Pain
"I have had migraines my whole life and I am happy with the combination I am on now of Fiorinal and daily 100 mg Topamax.  I can&#039;t handle more than 100 mg (50 mg twice a day) of the topamax without unwanted side effects. 100 mg of Topamax is not enough to keep me headache free. It only cuts down on the headaches and makes them not so intense -instead of 9s and 10s I get 7s and 8s. Fiorinal knocks the headaches right out. If I catch it in time I only need to take 1 but if it&#039;s a really bad one, I take 2 and lie down. It has worked great for my tension - cluster migraines."