As with most medications the general rule when starting to take Topamax is to start with a low dosage, such as topriamate 25 mg or topiramate 50 mg, and then adjust slowly as needed. This isn’t to say that you should be adjusting the dosage of your own medications, but with the help of a physician you can start at a lower amount and then inch it higher until you reach an effective dose for your own individual needs; most commonly topriamate 100 mg twice per day.
Building sufficient levels in the bloodstream
Similar to several other medications it often takes a few weeks to build up the correct dosage in your bloodstream to be completely effective, so don’t worry if the results aren’t as dramatic at first. Keep the communication with your doctor open and often, and discuss any and all of the side effects of the medication, whether you are taking just one topiramate 25 mg dose or several topiramate 100 mg doses. Even if it has been a month of regular use at levels higher than topiramate 100 mg, it may take an additional month or two to realize the full benefits. It is, therefore, extremely important that you continue to take your medication as prescribed in order to allow it a chance to work as it should.
Missing a Topamax dose
Missing one of your daily doses of Topamax can be remedied by taking it as soon as you remember, provided that you are not within 6 hours of the next scheduled dosage. If you are within this 6 hour period it is imperative that you not take a double dose and simply wait until the next dosage time. Missing multiple dosages of Topamax can lead to adverse side effects and you should consult your physician for professional medical assistance in this case.
Topamax Dosages for Epilepsy and Migraine Prevention
The common dosages for treating seizures and migraine prevention are: topiramate 25 mg, topiramate 50 mg, and topiramate 100 mg. These dosage amounts are usually taken twice a day so that the medication can be delivered steadily throughout the day. Topamax can be taken without a meal and it is advised not to break the tablets due to their unpleasant taste.
Exceeding 8 topiramate 100 mg tablets, or 800 mg per day, is considered an overdose of Topamax. The symptoms that you should watch out for if you think that you or someone around you has overdosed on Topamax include: convulsions, severe drowsiness, slurred speech, blurred vision, mental function impairment, reduction in coordination, abdominal pain, dizziness, severe metabolic acidosis, and depression. Immediate medical attention should be sought if you think that you have accidentally overdosed on Topamax, as they can use activated charcoal or hemodialysis to effectively treat this otherwise life threatening overdose.