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Get a prescription refill for Topiramate (Topamax) online

Topiramate is a medication prescribed to treat epilepsy and prevent seizures. It is also approved for the prevention of migraine headaches.

You can get a Topiramate online prescription refill by connecting with our online doctor at Your Doctors Online. The doctor will ask you to describe your symptoms to determine the best course of treatment. However, please note that a prescription will only be provided after consultation with the doctor and if the treatment is suitable and safe for you.

What is Topiramate (Topamax)?

Topiramate belongs to the anticonvulsants class of medication. It primarily treats seizures due to epilepsy by acting on the central nervous system to decrease the transmission of neurotransmitters that cause the seizures.

It’s not over-the-counter and requires a prescription from a healthcare provider.

What are the uses of Topiramate?

Topiramate is prescribed to treat conditions like: 

  • Epilepsy (seizure control)
  • Migraine prevention

While its off label uses are: 

  • Bipolar disorder 
  • Alcohol dependence 
  • Post-traumatic stress disorder
  • Neuropathic pain 

How does it work?

Topiramate works by stabilizing the electrical activity in the brain and modulating neurotransmitter pathways. It enhances GABA activity and inhibits glutamate receptors, reducing bodily seizure activity and preventing migraines.

What are the different dosage forms and strengths of Topiramate?

Topiramate is only available in one dosage form, i.e. tablets. The available strengths and dosage  forms are: 

  • Tablets: 25 mg, 50 mg, 100 mg, 200 mg
  • Extended-release capsules: 25 mg, 50 mg, 100 mg, 150 mg, 200 mg.

There are no other dosage forms and strengths available. 

How to take it?

Topiramate should be taken orally, with or without food. Swallow the pills or capsules whole without crushing or chewing.

What are the side effects of Topiramate?

Some of the most common side effects of topiramate are: 

  • Dizziness
  • Drowsiness
  • Fatigue
  • Nausea
  • Difficulty concentrating. 

Some of the serious or severe side effects are: 

  • Mood changes or depression
  • Suicidal thoughts or behavior
  • Vision problems, such as blurred vision or glaucoma
  • Kidney stones

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Hi I’m Dr. Nicole. How may I help you?

Hi Dr. Nicole,  I’ve been experiencing frequent migraines lately. Can I get a refill for topiramate, please?


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  • Topiramate tablet,  25 mg, Once a day at bedtime, PRN



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Precautions and contraindications

  • Topiramate can interact with oral contraceptives, other antiepileptic drugs, carbonic anhydrase inhibitors, central nervous system depressants, lithium, and metformin.
  • Topiramate is not recommended during pregnancy or breastfeeding.
  • Abruptly stopping Topiramate can lead to increased seizure activity, so consult your healthcare provider before discontinuing.
  • Take Topiramate consistently at the same time each day to maintain steady levels in the bloodstream.

FAQs about Topamax

The best time of day to take Topamax for migraines?

The best time of day to take Topamax (Topiramate) for migraines can vary depending on individual preferences and lifestyle. Some people find taking it in the evening to minimize daytime side effects helpful, while others may prefer morning or bedtime administration.

How long does Topamax take to work?

The onset of action for Topiramate can vary among individuals and conditions being treated. In migraines, it may start providing noticeable benefits within a few weeks, while for others, like epilepsy, it may take several months to achieve the desired effects.

What is the Topamax starting dosage for weight loss?

Topamax is not explicitly approved for weight loss but has been prescribed off-label. The starting dosage for weight loss can vary depending on individual factors, but it is typically lower than those used for epilepsy or migraines. 3.75 mg/23 mg (phentermine/topiramate) orally once a day for 2 weeks.

Topiramate itching, how long does it last?

Topiramate can cause itching as a side effect in some individuals. In most cases, the itching resolves independently within a few days to weeks.

Can you take Aimovig and Topamax together?

Yes. Aimovig and Topamax can be taken together to manage migraines. However, close monitoring for potential side effects is recommended due to the additive effects of reducing migraine frequency and severity.

How to take topiramate for weight loss?

Topiramate is typically taken orally once daily for weight loss. It is started at a low dose and gradually increased over several weeks. It's usually prescribed in combination with a calorie-controlled diet and exercise program.

What are the alternatives for Topamax?

Some of the most prescribed and preferred alternatives of Topamax are propranolol and amitriptyline. It's good to get a consultation with your doctor and pharmacist before starting any medication.

Does Topiramate cause heartburn and constipation?

Yes, Topiramate can cause heartburn and constipation as common side effects. These gastrointestinal symptoms may occur, but they depend on and vary from person to person.

Does Topiramate cause dry mouth?

Yes, topiramate can cause dry mouth as a common side effect. This may occur due to its effect on reducing saliva production.

What medicine should you avoid with Topamax?

Medications including carbonic anhydrase inhibitors (AcetazolamideDorzolamide, Brinzolamide, Methazolamide) should be avoided along with alcohol consumption for effective treatment.

Can you take Topiramate in pregnancy?

Yes, Topiramate should be avoided during pregnancy due to an increased risk of birth defects, particularly oral clefts (limb abnormalities).

How long does Topiramate itching last?

Topiramate itching lasts within a few days to weeks after discontinuing the medication. However, the duration can vary depending on individual factors and the severity of the reaction.

What happens if I miss a dose of Topiramate?

If you forget to take a Topiramate dose, take it as soon as you recall. If your next planned dose is approaching, skip the missed dose and follow a regular dosing schedule.

What happens if I take too much Topiramate?

Topiramate taken in excess can raise the risk of experiencing side effects or undesirable reactions. Overdose can cause significant sleepiness, disorientation, coordination problems, fast breathing, and even loss of consciousness. In such cases, prompt medical examination is critical.

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