Q. My adult daughter has had a headache for six months. It never goes away, no matter what she takes. Her primary doctor gave her a prescription for a limited number of Vicodin®, which dulls the pain a little, and she takes a muscle relaxant.
She had her first migraine with aura at age 20 and until this year only got a migraine about twice a year. I thought she got off easy compared to her oldest sister, who suffered from severe migraine all through high school, and her other sister who outgrew cyclic vomiting syndrome. My daughter has had all the tests you can imagine and is seeing a neurologist who diagnosed her with chronic daily migraine. He says the next step is to start Topamax® and increase by increments, up to 200 mg. I’m concerned because she previously tried Topamax, up to 50 mg, but experienced tingling in her hands and nausea. My daughter’s quality of life is suffering and we are desperate to obtain relief for her. Do you have any advice?