Topiramate | Side Effects, Dosage, Uses & More
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Generic Name:

topiramate, Oral tablet

All Brands

  • Topamax
SECTION 1 of 5

Highlights for topiramate

Oral tablet
1

Topiramate is an oral drug that’s used alone or with other medications. It’s used to treat certain types of seizures and to prevent migraine headaches.

2

Your dose will depend on your age and the condition that’s being treated. Your doctor will decide the dose that’s right for you.

3

Common side effects include tingling of your arms and legs, upset stomach, nervousness, dizziness, and vision problems.

4

This drug can increase your risk of suicidal thoughts and behaviors. Call your doctor right away if you notice any unusual changes in your mood or behavior, or if you have thoughts of hurting yourself.

5

Topiramate can cause birth defects if it’s taken during pregnancy. These birth defects can occur early in pregnancy, before a woman even knows that she’s pregnant. Women of childbearing age should use effective forms of birth control while taking this drug.

IMPORTANT INFORMATION

Metabolic acidosis

This drug may raise your risk of a medical condition called metabolic acidosis. This can come on with no symptoms. Or it may happen with side effects on the kidneys (kidney stones), bones (osteoporosis, increased risk of broken bones), or growth delays. Symptoms of this condition include:

  • hyperventilation (rapid breathing)
  • tiredness
  • loss of appetite
  • changes in your heart rhythm
  • trouble thinking clearly

Vision loss

This drug can cause a blockage of fluid in your eye, which results in increased pressure in the eye (secondary angle closure glaucoma). This can lead to permanent vision loss.

Birth defects

This drug can cause birth defects if it’s taken during pregnancy. These birth defects can occur early in pregnancy, before a woman even knows that she’s pregnant. Women of childbearing age should use effective forms of birth control while taking this drug. Ask your doctor about good options. This drug can cause birth control pills to not work as well.

Drug features

This drug is a prescription drug. It is available in these oral forms: tablets, immediate-release sprinkle capsules, extended-release capsules, and extended-release sprinkle capsules.

This drug is available as a generic form. Generic drugs usually cost less. In some cases they may not be available in every strength or form as the brand. Talk to your healthcare provider to see if the generic will work for you.

This drug may be taken in combination with other drugs to treat epilepsy.

Why it's used

This drug is used to:

  • treat certain types of seizures alone (without use of other drugs) in adults and children 2 years and older. The seizures treated are partial onset seizures and primary generalized tonic-clonic seizures.

More Details

How it works

This drug belongs to a class of drugs called sulfamate-substituted monosaccharide anticonvulsants or antiepileptic drugs (AEDs). A class of drugs refers to medications that work similarly. They are often used to treat similar conditions.

More Details

Why it's used

This drug is used to:

  • treat certain types of seizures alone (without use of other drugs) in adults and children 2 years and older. The seizures treated are partial onset seizures and primary generalized tonic-clonic seizures.
  • treat certain types of seizures in combination with other drugs in adults and children 2 years and older. The seizures treated are partial onset seizures, primary generalized tonic-clonic seizures, and seizures associated with Lennox-Gastaut syndrome.
  • prevent migraine headaches in adults and children 12 years and older. 

How it works

This drug belongs to a class of drugs called sulfamate-substituted monosaccharide anticonvulsants or antiepileptic drugs (AEDs). A class of drugs refers to medications that work similarly. They are often used to treat similar conditions.

It isn’t known exactly how this drug works. It’s thought that it works on certain chemicals, channels, receptors, and enzymes in your brain to help control seizures and prevent migraines.

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SECTION 2 of 5

topiramate Side Effects

Oral tablet

Most Common Side Effects

The more common side effects of topiramate include:

  • tingling in your arms and legs

  • increased bleeding (such as nosebleeds)

  • increased bruising

  • loss of appetite

  • nausea

  • a change in the way foods taste

  • diarrhea

  • weight loss

  • nervousness

  • upper respiratory tract infection

  • speech problems

  • tiredness

  • dizziness

  • slowed reactions

  • trouble with memory

  • abdominal pain

  • fever

  • eye problems (such as double vision, blurred vision, and uncontrolled eye movements)

If these effects are mild, they may go away within a few days or a couple of weeks. If they’re more severe or don’t go away, talk to your doctor or pharmacist.

