I was doing some back- end maintenance this week when I realized that I have been seriously disappointing some folks in a pretty major way: apparently, a LOT of people are coming here wanting to know if you can take gabapentin (Neurontin) with topiramate (Topamax). This isn’t some weird, outlier search, either- many, many different people have searched those terms and wound up on the blog. Okay, then.
I don’t check my search terms regularly- I know it’s good practice, but I don’t want it to throw my actual choices in subject matter, that seems really false. Anyway, let’s just get this out of the way, because clearly Google has this space pegged as a Place You Come For This Information.
Disclaimer, obviously: I am not a doctor nor do I play one on the internet, your body and its condition are unique to you, please speak with your doctor before making any changes to your health plan.
With all that established, here is the quality anecdata you came for! In the past, I have safely taken Neurontin and Topamax (as well as their generic equivalents) together for over a year without any significant ill affects. My neurologist/ MS specialist prescribed Topamax as a prophylaxis against chronic migraine, and the Neurontin was for neuropathic pain associated with MS (since discontinued— but not due to the Topamax combo). I’ve been told by other patients that Lyrica is somewhat more effective against neuropathic pain, but it also has some rather serious black box warnings (as does Topamax, actually); we are doing some pretty deep mucking about in the CNS with any medication that can be used as/ was originally intended to be an anti- epileptic, so if you start to have any intrusive, self- harming, suicidal, or otherwise disturbing thoughts after beginning a medication or a especially a combination of meds like this, talk to your doctor right away! It’s almost certainly the meds, and will go away once you get off of them. (Hooray for the cure, right?) THERE IS NO SHAME is ever asking for help. Talk to someone. The fix is fast and there are other options out there for pain relief.
Disclaimer #2, for clarification: Neurontin & Topamax were fine for me; I went off the Neurontin because I didn’t feel the benefits outweighed the downsides in my case. Pros: No tingling & burning in my hands and feet, much less of that deep “in my bones” pain in my low legs. Cons: It slowed me down, added fatigue, I felt a little less “bright”, less capable of catching ideas as they came. I already take a stimulant to get through some high- drag days, but I was taking more to compensate for the Neurontin, and I don’t want to take meds to fix side effects from other meds. That’s just… well, yeah. Neurontin works well for some folks and not so well for others. I’m neutral on it, but I wouldn’t discourage someone from trying it— definitely give this a whirl before going on Lyrica, if you have the option.
Writing this out, I’m realizing I haven’t done a meds/ supplements rundown & review in a LONG time. I’ve been writing more about making things and less about bodies. I’ll fix that next week: I changed a LOT of my medical plan in 2014, it’s all had time to settle in, and I have thoughts!
A few of the other ways in which I am disappointing visitors to this blog, in case you were wondering:
- “good things that happen on mondays” (I mean maybe if you’re lucky but I don’t specialize in that?)
- “salish wool dog” (what? also, wait, is this a thing?)
- “shmol lif” (it looks like autocorrect works better on Google than on my iPhone)
- “fuckms” (that’s in theme at least)
- “armless medical college” (no why did this lead you to me dear glob)
- “loving kindness meditation kitten” (CLEARLY MY FAVORITE and obviously my secret persona)
Then there are the people who are still finding this website by searching “dog penis”, too, almost six years later, which— well, I brought that on myself.
How did you find this blog? PLEASE tell me it wasn’t through searching “armless medical college”. I’ve clearly misunderstood tagging completely if that’s the case. And hey, seeing as I’ve openly confessed to being a lazy slag who doesn’t check her referring search terms that often, if you had your druthers, what would you see more of here? OTHER THAN HUGO. EVERYBODY WANTS MORE HUGO. He’s a filthy, shameless camera hog. That’s too easy. I’m not changing anything major (okay, I’m eyeballing some layout tweaks, but no overhaul), but soliciting general ideas/ opinions, that’s always cool.