Since Topirol (a preventive) and Naxdom (an acute pain reliever) are not working, you need a treatment review with your doctor. Do not stop Topiram suddenly, as this can cause rebound headaches. For acute relief, your doctor might suggest Triptans (like Rizatriptan) or newer CGRP inhibitors (like Rimegepant). For prevention, alternatives to Topiram include beta-blockers, Amitriptyline, or CGRP monoclonal antibody injections. Additionally, your left-sided neck and jaw pain could suggest temporomandibular joint (TMJ) issues or dental triggers, which can mimic or exacerbate migraines. Please consult your neurologist to safely adjust your prescription and investigate these associated pain areas.
Ask Apollo
AI powered Health Chatbot
Topirol 25 and Naxdom 500 are not working for my severe left-sided migraine with neck, eye, and jaw pain; what alternative medicine should I take?