Serious Side Effects

If you experience any of these serious side effects, call your doctor right away. If your symptoms are potentially life-threatening or if you think you’re experiencing a medical emergency, call 9-1-1.

  • high ammonia levels. Symptoms include:

    • confusion
    • slowed alertness
    • tiredness
    • vomiting
  • kidney stones. Symptoms include:

    • severe pain in the back or side
    • painful or frequent urination
    • pink, red, or brown urine
    • nausea or vomiting
  • effects on thinking and alertness, such as:

    • confusion
    • problems concentrating, remembering, paying attention, and speaking
  • dizziness or loss of muscle coordination

  • eye problems (especially during the first month of treatment). Symptoms include:

    • a sudden decrease in ability to see distances, with or without pain and redness
    • a blockage of fluid in your eye causing increased pressure in the eye (secondary angle closure glaucoma) – can lead to permanent vision loss

    The risk of eye problems is highest in the first month of treatment with this drug.

  • decreased sweating and higher body temperature (fever)

  • increased level of acid in your body (metabolic acidosis). Symptoms include:

    • hyperventilation (rapid breathing)
    • feeling tired
    • loss of appetite
    • changes in your heart rhythm
    • trouble thinking clearly
  • suicidal thoughts or actions. Symptoms include:

    • thoughts about suicide or dying
    • attempts to commit suicide
    • new or worsening depression
    • new or worsening anxiety
    • feeling agitated or restless
    • panic attacks
    • trouble sleeping (insomnia)
    • new or worse irritability
    • anger
    • acting aggressive or violent
    • acting on dangerous impulses
    • an extreme increase in activity and talking (mania)
    • other unusual behavior or mood changes
Pharmacist's Advice
Healthline Pharmacist Editorial Team

This drug causes drowsiness. You shouldn’t drive, use machinery, or do other tasks that require alertness until you know how this drug affects you. 

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. This information is not a substitute for medical advice. Always discuss possible side effects with a healthcare provider who knows your medical history.
SECTION 3 of 5

topiramate May Interact with Other Medications

Oral tablet

Topiramate can interact with other medications, herbs, or vitamins you might be taking. That’s why your doctor should manage all of your medications carefully. If you’re curious about how this drug might interact with something else you’re taking, talk to your doctor or pharmacist.

Note: You can reduce your chances of drug interactions by having all of your prescriptions filled at the same pharmacy. That way, a pharmacist can check for possible drug interactions.

Food interactions

If you follow a ketogenic diet, you are at increased risk of a condition called metabolic acidosis. This can come on with no symptoms. Or it may happen with side effects on the kidneys (kidney stones), bones (osteoporosis, increased risk of broken bones), or growth delays. (A ketogenic diet is a high-fat, low-carbohydrate diet sometimes used to help reduce symptoms in epilepsy.)

Alcohol interaction

You shouldn’t drink alcohol while taking topiramate. Taking this drug with alcohol may make your sleepiness and dizziness worse.

Medications that might interact with this drug

Allergy drugs
  • diphenhydramine
  • chlorpheniramine
  • hydroxyzine

These drugs slow down the central nervous system. If you take ones of these drugs with topiramate, it increases your risk of certain side effects. These include drowsiness, dizziness, and trouble concentrating or thinking.

Anxiety drugs
  • alprazolam
  • clonazepam
  • diazepam
  • lorazepam

These drugs slow down the central nervous system. If you take ones of these drugs with topiramate, it increases your risk of certain side effects. These include drowsiness, dizziness, and trouble concentrating or thinking.

Diabetes drugs
  • metformin

Taking topiramate with metformin may put you at risk for certain side effects. This is especially true if you have metabolic acidosis. Talk to your doctor about whether metformin is safe for you to take with topiramate. 

Insomnia drugs
  • zolpidem
  • eszopiclone
  • triazolam
  • temazepam

These drugs slow down the central nervous system. If you take ones of these drugs with topiramate, it increases your risk of certain side effects. These include drowsiness, dizziness, and trouble concentrating or thinking.

Lithium

High doses of topiramate may increase lithium levels in your body. This can lead to more side effects. Your doctor should monitor your lithium levels when you’re taking high doses of topiramate.

