Since going on Topomax, I haven't had a migraine until this AM. I woke up at 5AM with the aura. Took 3 Ibuprofen and had a cup of strong tea for the caffeine. That knocked it before the headache started. I feel a little loopy, which is normal, but normally, caffeine and ibuprofen won't get rid of a migraine for me, either. Now, if I can only find something that will get rid of the muscle tension headaches. I am definitely losing weight on the Topomax. Have noticed some dulling, but not bad, and it is helping with the mood swings. I plan on staying on 600 mgs of Trileptal with it so long as sodium levels hold up. There is some sedation with the Topomax, which I don't like, but not enough to cause impairment. Now? I am wide-awake from the tea, but plan on going back to bed once the caffeine wears off. DSTC, how are you doing on your trial of Topomax?