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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Migraine, Menopausal, Weight Gain. Taking Zonisamide. Done Acupuncture. Reason?

I have been taking zonisamide 100mg daily for 4 years and bus par 20mg daily for the same length of time for migraine treatment and prevention. I am thrilled to report that I have experienced a reduction in my migraines by about 75%. I am also receiving acupuncture several times a month as part of my treatment. So the good news is that I am able to function with greater consistency but I have gained 30 pounds and experience memory issues. The extra weight is really making me uncomfortable and I have been walking and limiting my diet to no avail for several months. I just continue to consistently gain a couple of pounds each month. I am 53 years of age so I imagine that menopause is also playing a role. I am considering reducing or eliminating one or both of the medications because I just do not feel right . I do not want to open the flood gate to the migraines but the excessive weight gain is making me feel uncomfortable and unhealthy in other ways. I think that I should eliminate the zonisamide to begin the process and do so methodically - bring down the dose. I am currently working full time and going to graduate school so the buspar is helping me to manage the stress which is most definitely a headache trigger. Just wondering if I am headed in the right direction ?
Thu, 5 Sep 2013
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Psychiatrist 's  Response
Hi there, thanks for asking. As far as I know zonisamide may cause lack of appetite, but it is far that it cause increase in your appetite. I recommend you have more physical activity and manage your menopausal syndrome to manage your weight. Best wishes.
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Neurologist Dr. Sudhir Kumar's  Response
Hi,
Thank you for posting your query.

I am glad to note that your migraines are better with treatment, and you are able to function almost normally.

Weight gain is a lesser problem than migraine. I would agree with your approach of trying to reduce the dose of zonisamide in a gradual manner. This would ensure that there is no relapse of migraine while tapering the medication.

Other option is to use topiramate for migraine prevention. It has a side effect of weight loss, which could work in your favor!

I hope it helps.
Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My email: drsudhirkumar@yahoo.com
My blog: http://bestneurodoctor.blogspot.com/

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Have Migraine, Menopausal, Weight Gain. Taking Zonisamide. Done Acupuncture. Reason?

Hi there, thanks for asking. As far as I know zonisamide may cause lack of appetite, but it is far that it cause increase in your appetite. I recommend you have more physical activity and manage your menopausal syndrome to manage your weight. Best wishes.