Most commonly, topiramate immediate release tablets and sprinkles are started in low doses, 25 or 50 mg per day, and then increased slowly by 25 to 50 mg per week until an effective daily dose is reached for treatment of seizures. Hi KellyJ, I must agree with Von4re!! Topamax made me feel like I'd smoke a big ole fatty!!! Unpleasant to say the least, I also lost needed weight on it. Topamax (topiramate) is approved for the prevention of migraine headaches. Learn more about Topamax effectiveness, dosing and side effects. Topamax 25 mg Tablets - Summary of Product Characteristics (SmPC) by Janssen-Cilag Ltd User Reviews for Topamax. The following information is NOT intended to endorse drugs or recommend therapy. While these reviews might be helpful, they are not a substitute for the expertise, skill, knowledge and judgement of healthcare practitioners in patient care. Hi Everyone, Tomorrow I begin the Topamax. I wanted to start today when my daughter, an ICU RN, would be with me, as I'm a little nervous. However, it's prescribed as a before bedtime med-so here goes my first dose. Initially, 50 mg/day PO administered in 2 divided doses. Increase the daily dose by 50 mg once per week during weeks 2, 3, and 4. Increase the daily dose by 100 mg once per week during weeks 5 and 6; administer total daily dose in 2 divided doses. Topamax is available in tablets (25 milligrams (mg), 50 mg, 100 mg, and 200 mg), extended release oral capsules (25 mg, 50 mg, 100 mg, 150 mg, 200 mg), and sprinkle capsule (15 mg and 25 mg) that. TOPAMAX ® (topiramate) Tablets and Capsules. DESCRIPTION. Topiramate is a sulfamate-substituted monosaccharide. TOPAMAX ® (topiramate) Tablets are available as 25 mg, 50 mg, 100 mg, and 200 mg round tablets for oral administration. How to use Topamax. Read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist before you start taking topiramate and each time you get a refill.