Q. Is tablet Topiramate good for headaches?

Answered by
Dr. Hitesh Kumar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 13, 2021 and last reviewed on: Nov 17, 2021

Hello doctor,

I am a 57-year-old male in good health. I have suffered from severe headaches for several years, and recently they have got worse. Sumatriptan taken with Asprin, Acetominophen, and Cafein will help in reducing the pain, but they do not prevent them. I am attaching a headache log. I consulted my doctor, and he prescribed me Topiramate (Topamax). When I discussed about the tablet Topamax with a pharmacist, he discouraged me from starting the prescription due to its severe side effects like decreased cognitive function.

My query is, what are the risks of taking tablet Topiramate?




Welcome to

I would like to know some further details about your headache.

1) Since when you are having headaches?

2) which part of the headaches?

3) What kind of headaches have you felt?

4) What is the duration of one episode of headache?

5) Do you have any nausea or vomiting during headache episodes?

6) Was your headache associated with any redness in the eyes, watering from eyes, or nasal blockage?

7) Have you noticed any specific triggering factors?

8) How frequent were those headaches?

9) What is the intensity of headaches?

10) Did you take any medicine for your previous headaches?

11) What was told by your doctor about the radiological impression of your lesion in the cervical spine?

12) How is your sleep pattern?

13) How is your usual mood in day-to-day activities?

14) How is your appetite?

Regarding Topiramate, it is used for migraine prevention. Some common side effects are dizziness, numbness, and paresthesia, which usually occur transiently at starting for a few days. It can also cause slight weight loss. But the bothersome side effect of Topiramate can be a rise in intraocular pressure and glaucoma, but that is rare.

Kindly revert with the answers.

Regarding follow up:

Revert with the informations mentioned above to help you better.

Hi doctor,

Thanks for the reply.

Here are the best answers I can give;

1) I have had headaches for at least 20 years.

2) The headaches are generally centralized to the frontal lobe.

3) Type of pain is the throbbing type with pressure behind my eyes. I also have stress-induced headaches.

4) Sometimes, it seems as though the headaches last for days.

5) Not under medications.

6) No specific triggers for pressure headaches.

7) I currently have had headaches daily for almost a month.

8) The intensity is variable on the day between moderate to severe.

9) I am currently taking tablet Sumatriptan, Acetominophen, and Caffeine.

10) My vision will fluctuate. I have always been mildly blurry.

11) I have not had any scans recently.

13) I will fall asleep relatively easily and sleep for eight hours daily.

14) My appetite is excellent.




Welcome back to

As per the description, your headaches seem to be migraine headaches, and in the course of so many years, they might have become chronic migraine headaches.

As the frequency of your headaches is quite high, with nine to ten episodes of headaches per month, you will need to be on some prophylaxis medicine for migraines. I would suggest taking tablet Propranolol 20 mg twice daily for regular prophylaxis, tablet Sumatriptan to be taken at the time of onset of similar kind of headache, and tablet Naproxen 500 mg to be taken if the intensity of the headache becomes severe. Topiramate is also an option, but better prophylactic drugs are also there. As you have only one other medical problem (Gout), we can try other medicines quickly.

Also, as you have mentioned that you have mild congestion, I recommend you check for sinusitis. Sometimes sinusitis can also cause headaches over the forehead, and it may trigger migraine headaches.


Investigations to be done:

CT (computed tomography) of brain, electroencephalogram, and ECG (electrocardiogram).

Differential diagnosis:

Migraine headache.

Regarding follow up:

review after one month.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Is headache a side-effect of Nevanac ophthalmic suspension?

.. (Nepafenac) does not have such side effects. But, I suggest you reduce the frequency of Nevanac to twice daily after 15 days and then to once at bedtime after next 15 days. You said you are wearing -2.75 in the right and -3.75 in left. This is a ...   Read full

Is Modafinil safe and recommended for sleep problems and hallucinations?

.. are suggestive of sleep apnea. For this reason, I would agree with Modafinil therapy. But before that, I would recommend performing pulmonary function tests and a polysomnogram to confirm this diagnosis. I would not recommend the regular intake o...   Read full

Will using Percoset cause any side-effects?

.. safe compared to Percoset. Single use of Percoset never causes permanent side effects. The side effect caused by a single dose (such as loss of appetite and difficulty in emptying bladder) will be for one day only. Once the amount of drug gets exc...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.