Topamax
Overview
- About Topamax
This medication may appear in breast milk, and its possible effect on the nursing infant remains unknown. Check with your doctor if you plan to breastfeed your baby.
Recommended dosage for Topamax
Return to topADULTS
For Seizures
The usual total daily dose is 200 milligrams twice a day. Your doctor will increase the dose slowly over 6 weeks. The usual regimen is as follows: Week 1: Take 25 milligrams in the morning and again at night. Week 2: Take 50 milligrams in the morning and again at night. Your doctor will continue to raise the dose until Week 6, when the maximum of 200 milligrams twice a day is reached.
If you are also taking Dilantin or Tegretol, the dosage of Topamax may need adjustment.
For Prevention of Migraine Headaches
The recommended total daily dose is 100 milligrams a day, taken in two divided doses. Your doctor will increase the dose slowly over 4 weeks. The usual regimen is as follows: Week 1: No morning dose; take 25 milligrams at night. Week 2: Take 25 milligrams in the morning and again at night. Week 3: Take 25 milligrams in the morning and 50 milligrams at night. Week 4: Take 50 milligrams in the morning and again at night.
CHILDREN
For Seizures
Monotherapy for Children 10 Years and Older
The usual total daily dose is 200 milligrams twice a day. The doctor will increase the dose slowly over 6 weeks. The usual regimen is as follows: Week 1: Take 25 milligrams in the morning and again at night. Week 2: Take 50 milligrams in the morning and again at night. The doctor will continue to raise the dose until Week 6, when the maximum of 200 milligrams twice a day is reached.
Adjunct Therapy for Children 2 to 16 Years Old
The usual daily dose for children 2 to 16 years of age is 5 to 9 milligrams for every 2.2 pounds of body weight, divided into 2 doses. Topamax therapy usually begins with a dose of 25 milligrams (or less) once daily during the first week. The daily dosage is then increased each week until the doctor is satisfied with the patient's response. It may take 8 weeks to reach the ideal dose.
