t working or appears to only work minimally, the dosage should be increased, depending upon the
side-
effects the patient may be experiencing. If Topamax isn't working, other medications should be tested--such as beta-blockers. Migraines do not respond to conventional headache treatment or medications, such as tylenol or aspirin--this is likely why you weren't feeling any relief from the NSAIDs you were taking (ibuprofen, Naproxen, etc.).