Topiramate and blood pressure

Common Questions and Answers about Topiramate and blood pressure

topamax

my daughter of 15 years has been suffering from migrane headaches for some mounths now and had a lumber puncure to get to the bottom of the problem, she was told her csf pressure was to great so removed a small amount of fluid, after 2 days she was readmited with a different headache of which we were told it was know a low pressure headache. 2 weeks in hospital passed and she had a blood patch which after 1 day she could stand up again (first time in 2 weeks) !
I quit the Topiramate and had severe withdrawal symptoms that put me in the E.R. Blood work, urinalysis, chest xray, and head CT w/out contrast all checked out fine. I then had a follow up with the neuro who looked extremely puzzled. I told him that I think that anxiety may be the root of my problems. Was it right for me to tell him this? Is it possible for worry and anxiety to really mess someone up this bad? He gave me free Lexapro but I refuse to take it.
I have been to about 30 doctors- including ENT's allergists, neurologists, chiropracters, opthamologists. psychologists, dentists and everything else u can think of. All CT scans, MRI of brain and blood work keep coming back clean and ok. Nothing I try seems to work. There was a period of time about 3 and a half years ago that the symptoms lifted for about 4 months and then it returned full force.
They will come often, mostly a constant pressure that will build up now and again for weeks or months at a time, with short reprieves for a month or two. It's like a jabbing pain over my right eye that quickly becomes like a vise around my head, like my brain is swelling and my head can't contain it. I can feel my blood throb in my head and it will feel like needles or a jackhammer to my head, causing me to be immobile, because if I move or even breathe, it will hurt terribly.
) Her ocular pressure was actually only slightly elevated and with cessation of the Topamax, her pressure returned to normal in a day, while it took over a week for her vison to return to normal. It was extremely impressive the way the lens moved forward initially. After a week, the lens moved back to normal position and the eye looked completely different as if from another person. It was really something I will never forget.
-Tumor -medication side effects -central nervous system infections (meningitis) -CNS vasculitis (which often shows up on MRI but sometimes requires an angiogram and lumbar puncture for diagnosis) -neck problems (as in cervicogenic headache which causes predominantly pain at the back of the head) -bleeds in the brain -clots in the veins in the brain (called venous sinus thrombosis, best diagnosed with a test called MRV.
This is best diagnosed by a combination of history, physical examination, and a test called a tilt table test. Normally, there are specific blood pressure and heart rate responses that an individual mounts in response to changes in posture. Often, these include a small drop in blood pressure and an increase in heart rate when one assumes a standing posture. In individuals with a problem somewhere within the autonomic nervous system, these responses are abnormal.
This reduces blood flow to a certain part of the brain. This reduced blood flow -and there is a whole suspected chain of neurochemical events which can cause that area to misfire causing the symptoms of the aura. It when the artery REDILATES and the area is again perfused with blood releasing inflammatory chemicals that produce the headache. Alcohol also constricts the blood supply tothe brain by constricting the arteries.
When you drastically cut the calorie intake you also alter the nutrients and your body goes in survival mode and the essential organs will get the nutrients and the others (hair, skin, nails) will get the left over.
He has recently given me numerous trial medication to see if my current state and headaches would improve including apo-acetazolamide (250 mg) and ratio-topiramate (25mg). With acetazolamide not working, and topiramate worsening my state. After being on topiramate for 3 days, I had a general feeling of confusion, disorientation, trouble with my memory, and trouble concentrating.
But, I am seriously contemplating asking my MD to prescribe Topamax for me for weight loss. I think maybe my blood pressure will also decrease, and I am sure my feet and joints won't hurt anymore if I can get this extra 60 lbs off me. As I said, I am 66 years young, and am interested if any other young seniors are in my shoes. Any comments for the older group will be greatly appreciated.
I finally went to the doctor thinking it was a sinus infection and he insisted on doing blood work thinking that it could be viral and he came telling me that my white blood cell count was unusally low. I just found out that is a side effect of this drug. I love the benefits of this drug but I'm beginning to think its not worth daily sluggishness and snot smoothies!!
You also need to see that blood pressure is under control. Topiramate does cause depression and weight loss and you need to discuss the benefits versus the side effects in your case with your physician. Goodluck.
- I had a root canal done, with some acute pain at that spot, but the overall headaches have just gotten worse and worse. -I had and MRI and MRA done; my cervical spine was very straight and inflexible, with thick ligaments, so I went to PT for that...I have better range of motion now, but it didn't help the headaches at all. Blood vessels are fine.
