this is what the neuro has prescribed for me. I was really wanting to find out as much as I can about it before I actually start taking it. My husband and I had planned on 'seeing what happened' when I came off the pill late summer '07. I then got really unwell again (this is 4th time I have been floored for months on end...) and so am not sure what to do now. I have since been back on the pill until I find out my options. I know I have to get better first, but I am not sure what the long term plan/effects in regards to Topamaz are.
We were really looking forward to having kids this year, but this might be unrealistic now. I am quite worried that I take the meds then as soon as I stop taking Topamax, that all these horrible symptoms come back full force and in effect we have 'wasted time'... the neuro said Topamax had the least side effects in comparison to beta blockers and other antidepressants. I have been referred for MRI and will be speaking to her again within the next few months (hopefully!). I have been looking up lots of info RE pregnancy and Topamax and there is limited info regarding this so any info you know would be appreciated.

[Vanessa Lacuesta]

Hi,

With regards to your condition, would you be able to say that the drug has reduced the attacks/symptoms by 50%? For how long have you been taking the topamax? Is the dose being tapered?

I suggest that you discuss this with your physician prescriber. Truly, you will be pulled in both directions due to the conditions that basilar migraines may bring about.If your condition has improved then the drug may be gradually tapered and eventually stopped.If your physician deems that you will be fine without the drug based on your current responses then you may discuss with him your plans of getting pregnant.I can not say if nerve blocks and other preventive medications like beta blockers and antidepressants will be better alternatives but with pregnancy most of these medications may affect the fetus.