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The usual total daily dose is 200 mg to 400 mg in two divided doses. Some patients may require doses up to 800 mg per day which is the maximum dose. It is recommended that therapy be initiated at a low dose, followed by titration to an effective dose.
Topamax (topiramate) is an anticonvulsant used to treat certain types of seizures and to prevent migraine headaches. Medicines are sometimes prescribed for purposes other than those listed in the package labeling (prescribing information).: Topamax (topiramate) is an antiepileptic medication approved to prevent seizures, either as monotherapy or in combination with other medications. Topamax is also used to prevent migraine headaches. It will not treat a migraine once it has started.