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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.
The dose of topamax and length of time you take it as well as how your individual body reacts to it will have an effect on the side effect of weight loss. I take 200 mg a day as a mood stabilizer for bipolar disorder.