TJM
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I see that you are using Topamax for migraines. I have Cluster Headaches and for years verapamil worked then it didn't. Tried Lithium but side effects not worth it. So I'm all abortive now. Imetrix shots and Pred Taper. I have a good Neurologist in the sense she writes the scripts but not in the sense she understands the condition. I know Topomax has been used for Cluster headaches.
If you migraines are "normal" please disregard. If they are cluster please respond back to me.
Thanks in advance and wishing you and yours good health in 2020
Tom