Question: Topamax, Zonegran for hemiplegic Migraine prevention? Others?
Answer:
Full Question:
I've suffered from Hemiplegic migraines for
over 12 years. I am currently taking Sandomigran to prevent attacks, having been
experiencing 3-4 per month recently. I have experienced weight gain, drowsiness
and fluid retention on Sandomigran and have read conflicting information
regarding it's use for treatment of hemiplegic. My doctor is now considering
Topamax or Zonegran for treatment. Are either of these two suitable for
hemiplegic? What other medications may be suitable? Many thanks, Renee.
Answer:
Dear Renee;
Sandomigran is no longer even available in the U.S. One reason it fell out of favor for prevention is that you have to take a "vacation" from it about every six months, and nobody wants to face a possible increase in Migraines because of having to periodically stop their preventive.
Both Topamax and Zonegran have been working quite well for many patients. Another medication that has been shown to be effective in prevention of hemiplegic Migraine is the calcium channel blocker verapamil, especially in its time-release formulas. There are a great many medications that would be potentially helpful for prevention. You can find a list here:
Medications for Headache and Migraine Prevention
For those of us with frequent headaches or Migraine attacks, preventive
medications, dietary supplements, and even medical devices are often a good
option. There are over 100 medications that can be used and nearly endless
combinations of them. The list is ever-evolving, and will this one will be
updated regularly.
Good luck,
Teri Robert and John Claude Krusz
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