Menopause drugs
  • pills that contain estrogen

Topiramate may make pills that contain estrogen less effective. This means that they won’t work as well to prevent symptoms of menopause, such as hot flashes.

Oral birth control pills
  • pills that contain estrogen

Topiramate may make birth control pills less effective. This means that they won’t work as well to prevent pregnancy. 

Pain drugs
  • hydrocodone
  • oxycodone
  • morphine
  • hydromorphone

These drugs slow down the central nervous system. If you take one of these drugs with topiramate, it increases your risk of certain side effects. These include drowsiness, dizziness, and trouble concentrating or thinking.

Seizure drugs
  • phenytoin
  • carbamazepine
  • valproic acid
  • divalproex

Phenytoin or carbamazepine can decrease the levels of topiramate in your body. That means topiramate may not work as well. Taking topiramate with valproic acid or divalproex can lead to high levels of ammonia in your blood or a drop in body temperature. 

Other drugs
  • zonisamide
  • acetazolamide
  • dichlorphenamide

Taking topiramate with these drugs can increase the severity of metabolic acidosis and increase your risk of kidney stones. If you’re taking these drugs together, your doctor should monitor you for new or worsening metabolic acidosis.

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. This information is not a substitute for medical advice. Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking.

People with liver disease

If you have liver problems, this drug may build up in your body. This can increase your chance of side effects.

People with kidney disease

This drug is cleared from your body by your kidneys. If you have kidney problems, your body can’t clear this drug as well. This may lead to more side effects and toxicity. Your doctor will give you a lower dose to reduce your risks.

People with severe asthma or COPD

You have an increased risk of a condition called metabolic acidosis. This can come on with no symptoms. Or it may happen with side effects on the kidneys (kidney stones), bones (osteoporosis, increased risk of broken bones), or growth delays.

Pregnant women

This drug is pregnancy category D. That means two things:

  1. Research in humans has shown adverse effects to the fetus when the mother takes the drug.
  2. This drug should only be used during pregnancy in serious cases where it's needed to treat a dangerous condition in the mother.

Talk to your doctor if you’re pregnant or planning to become pregnant. Ask your doctor to tell you about the specific harm that may be done to the fetus. This drug should only be used if the potential risk to the fetus is acceptable given the drug’s potential benefit.

This drug can cause birth defects if it’s taken during pregnancy. These birth defects can occur early in pregnancy, before a woman even knows that she’s pregnant. Women of childbearing age should use effective forms of birth control while taking this drug. Ask your doctor about good options.

Pregnant women should enroll in the North American Antiepileptic Drug (NAAED) Pregnancy Registry. The registry collects information about the safety of antiepileptic drugs during pregnancy.

Women who are breast-feeding

This drug passes into breast milk and may cause serious effects in a child who is breastfed. Talk to your doctor about the risks and benefits of using this drug while breastfeeding your child.

Allergies

This drug can cause a severe allergic reaction. Symptoms can include:

  • rash or hives
  • swelling of the tongue, lips, or face
  • trouble breathing

If you have a reaction, call your doctor right away. If your symptoms are severe, call 9-1-1 or go to the nearest emergency room.

Don’t take this drug if you’ve ever had an allergic reaction to it or any of its components. If an allergic reaction occurs, stop taking this drug right away and seek medical help. Using it a second time after any allergic reaction could be fatal.

SECTION 4 of 5

How to Take topiramate (Dosage)

Oral tablet

All possible dosages and forms may not be included here. Your dose, form, and how often you take it will depend on:

  • your age
  • the condition being treated
  • how severe your condition is
  • other medical conditions you have
  • how you react to the first dose

What are you taking this medication for?

