When Does Topamax Start Working?

Topamax® (topiramate) comes in the form of tablets or "sprinkle" capsules, and is typically taken twice a day. In general, a healthcare provider will start you at a low dosage as Topamax starts working and slowly increase this amount over several weeks.
 
For example, 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 Topamax 50 mg twice daily over a period of four weeks.
 
Also, when using Topamax for epilepsy (either for monotherapy or for adjunctive therapy), the recommended dosage is started off low and is slowly increased over a six-week period.
 
This medication should be taken at the same times each day to maintain an even level in your blood. For Topamax to work properly, it must be taken as prescribed. It will not work if you stop taking it. If you are unsure about anything related to your dosage, please talk to your doctor, nurse, or pharmacist.
 
(Click Topamax Dosage for more information on when Topamax starts working. This article discusses dosing guidelines for treating various conditions, as well as factors that may affect the amount you are prescribed.)
 
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