Topamax 25 mg

Topamax® (topiramate) is a medication often used for preventing migraines and treating epilepsy. It is available by prescription and comes in the form of tablets and capsules, in the following strengths:
 
  • Topamax 15 mg capsules
  • Topamax 25 mg capsules and tablets
  • Topamax 50 mg tablets
  • Topamax 100 mg tablets
  • Topamax 200 mg tablets.
     
Migraines
The recommended dose for migraine prevention is 50 mg twice daily. People are often recommended to start at a lower dose and slowly work up to the 50-mg amount over a period of four weeks; the dosage is often increased by 50 or 25 mg of Topamax per week.
 
Epilepsy
When Topamax is used as monotherapy (used alone) for treating epilepsy, the recommended dosage is 200 mg twice daily. The manufacturer recommends slowly increasing the dose over a period of six weeks. The recommended amount for epilepsy as adjunctive therapy (in combination with other epilepsy medications) varies, depending on your age and the type of seizures you are experiencing.
 
(Click Topamax Dosage for general guidelines on how to increase your dose of Topamax each week, to find out how dosing works for children, and for more specific details on when and how to take this medication.)
 
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;