Epilepsy (monotherapy)

Brand: Topamax

Form: Oral tablet
Strengths: 25 mg, 50 mg, 100 mg, 200 mg
Form: Oral immediate-release sprinkle capsule
Strengths: 15 mg, 25 mg

Generic: topiramate

Form: Oral tablet
Strengths: 25 mg, 50 mg, 100 mg, 200 mg
Form: Oral immediate-release sprinkle capsule
Strengths: 15 mg, 25 mg
Form: Oral extended-release sprinkle capsule
Strengths: 25 mg, 50 mg, 100 mg, 150 mg, 200 mg

Brand: Trokendi XR

Form: Oral extended-release capsule
Strengths: 25 mg, 50 mg, 100 mg, 200 mg

Brand: Qudexy XR

Form: Oral extended-release sprinkle capsule
Strengths: 25 mg, 50 mg, 100 mg, 150 mg, 200 mg
Adult dosage (ages 18–64 years)

Partial seizures or generalized tonic-clonic seizures:

Oral tablets and immediate-release sprinkle capsules:

  • The recommended dose for treatment with topiramate alone is 400 mg per day.
  • Your doctor will start you at a lower dose. They will slowly increase your dose until you reach the recommended amount.
  • This drug should be taken by mouth twice a day, in two divided doses.

Extended-release sprinkle capsules:

  • The recommended dose for treatment with topiramate alone is 400 mg per day.
  • Your doctor will start you at a lower dose. They will slowly increase your dose until you reach the recommended amount.
  • This drug should be taken by mouth once per day.
Child dosage (ages 10–17 years)

Oral tablets and immediate-release sprinkle capsules:

  • The recommended dose for treatment with topiramate alone is 400 mg per day.
  • Your child’s doctor will start your child at a lower dose. They will slowly increase the dose until the recommended amount is reached.
  • This drug should be taken by mouth twice a day, in two divided doses.

Extended-release sprinkle capsules:

  • The recommended dose for treatment with topiramate alone is 400 mg per day.
  • Your doctor will start you at a lower dose. They will slowly increase your dose until you reach the recommended amount.
  • This drug should be taken by mouth once per day.
Child dosage (ages 2–10 years)

Oral tablets and immediate-release sprinkle capsules:

  • Your child’s dosage is based on weight.
  • This drug should be taken twice a day, in two equally divided doses.
  • Your child’s doctor will start your child at a lower dose. They will slowly increase the dose until your child reaches the recommended amount.

Extended-release sprinkle capsules:

  • Your child’s dosage is based on weight.
  • This drug should be taken once per day.
  • Your child’s doctor will start your child at a lower dose. They will slowly increase the dose until your child reaches the recommended amount.
Senior dosage (ages 65 years and older)

The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects.

Your doctor may start you on a lowered dose or a different dosing schedule. This can help keep levels of this drug from building up too much in your body.

Special considerations

People with kidney disease: If you have kidney problems, your dose of topiramate should be half of the usual adult dose.

People with hemodialysis: Dialysis clears this drug from your body much more quickly than normal. If you are on dialysis for a long time, topiramate might drop to a level lower than what’s needed to control your seizures. Your doctor may give you an extra dose to prevent this.

Epilepsy (add-on therapy)

Brand: Topamax

Form: Oral tablet
Strengths: 25 mg, 50 mg, 100 mg, 200 mg
Form: Oral immediate-release sprinkle capsule
Strengths: 15 mg, 25 mg

Generic: topiramate

Form: Oral tablet
Strengths: 25 mg, 50 mg, 100 mg, 200 mg
Form: Oral immediate-release sprinkle capsule
Strengths: 15 mg, 25 mg
Form: Oral extended-release sprinkle capsule
Strengths: 25 mg, 50 mg, 100 mg, 150 mg, 200 mg

Brand: Trokendi XR

Form: Oral extended-release capsule
Strengths: 25 mg, 50 mg, 100 mg, 200 mg

Brand: Qudexy XR

Form: Oral extended-release sprinkle capsule
Strengths: 25 mg, 50 mg, 100 mg, 150 mg, 200 mg
Adult dosage (ages 17–64 years)

Partial onset seizures:

Oral tablets and immediate-release sprinkle capsules:

  • The recommended dose for add-on treatment is 200–400 mg per day.
  • Your doctor will start you at a lower dose. They will slowly increase your dose until you reach the recommended amount.
  • This drug should be taken by mouth twice a day, in two divided doses.

Extended-release sprinkle capsules:

  • The recommended dose for add-on treatment is 200–400 mg per day.
  • Your doctor will start you at a lower dose. They will slowly increase your dose until you reach the recommended amount.
  • This drug should be taken by mouth once per day.

