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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Stress Related Headache And Depression. Have Diabetes. On Topamax. Suggestion?

Hi! My boyfriend has been having stress related headaches for about a month now. He has ZERO previous history of migraines or headaches. His age is 39. He is also Type I diabetic. His job is very high stress, and he took a medical leave of absence due to depression and a constant negative internal dialogue about his job. The headaches started a month or so ago. He s been on leave of absence for 1.5 weeks. His blood and lab tests (this week) came up normal with the exception that his diabetic numbers are much, much worse than six months ago. His doctor prescribed him 25 mg Topamax for his headaches. I am uncomfortable with this medication, as I know Topamax can have significant side effects...including depression and mood swings. I think he should focus on eating better, controlling his diabetes , reducing stress, exercise, and drinking more water. What do you think?
Wed, 10 Apr 2013
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Diabetologist,  's  Response
DEAR SIR/MADAM

TOPAMAX (TOPIRAMATE) IS BASICALLY ANTICONVULSANT DRUG, WHICH IS BASICALLY GIVEN FOR WEIGHT LOSS. BUT IT IS ASSOCIATED WITH LOT OF SIDE EFFECTS, IT SHOULD BE TAKEN WITH LOT OF PRECAUTIONS.

WHAT IS SUGGEST IS TO STOP THE CURRENT MEDICATIONS AND CONSULT YOUR NEUROLOGIST FOR FURTHER FOLLOW UP. I SUGGEST TRICYCLIC ANTIDEPRESSENT GROUP OF DRUGS MIGHT BE SUITABLE.
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Have Stress Related Headache And Depression. Have Diabetes. On Topamax. Suggestion?

DEAR SIR/MADAM TOPAMAX (TOPIRAMATE) IS BASICALLY ANTICONVULSANT DRUG, WHICH IS BASICALLY GIVEN FOR WEIGHT LOSS. BUT IT IS ASSOCIATED WITH LOT OF SIDE EFFECTS, IT SHOULD BE TAKEN WITH LOT OF PRECAUTIONS. WHAT IS SUGGEST IS TO STOP THE CURRENT MEDICATIONS AND CONSULT YOUR NEUROLOGIST FOR FURTHER FOLLOW UP. I SUGGEST TRICYCLIC ANTIDEPRESSENT GROUP OF DRUGS MIGHT BE SUITABLE.