Well I feel like a walking pharmacy! I was in the ER last week for an acute migraine attack and vomiting...they wanted to do a spinal but I declined...my neck pain has been here awhile. Anywho my Dr again is pushing Topamax 50 mg at night...the thought of hair loss scares me cause okay the one thing I can be vain about is my hair lol! I really need some kind of pain management though...as if I dont take enough meds...gah!!!! Currently I am on: Cymbalta, Maxalt (for migraines), xanax, nexium, lipitor, butalbital and elavil....who much is too much...although the weight loss would be an added plus.