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What do you do when your doctor throws up their hands and says "You've had enough!"?

My HMO last week suddenly decided to cut off my Topamax, which I've been on for about six months. Or rather, they didn't bother to notify me of that; they just started refusing refill requests. When I called my neuro doc to see what was up, she told me that since I had last reported that "nothing was working any more," I was being cut off. I guess we're not going to try anything else either. Lucky for me I had enough 25 mg. Topamax pills left to taper off, rather than get stuck going cold turkey and risking a seizure.

Asshats.  :)

Last 25 mg. was taken yesterday. Guess I'll know what effect it's going to have on me in another four or five days when it gets out of my system completely. They cut me off all abortives too. I have some Imitrex and Maxalt left, for what little good they do for me, and three quarters of a box of Toradol IMs, which do work better but which I use as a last resort.

My HMO is mainly cutting me off because these migraines are, in their opinion, related to my workers comp injury issue, so they're going to let the other team of doctors take over. I'm getting Darvocet, Soma, Robaxin, Neurontin, Ultram and physical therapy on my neck and shoulders from them, which is helping out more than my HMO's neuro docs ever did anyway, so no skin off my nose, I suppose. I am still hopeful that the insurance company will eventually approve my doctor's request for me to see a pain management specialist, so I can get a solution that's a bit more permanent.

Arrrgh!  ;)   Damn HMOs.

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My HMO last week suddenly decided to cut off my Topamax, which I've been on for about six months.
I just tried an experimental run with Topamax for migraines and it was MOST unpleasant. Did it actually work for you? At what dosage? I was and still am bummed about the whole thing, as triptans are the only thing that work and my insurance will only pay for 9 tabs per month, way less than I actually use. It's making me poor.

The Topamax seriously impaired my cognitive functioning, and made me very tired, generally sick as a dog.

Migraines suck!

S9

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I just tried an experimental run with Topamax for migraines and it was MOST unpleasant. Did it actually work for you? At what dosage?

The jury's still out on whether it worked for me. At first I hated it, made me feel like I'd joined Morons on Ice, but that passed after a while. I started at 50 mg., then upped 25 mg. a week with the goal of 200 mg. a day in mind. I never got there. When I reached 150 mg., I started having a lot of visual problems, so my doc took me back down to 100 mg. right away, and that's where I've stayed till I had to start tapering down when they cut me off.

I really don't know how effective it was in the end. I was still having daily migraines while on it, up until I started physical therapy for my neck injury, and got all kinds of new drugs to take. I'm down to two migraines a week now (but still have daily tension headaches). It'll be interesting to see if not having Topamax in the mix has any real effect.

I know what you mean by the "9 tabs per month" restriction. When they first tried me on Imitrex, I got my nine pills, which I used up in about four days, and when I called in for a refill, that's when I found out about the prescription restriction. I know it's because Imitrex is very expensive, but nine pills a month? What a joke. Good thing it didn't work for me. If it had, it'd be like handing a quarter of a carrot to a starving donkey, while showing him a bin full of carrots he can't get to, always just out of reach.

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