So I have been on 25 mg daily, the tiniest possible dose, and I am finally, finally not dizzy and I am not feeling so unwell and I am actually quite ecstatic to have regained some semblance of normalcy.

Need to check about orgasms.

I suspect that Topamax raises sleep requirements and if I confirm that suspicion, I will discontinue the trial, because those higher sleep requirements mean no more morning swimming for me - I wake up too late. I definitely did not want a drug that would make me exercsise less!

It also makes me drink much less which I am sure will have all sorts of negative long-term consequences starting with not looking good - radiant skin needs lots of fluids. And not drinking enough causes low grade headaches that do not rise to the level of migraines but are still unpleasant. An anti-migraine medication that is CAUSING headaches?

So I will give it some more time at this smallest possible dose and them make a call.