A member asked:

What is the normal dose of topamax (topiramate) for migraines?

5 doctors weighed in across 4 answers
Dr. Jay Bayer answered

Topamax (topiramate): This is used, sometimes with nortryptilline for prophylaxis of migraine. This med or combo i mentioned is one best for prophylaxis. Consult your dr. As each pt is different. Usually 50 mg bedtime, but each patient different. Dr.Starts low dose and titrates dose. Some require 50 mg -two. Also some dr.S add elevil or nortryptilline . Direct questions to dr. Also takes time to titrate to level helps.

Answered 4/17/2013

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Dr. Irfan Lalani answered

Specializes in Neurology

50 mg twice daily: There is a range of doses, starting from as low as 25 mg daily, to 400 mg per day. The minimum effective dose is usually 100 mg per day in 2 divided doses.

Answered 4/18/2013

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50 mg twice a day: Hi, the usual dose of topamax (topiramate) for migraines is 50mg twice a day. However, some patients require a lower dose and some need a higher dose.

Answered 5/7/2013

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Dr. Alan Ali answered

Specializes in Psychiatry

Topamax (topiramate): For adults & children over 12 years of age, it would be 50mg. twice daily.

Answered 5/30/2015

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