Primary generalized tonic-clonic seizures:

Oral tablets and immediate-release sprinkle capsules:

  • The recommended daily dose for add-on treatment is 400 mg per day.  
  • Your doctor will start you at a lower dose. They will slowly increase your dose until you reach the recommended amount.
  • This drug should be taken by mouth twice a day, in two divided doses.

Extended-release sprinkle capsules:

  • The recommended dose for treatment with topiramate alone is 400 mg per day.
  • Your doctor will start you at a lower dose. They will slowly increase your dose until you reach the recommended amount.
  • This drug should be taken by mouth once per day.
Child dosage (ages 6–16 years)

Partial onset seizures, generalized tonic-clonic seizures, and Lennox-Gastaut syndrome:

Oral tablets and immediate-release sprinkle capsules:

  • Your child’s dosage is based on weight.
  • The recommended daily dose is 5–9 mg/kg of body weight.
  • Your child’s doctor will start your child at a lower dose. They will slowly increase the dose until they reach an amount that works for your child.
  • This drug should be taken by mouth twice a day, in two divided doses. During the first week, it should be taken at night.

Extended-release sprinkle capsules:

  • Your child’s dosage is based on weight.
  • The recommended daily dose is 5–9 mg/kg of body weight.
  • Your child’s doctor will start your child at a lower dose. They will slowly increase the dose until they reach an amount that works for your child.
  • This drug should be taken by mouth once per day. During the first week, it should be taken at night.
Child dosage (ages 2–6 years)

Partial onset seizures, generalized tonic-clonic seizures, and Lennox-Gastaut syndrome:

Oral tablets and immediate-release sprinkle capsules:

  • Your child’s dosage is based on weight.
  • The recommended daily dose is 5–9 mg/kg of body weight.
  • Your child’s doctor will start your child at a lower dose. They will slowly increase the dose until they reach an amount that works for your child.
  • This drug should be taken by mouth twice a day, in two divided doses. During the first week, it should be taken at night.

Extended-release sprinkle capsules:

  • Your child’s dosage is based on weight.
  • The recommended daily dose is 5–9 mg/kg of body weight.
  • Your child’s doctor will start your child at a lower dose. They will slowly increase the dose until they reach an amount that works for your child.
  • This drug should be taken by mouth twice a day, in two divided doses. During the first week, it should be taken at night.
Senior dosage (ages 65 years and older)

The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects.

Your doctor may start you on a lowered dose or a different dosing schedule. This can help keep levels of this drug from building up too much in your body.

Special considerations

People with kidney disease: If you have kidney problems, your dose of topiramate should be half of the usual adult dose.

People with hemodialysis: Dialysis clears this drug from your body much more quickly than normal. If you are on dialysis for a long time, topiramate might drop to a level lower than what’s needed to control your seizures. Your doctor may give you an extra dose to prevent this.

Migraine prevention

Brand: Topamax

Form: Oral tablet
Strengths: 25 mg, 50 mg, 100 mg, 200 mg
Form: Oral immediate-release sprinkle capsule
Strengths: 15 mg, 25 mg

Generic: topiramate

Form: Oral tablet
Strengths: 25 mg, 50 mg, 100 mg, 200 mg
Form: Oral immediate-release sprinkle capsule
Strengths: 15 mg, 25 mg
Form: Oral extended-release sprinkle capsule
Strengths: 25 mg, 50 mg, 100 mg, 150 mg, 200 mg
Adult dosage (ages 18–64 years)

Oral tablets and immediate-release sprinkle capsules:

  • The recommended dose is 100 mg per day.
  • Your doctor will start you at a lower dose. They will slowly increase your dose until you reach the recommended amount.
  • This drug should be taken by mouth twice a day, in two divided doses.
Child dosage (ages 12–17 years)

Oral tablets and immediate-release sprinkle capsules:

  • The recommended daily dose is 100 mg per day.
  • Your child’s doctor will start your child at a lower dose. They will slowly increase the dose until the recommended amount is reached.
  • This drug should be taken by mouth twice a day, in two divided doses.
Child dosage (ages 0–11 years)

The effectiveness of this drug hasn’t been established in children younger than 12 years.

Senior dosage (ages 65 years and older)

The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects.

Your doctor may start you on a lowered dose or a different dosing schedule. This can help keep levels of this drug from building up too much in your body.

