Topamax 200 mg

The dose of Topamax® (topiramate) that your healthcare provider recommends will vary, depending on your age, the specific condition being treated, and various other factors.
The standard dosage for epilepsy as monotherapy (used alone) is 200 mg of Topamax twice daily. It is recommended that you start with a low dose and slowly increase this amount to 200 mg. The manufacturer recommends slowly increasing your 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.
The recommended dose for migraine prevention is 50 mg twice daily. The manufacturer recommends slowly increasing this amount as follows:
  • First week -- 25 mg of Topamax once daily in the evening
  • Second week -- 25 mg of Topamax twice daily
  • Third week -- 25 mg of Topamax in the morning and 50 mg in the evening
  • Fourth week -- 50 mg of Topamax twice daily.
(Click Topamax Dosage for information on how dosing works when Topamax is used for epilepsy as adjunctive therapy, to find out what other factors your healthcare provider may consider before making a recommendation, and for tips and precautions when using this drug.)
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