A member asked:

What is the recommended starting dose of topamax (topiramate) for migrane? is 50mg per day too much? and is it harmful to start at such a high dose?

A doctor has provided 1 answer
Dr. Alon Seifan answered

Specializes in Neurology

25mg: You can even try 25mg PO once daily, at night, and see if it works. Then gradually go up to 50mg once daily, at night. It is not harmful to start at 50mg but there is no need to take more medicine than necessary.

Answered 4/15/2018

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