Hi,
Thank you for posting your query.
I have noted your complaints and I feel stopping topamax (
topiramate) may not be the cause for your seizures. The more likely cause is that you may have both the conditions together.
This is because both
migraine and seizure have common underlying mechanisms and frequently co-exist in the same individual.
The best medicine for seizure control in your case would be
divalproex or
sodium valproate tablets, as they have anti-seizure as well as anti-migraine properties. The only down side is the side effect of weight gain.
In that case,
levetiracetam (keppra) would be a good choice, especially as migraine is not a big issue in your case.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
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