i have migranes and take topramine for them (clusters) daily  25 mg three times  during intercourse right side of head hurts real bad, have black outs   sharps was told they saw a legion in back of skull what to do just moved to new state in rea bad painn
Hello! Welcome on Chat Doctor ! Your symptoms (black-outs) could be related to possible epilepsy seizures. I would like to directly review your brain MRI report for a more professional opinion. An EEG is also necessary to investigate for possible seizures. Making some changes to your therapy (increase the dose of topiramate or switch to valproate) may be needed. You should discuss with your doctor on the above issues. Kind regards,