My doctor has not told me to increase my dosage of the topamax, but I do have a follow up appointment with him in a month so perhaps he will at that time. That is if I make it until then. If I continue at the rate I currently am, I will be paying another visit to him as I am completely miserable. I did have a good day yesterday so I really thought I was getting better, until I got up today and it jsut got worse and worse. It is hard to deal with this with a full time job as an editor, where I read the majority of the day. I make sure to take plenty of breaks.
As far as the caffeine, I really don't drink a lot of soda, though I have noticed lately to be drinking a little bit more. I did notice immediately after taking the topamax that the taste of the soda is no longer appealing, which isn't a bad thing. I still like chocolate and have no problem having a piece or two now and again.
I broked down and took a Relpax, so hopefully it will help. If not, looks like I have to call the doc back. I don't want to have day 9 of migraine. Thanks for your help and for listening.