I have recently weaned off cymbalta and increased topamax. The cymbalta did not help with the migraines and I did not need it emotionally either. I use to use Botox injections in my temples, jaws (tmj) and back of neck (bad muscle) for my migraines but discontinued, at that time I was put on Topamax for one yr. the migraines increased tremendoulsy and moved from what they had been before. I have been put on a higher dose of Topamax now, I have also tried almost every drug their is for migraines previously to the Botox injections. I would have stayed with the Botox but the insurance changed when my company went over to China and I had to find new employment. I also used Zomig to stop a migraine once it starts unless that doesn't help than a trip to the ER does. Now they have given me Amerge to use when I get a migraine to stop it, it is suppose to be slower acting but has a longer lasting effect, so the migraine will not come back the next day, and that is what was happening. Now for my ears, they are constantly "swooshing" sometimes I feel if I could just hold still and not move at all they would not do it, also when I shake my head even a little, my right ear has a ringing or a tune in it, I do not know how to explain it, but it has been their for about two months now, and the right ear has some clicking in it sometimes, the neurologist does not see an ear infection, and says I should see an ear specialist, I haven't told any doctors about the swooshing or tune in my ear, I figure they will tell me it's nothing and I just have to live with it, but it is getting harder to live with. Have you heard of this before?