Reply to Panic Attacks, Migraines, GERD

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[quote=Anonymous][quote=Anonymous]OP here.

Neuro scripted Topamax, Fioricet.  My insurance denied whatever abortive med he req'd.  I guess we will be picking another one?

Since she has panic attacks and we are going to see a Psychiatrist, I am hoping the neuro would script her daily Prozac, low dose.  I would like to get her off Topamax.  She's only been on it 4 days and its such a serious drug.  She is definitely fighting side effects.     [/quote]

I have the migraine/ panic attack combo. For whatever reason, they tend to be co-morbid.

OP— I would very, very  strongly flag Topamax.  It is Informally known as Dope-a-max and it is a really awful drug.  It made my brain really foggy, hard to find words, hard to express myself, confused and uncoordinated—I had a car accident and fell down several times.  I took it postpartum when I lived in a more rural area with one neurology practice. My neurologist said I had to stay on it to stay in his practice.  I ended up trying to kill myself and the MD in the hospital was appalled that I was on it with a co-existing mental illness.   When the dust settled, the feeling was that the Topamax played a not insignificant role. I would never let a child of mine take it.   And I am not alone. I have heard so many horror stories about it.  Take the side effects very seriously.

Also watch the fiercest. It has caffeine, which can stopmgraines, but cause rebound headaches and make anxiety worse. They make a version without Cafferine— Butalbital.  If you DC is anxious, I would ask for the caffeine free version.

Besides that, you need a neurologist and a psychiatrist who are communicating. At least sending each other chart notes. But better if you can get them in one practice, or both at children’s.  There can be a lot of cross prescribing. For example— propranolol is an old BP med. but it also is a migraine preventative and it can prevent or lessen panic attacks. You need someone looking at the big picture.[/quote]

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