been on topiramate 50mg for 4 months now. my migraine days dropped from 15-18 a month down to like 8-10, which is genuinely huge. but the brain fog is real and it’s constant. i forget words mid-sentence at work, lose track of what i was even doing, can’t hold a thought.
it feels like thinking through actual mud. my neuro keeps saying it improves after a few more months, but i’m honestly not sure i believe that. maybe this is just the permanent tradeoff. the migraines were destroying my life - whole days lost to pain and photophobia.
but this fog is too, just different. anyone else on topiramate? does the brain fog ever actually improve, or is this the permanent cost? how long did it take if yours improved?