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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.
Increasing my dose every 5 days by 25mg. So up to 50mg for 5 days, then 75, then stop at 100mg to where I was taking 50mg in the morning and 50mg at night. I switched neuro's, and after doing a series of vestibular testing, he decided to wean me off the topamax by taking away one tab of 25mg every 3 days.