Preventive treatment includes medications used to treat high blood pressure(Beta-blockers(propranol),calcium channel blockers (verapamil), Antidepressants(Amitriptyline ,nortriptyline,Antiseizure medications(Gabapentin , valproic acid,topiramate and some antihistamines and anti-allergy drugs, including diphenhydramine (Benadryl) and cyproheptadine.Sometimes combinations of medicines are used. Botox toxin has also found to help in migraine.
I had a lumbar puncture 2 months ago & am still miserable. The day that I had it done I had such severe vommitting and vertigo that I had to be rushed to ER. They gave me a couple IVs and anti vertigo & nausea meds. I was in bed for 6 days before feeling better. I never got back to "normal" but good enough to work and function, but now the past few weeks I have had so much pressure in my head, neck, and shoulders that all I can do is lay on the couch.
Hi, You should consult your physician and discuss with him the role of topiramate in the case of your father. Topiramate has been known to prevent migraines and derease the frequency of the headaches. Also ask your physician if your father can be prescribed some antianxiety medication like alprazolam for a few days. Has his blood pressure been checked? Does he have any eye sight problems or any symptoms of sinusitis? All could be causing the headaches.
Dr. Dr: He was on topamax for almost two years. He had terrible side effects. He is 5'10 and weighs a 120 on a good day. They called and are going to do a CT venogram today. They were also talking about putting him on Diamox. His blood pressure is always low. 92/58.
For the past year and 1 month, I have been seeking help for problems with lightheadedness and fatigue, accompanied by pressure headaches in the back right of my head, which make their way up to my face and right eye. In addition, a muffled feeling in my right ear has also been present. I have so far been to 3 neurologists, 3 ENT's, 1 neuropsychologist (to rule out depression/anxiety/prob.
Ask your doctor about this and see if he prescibes any other medication.
Other possibilities are benign intracranial hypertension, high blood pressure, low vitamin B12 and vitamin D, and nerve compression in the neck. The diagnosis of hemiplegic migraines is made based on symptoms and by exclusion of above mentioned causes. Treatment is through vitamin and electrolyte supplementation, topiramate, and non-steroidal anti-inflammatory medication. Please discuss all this with your doctor. Take care!
I also developed high blood pressure when this started. I am currently on neurontin, which helps a little and I take verapamil for my blood pressure. I am wondering if anybody has experienced anything similar and if they were able to solve it.
I quit the Topiramate and had severe withdrawal symptoms that put me in the E.R. Blood work, urinalysis, chest xray, and head CT w/out contrast all checked out fine. I then had a follow up with the neuro who looked extremely puzzled. I told him that I think that anxiety may be the root of my problems. Was it right for me to tell him this? Is it possible for worry and anxiety to really mess someone up this bad? He gave me free Lexapro but I refuse to take it.
They also notice the low blood pressure and they did her blood pressure lying it was 109/63 which is pretty normal for her. Sitting it went down to 98/63 and standing it was 91/68. They did send her back home after the fluids and the meds. Now she has had a non stop headache and dizziness and nausea since Oct 26. Her family doctor took her off the Nadolol because she felt the dose was too high and with Tori's blood pressure dropping it was dangerous.
Preventive treatment includes medications used to treat high blood pressure(Beta-blockers(propranol),calcium channel blockers (verapamil), Antidepressants(Amitriptyline ,nortriptyline,Antiseizure medications(Gabapentin , valproic acid,topiramate and some antihistamines and anti-allergy drugs, including diphenhydramine (Benadryl) and cyproheptadine.Sometimes combinations of medicines are used. http://www.emedicinehealth.com/migraine_headache/page8_em.
Meds such as statins, blood pressure meds, aspirin or even the possibility of warfarin. What have they suggested? Are you getting any symptoms such as light headedness?
These changes are seen in multiple sclerosis, Alzheimer's or Wilson's Disease, migraine headaches, diabetes, high blood pressure and high cholesterol. Though they are of no immediate threat, all these causes, and the presence of ischemic changes can be a risk factor for future stroke. Hence, prevention methods should include a healthy lifestyle, and a combination of diet, exercise, and medicines. Please discuss with your treating doctors.
Side effects of these drugs include drowsiness, dizziness, low blood pressure, and fatigue. Other medications include anticonvulsants (e.g., carbamazepine [Tegretol®], lamotrigine [Lamictal®]), local anesthetics (e.g., lidocaine [Xylocaine®]), and antiarrhythmics (e.g., mexiletine [Mexitil®]). Anticonvulsants may cause low white blood cell counts, nausea, vomiting, and dizziness. Side effects of lidocaine and mexiletine include nervousness, lightheadedness, drowsiness, and double vision.
(My sympathy) The reason your doctor would suggest a medication that shrinks the blood vessels in your head for a migraine is that the pain is partially caused by the blood vessels swelling abnormally and putting pressure on the lining that surrounds the brain, and the related nerves. So the medications ("triptans") aren't creating an abnormal situation, they are fixing a swelling in your blood vessels that is abnormal and causing pain.
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