Top 75 Migraine and Headache Questions, #30

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  • Full Question:
    Hi I have been on Topamax 100MG for a long time, what is the highest dose you can be on? I'm starting to get more migraine on this dose. So can I go higher? Thank You Cheryel.


    Dear Cheryel;

    The maximum dosage of any medication is at least somewhat based on the individual patient and their response to the medication. The dosage recommended in the Topamax prescribing information is 100mg twice a day. However, some patients do well on less, and some do quite well with a higher dosage. Usually, patients who are prescribed more than 200mg/day are patients who are helped by 100mg/day, but not adequately. If an increase in dosage doesn't provide additional relief, then the options are to drop back to 200mg/day and add another medication or to taper off the Topamax and try something else.

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    Good luck,
    John Claude Krusz and Teri Robert

    About Ask the Clinician:

    Dr. Krusz is a recognized expert in the fields of headache and migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert. If you have a question for this section of our site, please click HERE. Accepted questions will be answered by publishing the answers here. No questions will be answered privately.

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Published On: April 09, 2007