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A very "naive" psychiatrist reduced my dose of Topamax from 200mg to 100mg in one week because I had been using it for an off-label use (not migraines or epilepsy) and he thought this would therefore be OK. I have been on it for 13 years. Since then I have been suffering from terrible nerve pain in my neck and shoulder blades. A neurologist put me on Catapres (which at first removed the pain immediately) proving it was part of a discontinuation syndrome. Another doctor took me off it about four weeks later thinking I didn't need it anymore and since then I have been experiencing terrible pain but this time in all different parts of my head, neck, shoulders and lumbar spine. I am back on the Catapres now. However, coming off the remaining Topamax is just about impossible and I'm wondering if anyone has experienced this type of pain on withdrawal from this drug? If not, does anyone have some tips for how to withdrawal extremely slowly from this medication? How do you cut up the quite large tablets (even the small 25mg ones) reliably for instance?
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