I too just started topomax one week ago and my neuro was awesome. He sat down with me and went over in detail and even wrote out the instructions as to how I was to take the the medicine over the next 4 weeks building up the dose.
I am taking my last evening dose of 25 mg tonight and haven't felt tired from it yet. I did have a severe migraine last week and took one dose of maxalt and was knocked for a loop. I couldn't even talk straight and passed out for 3 hours! I had a hard time waking myself up after the 3 hours because I had to take my son to his soccer game.
Please see a new neurologist. You deserve to be treated better. Yours obviously doesn't understand what it's like to live with a migraine!
Kim