I get daily migraines and am on 200mg of Dopamax, I mean Topamax, daily. It makes me a complete dope some days, but I am down to 20 migraines a month, which is surprisingly a good number compared to my record of 6 months straight of every single day of a migraine. I also take 2700mg of Gabapentin with the Topamax daily.
I did have the tingly hands and feet, but that has diminished greatly. Even the dopiness is getting better. I do have my moments though. Cannot drink a carbonated beverage of any kind. Weight loss- that has happened a little bit. Mostly a loss of appetite.
I am on the 200mg dose for now to see how it is working until I go back and see my neuro around the beginning of November. If it doesn't work any better than it is right now (and I haven't seen much of an improvement for a while now), then we are going even higher yet. I trust my doc. As long as I can handle the side effects and we think we are safely using the Topamax, we will use it. I cannot handle 20 days a month of full blown migraines. I need my life back.
Good luck to you!