Topiramate (Topamax)

Neurology (Anticonvulsant)

Dosing & Administration

Adult Dose

Migraine: 50 mg PO BID. Seizures: 200 mg PO BID.

Pediatric Dose

Titrate to 5-9 mg/kg/day divided BID.

Renal Adjustment

CrCl < 70: Decrease dose by 50%.

Hepatic Adjustment

Use caution.

Safety & Special Populations

Pregnancy Category

D - Cleft lip/palate risk.

Lactation Safety

Compatible.

Contraindications & Adverse Effects

Contraindications

  • Recent alcohol use (with XR formulation)

Common Adverse Effects

  • Cognitive dulling ('Dopamax')
  • Kidney stones
  • Paresthesias
  • Weight loss
  • Glaucoma