so i’m 4 months into topiramate 50mg and i’ve seen my migraine days drop from 15-18 to 8-10. that’s huge for me. but the cognitive side effects are real - brain fog, losing words mid-sentence at work, it’s like thinking through mud.
i’m still trying to figure out if it’s worth it. has anyone else on topiramate noticed this? did it get better for you?
i’ve been logging everything and i’m starting to think that trigger avoidance doesn’t do as much as i thought. maybe it’s just me though. anyone have similar experiences?
cognitive side effects are my biggest fear with any new rx, did brain fog improve for you
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fatigue patterns are weird for me too, and i’ve been trying to understand how they intersect with cognitive fog. you mentioned “thinking through mud” which is a great way to put it - i’ve been experiencing that a lot lately, especially with heat intolerance.
someone posted about this in a thread on summer ms symptoms, but i’m curious if anyone has noticed a correlation between cognitive side effects and lesion load on their mri. i’ve had a few flares recently and my neuro is talking about switching me to a different dmt, but i’m not sure if that will help with the brain fog.
ymmv, but i’m starting to think that tracking cognitive symptoms separately from fatigue might be helpful.
dunno.
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