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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 is available as a generic drug. Common side effects of Topamax include tiredness, dizziness, nervousness, numbness or tingly feeling, coordination problems, diarrhea, weight loss, speech problems, changes in vision, sensory distortion, and cold symptoms such as stuffy nose, sneezing, or sore throat. Topamax usual adult dose is 200mg twice a day.