Migraine Drug May Increase Risk of Eating Disorders in Teens

Teen Eating Disorders

The Food and Drug Administration recently approved topiramate for migraine prevention in adolescents, but a recent report has raised concerns that it may increase the risk of eating disorders in some teens.

Writing in the journal Pediatrics, Jocelyn Lebow, PhD, a child and adolescent psychologist at the University of Miami Miller School of Medicine, reviewed the case histories of seven young women, ages 13 to 18, whose eating disorders developed or were exacerbated after they began taking topiramate. Continue Reading

Reader’s Mail: Are Flashing Lights a Side Effect of Topiramate?


Eye Exam

Q. I noticed that shortly after starting Topamax, I saw flashing lights in my vision, as if someone were taking a picture with a flash. I was told it had nothing to do with Topamax or my eyes, but I would like to know if anyone else has heard of this occurrence. My migraines occur every other day. I had a Botox treatment a few weeks ago, and nothing seems to help. I consulted an ophthalmologist and was told that I do not have any problems with my eyes aside from cataracts. In the past, I have suffered head trauma—once as a child and later in a car accident.
Is the flashing light in my eyesight a side effect of Topamax, or just migraine? I took one less Topamax pill and noticed that I didn’t have the flashing for as long. If this is a side effect from the medication, is there an alternative therapy that can be prescribed? Also, would acupuncture help?

Other medications I’ve taken are atenolol, nortriptyline and valproate. Continue Reading

Reader’s Mail: Medication and Time May Both Help Migraine and Cluster Headaches

Q. I have been reading NHF’s HeadWise for a few years now and find it very informative and helpful. I wish I didn’t need the information, but I have been diagnosed with cluster migraines. True to pattern, I can go two to three years without migraines except for two to three migraines per month occurring prior to my period. The clusters occur two to three times a day for a few months then remit for a couple of years. After every cluster, I always hope it will be my last time.

Are they ever going to stop? Does a person outgrow them? I am currently taking amitriptyline daily, Imitrex® as needed and have just started Topamax® as a preventive when a cycle strikes. Continue Reading