Topiramate
Also sold as Topiramate, topiramate, TOPIRAMATE
Medicine summary · from official FDA labels · Oct 19, 2026
What it’s used for
Topiramate tablets are indicated for: Epilepsy: initial monotherapy for the treatment of partial-onset or primary generalized tonic-clonic seizures in patients 2 years of age and older (1. 1); adjunctive therapy for the treatment of partial-onset seizures, primary generalized tonic-clonic seizures, or seizures associated with Lennox-Gastaut syndrome in patients 2 years of age and older ( 1.
How to take it
Topiramate tablets initial dose, titration, and recommended maintenance dose varies by indication and age group. See Full Prescribing Information for recommended dosage, and dosing considerations in patients with renal impairment, geriatric patients, and patients undergoing hemodialysis ( 2.
Important warnings
Acute myopia and secondary angle closure glaucoma: can lead to permanent visual loss; discontinue topiramate as soon as possible ( 5. 1 ) Visual field defects: consider discontinuation of topiramate ( 5.
Common side effects
The following serious adverse reactions are discussed in more detail in other sections of the labeling: Acute Myopia and Secondary Angle Closure Glaucoma [see Warnings and Precautions ( 5. 1 )] Visual Field Defects [see Warnings and Precautions ( 5.
Interactions
Contraceptives: decreased contraceptive efficacy and increased breakthrough bleeding, especially at doses greater than 200 mg/day ( 7.
If pregnant or breastfeeding
8.
Forms & strengths
50 MG Oral Tablet · 25 MG Oral Tablet · 100 MG Oral Tablet · 200 MG Oral Tablet · 25 MG Oral Capsule · 15 MG Oral Capsule · 50 MG Oral Capsule · 25 MG/ML Oral Solution
Questions to ask your doctor or pharmacist
- Is this the right medicine for my condition, and how long should I take it?
- What side effects should I watch for, and which need urgent attention?
- Does this interact with my other medicines, supplements, or alcohol?
- What should I do if I miss a dose or take too much?