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Topiramate

Has multiple mechanisms: blocks sodium channels, enhances GABA activity, and antagonizes glutamate receptors.

Dosage by Body Weight

For epilepsy: Initial 1-3 mg/kg/night. Titrate weekly. Encourage fluid intake to prevent kidney stones.

  1. Body Weight
    10-20 kg
    Dose
    25 mg to 50 mg total daily
    Frequency
    Divided into 2 doses
    Tracking Notes
    May cause decreased sweating and overheating (hypohidrosis).

Formulation

Sprinkle CapsuleTablet

Purpose

Antiepileptic and migraine prophylaxis.

Generic Name

Topiramate

Branded Drug Names

Topiramate is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

  • Topamax
  • Topirol

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

ValproateLevetiracetam

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.