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Topiramate is the active ingredient in the drug with brand name Topamax. This drug is available in the form of tablets and capsules. The capsules can be opened and sprinkled on eatables to consume. Topamax is available in strengths of 25 mg, 50 mg, 100 mg, and 200 mg tablets. The color of the 25 mg tablet is white, while the color of 50 mg tablet is light yellow. The color of 100 mg tablet is yellow and that of 200 mg tablet is salmon. All these are sold in bottle of 60 tablets. The sprinkle capsules are available in strengths of 15 mg and 25 mg. The capsules are also sold in bottles of 60. This drug is used in the treatment of tonic-clonic seizures and acute migraine headaches.
Topamax can be used in the treatment of seizure in patients who are 10 years or older. In patients with 2 to 16 years this drug is used in the treatment of adjunctive therapy with partial seizure onsets. In adults who have migraine headaches Topamax is found to be useful. There is no need to combine this drug with your meals. It is better to take this drug as a whole without crushing as it is of bitter taste. The maximum dosage for Topamax in day is 400 mg. This dosage is split into two doses each in the morning and evening of 200 mg each. This 200 mg is taken immediately from the first day itself. Starting with 50 mg per day for the first week, the dosages are increased in 50 mg steps for every week until you reach 400 mg per day. This dosage is for treating seizures.
For treating migraine headaches the maximum dosage is 100 mg per day that is split into two doses in the morning and evening. You can start with 50 mg per day split into two doses for the first week and increase it to the maximum level in the fourth week. In the first week it is enough if you take 25 mg in the evening alone.
Side effects like decrease in weight, anorexia, paresthesia, and upper respiratory tract infections are found in some patients.
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