The amount of
Topamax® (
topiramate) your healthcare provider prescribes will vary, depending on the condition being treated.
Migraine Prevention
The standard dose is 50 mg twice daily, for a total of 100 mg of Topamax per day. You should start with a low dosage and work up to the 50-mg amount. The manufacturer recommends increasing the dosage as follows:
- First week -- 25 mg once daily
- Second week -- 25 mg twice daily
- Third week -- 25 mg in the morning and 50 mg in the evening
- Fourth week -- 50 mg twice daily.
Epilepsy Treatment
The recommended dosage for
epilepsy as monotherapy (used alone) is 200 mg twice daily. The manufacturer recommends slowly increasing the dose as follows:
- First week -- Topamax 25 mg twice daily
- Second week -- Topamax 50 mg twice daily
- Third week -- Topamax 75 mg twice daily
- Fourth week -- Topamax 100 mg twice daily
- Fifth week -- Topamax 150 mg twice daily
- Sixth week -- Topamax 200 mg twice daily.
(Click Topamax Dosage for more detailed dosing guidelines, including recommendations for children, and for general tips and precautions when using this medication.)
