Med - VML 251
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Q:  VML 251

yes i have been given keppra for migraine headaches also topomax,also would you know of a few medications that have seratonin in them?have you heard aboutvml 251 from vanguard?please try to help me with these questions?

Dear Kathy -- 
Had to look it up.  I saw that it's in testing.  No experience with it -- had to learn about it from you!  I'll keep watching (you know, my usual routine is to wait as long as possible, hopefully about 2 years, before using a new medication, unless there is pressing reason to consider a new medication.  For example, I started using Neurontin when it first became common in use in psychiatry, because it had been in use in neurology for quite a while before that.  It looked darn good for about a year, then it slowly dawned on me that people got better but didn't stay better and that there were quite a few people who got worse on it (some slowly, some right away) just as though it were an antidepressant, which now we can see that it rather is.  So though it's nice to know that there are going to be new options in the future, I'd urge you to be cautious -- let somebody else figure out what the real problems are). Good luck to you.

Dr. Phelps


Published April, 2002



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