Special considerations

People with kidney disease: If you have kidney problems, your dose of topiramate should be half of the usual adult dose.

People with hemodialysis: Dialysis clears this drug from your body much more quickly than normal. If you are on dialysis for a long time, topiramate might drop to a level lower than what’s needed to control your seizures. Your doctor may give you an extra dose to prevent this.

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always to speak with your doctor or pharmacist about dosages that are right for you.
Pharmacist's Advice
Healthline Pharmacist Editorial Team

This drug comes with serious risks if you don’t take it as prescribed.

If you stop taking the drug suddenly or don’t take it at all

Your seizures may not be controlled. If you stop taking this drug suddenly, it can cause serious problems. It could lead to seizures that don’t stop (status epilepticus). This is a medical emergency.

If you miss doses or don’t take the drug on schedule

Your medication may not work as well or may stop working completely. For this drug to work well, a certain amount needs to be in your body at all times.

If you take too much

You could have dangerous levels of the drug in your body. Symptoms of an overdose of this drug can include:

  • convulsions
  • drowsiness
  • trouble speaking
  • blurred or double vision
  • slowed thinking or confusion
  • extreme tiredness or drowsiness
  • problems with coordination
  • feeling like you’re in a daze
  • low blood pressure
  • stomach pain
  • feeling agitated or nervous
  • dizziness
  • depression

If you think you’ve taken too much of this drug, call your doctor or local poison control center. If your symptoms are severe, call 9-1-1 or go to the nearest emergency room right away.

What to do if you miss a dose

If you miss one dose of this drug, you should take it as soon as possible. If it’s within 6 hours of your next scheduled dose, you should skip the missed dose and only take one dose at your scheduled time.

Don’t take a double dose if you’ve missed a dose. If you have missed more than one dose, contact your healthcare provider.

How to tell if the drug is working

You should have better seizure control, or fewer migraines.

This drug is used for long-term treatment.

You can take this drug with or without food

Drink plenty of fluids throughout the day. This may help prevent kidney stones.

You shouldn’t crush or cut the tablets

They have a bitter taste and breaking them would make the taste worse.

Capsules: The capsules should be swallowed whole. You may also open them carefully and sprinkle their entire contents onto a small amount (teaspoon) of soft food. This drug/food mixture should be swallowed right away and shouldn’t be chewed. You shouldn’t save it for later. Drink fluids right after eating the drug/food mixture to make sure you swallow all of it.

This drug must be stored at the right temperature

  • Store the tablets at room temperature between 59°F (15°C) and 86°F (30°C).
  • Store the sprinkle capsules at or below 77°F (25°C).
  • Keep this drug in a tightly closed container.
  • Keep it dry and away from moisture.

Travel

When traveling with your medication:

  • Always carry your medication with you, such as in your carry-on bag.
  • Don’t worry about airport x-ray machines. They can’t hurt this medication.
  • You may need to show airport staff your pharmacy’s label to clearly identify the medication. Keep the original prescription label with you when traveling.
  • Don’t leave this medication in the car, especially when the temperature is hot or freezing.

Clinical monitoring

During treatment with this drug, your doctor may do tests to check your:

  • eyes
  • liver function
  • kidney function
  • blood counts
  • electrolyte levels
  • ammonia levels
  • mental status
  • weight

Your doctor may also monitor you for the following:

  • seizures. You and your doctor should monitor how often you have seizures.
  • mental health and behavioral problems. This drug can cause new or worsen existing mental health and behavioral problems. You and your doctor should watch for any unusual changes in your behavior and mood.

Pharmacies usually have generic version (topiramate)

The brand-name version might not be stocked at the pharmacy, so call ahead when filling your prescription.

Are there any alternatives?

There are several medications in this class as well as other medications that can be used to treat seizures and migraines. Some may be more suitable for you than others. Talk to your doctor about other drug options that may work for you.

What does the pill look like?

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SECTION 5 of 5

How Much Does topiramate Cost?

Oral tablet

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These prices represent the lowest priced national pharmacies for topiramate on GoodRx. They may be lower than your insurance.

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Content developed in collaboration with University of Illinois-Chicago, Drug Information Group

Medically reviewed by Creighton University, Center for Drug Information and Evidence-Based Practice on August 31, 2015

Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or other healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.
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