1. Home
  2. Medication
  3. Topiramate
  4. Description

Topiramate

Common Brand Names: Topamax

Drug Information

Medically reviewed by Jessica Swirble, PharmD
Last updated on 5/24/2024

Drug Information | Side Effects | Use & Dosage | Request a Prescription

Quick facts:
  • Brand Name: Topamax
  • Generic Name: Topiramate
  • Uses: Treating epilepsy and preventing migraines
  • Drug Class: Anticonvulsant
  • Availability: Prescription only
  • Generic Status: Yes
  • Controlled Substance: No

What is topiramate?

Topiramate is a prescription medication used to treat seizures that affect the whole body (known as tonic-clonic seizures) or only one part of the brain (known as partial-onset seizures).

Topiramate may also be prescribed to prevent migraines in adults and children over 12.

What is topiramate used to treat?

Topiramate is prescribed to treat different types of seizures. This includes seizures that affect the whole body (known as tonic-clonic seizures) or one part of the brain (partial-onset seizures). It may also be prescribed to treat Lennox-Gestaut syndrome, a childhood disorder that causes severe seizures and developmental delays.

In addition to its use in treating seizures, topiramate may be prescribed to prevent migraines in adults and children over 12.

How does topiramate work?

Topiramate is an anticonvulsant drug. This diverse group of medications treats epileptic seizures by suppressing rapid-firing neurons in the brain. These neurons fire at the outset of a seizure and can quickly spread throughout the brain. Topiramate works by stopping this reaction and preventing a seizure from occurring.

How do I take topiramate?

Topiramate is available in the following forms:

  • Oral tablets
  • Sprinkle capsules
  • Oral suspension (liquid)

The dosage and frequency of use depend on the condition being treated, its severity, and how you respond to the medication.

Follow your healthcare provider's instructions regarding dosage and schedule. Do not exceed the prescribed dose or frequency of use without consulting your provider.

How long until I feel better?

Topiramate is used to manage and prevent seizures and to prevent migraine headaches, not to cure these conditions. It may take several days or weeks before you notice the effects of this medication, especially for migraine prevention.

Continue using topiramate as prescribed, even if you start feeling better. Regular use according to your prescription plan is crucial for the effective management of symptoms.

Are there any other uses for topiramate?

While topiramate is primarily used for epilepsy and migraine prevention, healthcare providers may prescribe it off-label for other conditions, such as weight loss or bipolar disorder.

Discuss any alternative uses of topiramate with your healthcare provider.

Dosage forms of topiramate

Topiramate is available in the following dosage forms:

  • Oral tablets
  • Sprinkle capsules
  • Oral suspension (liquid)

Topiramate is a prescription medication. You will need a valid prescription from a licensed healthcare provider to obtain this medication.