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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Dosage Of Topomax And Lamictal?

My seizures increased so I am trying to get back on topomax so i am taking 1 tab lam 150mg 2x daily + 1 50mg top 2x daily I was taking 2 150mg lamictal 2x daily I haven t gotten in to see a new neurologist yet since i am on medicaid now. I can t seem to even get an appt. I got these directions from my pcp but i feel strange and he told me to ask my pharmacist lol and then the pharmacist told me to take a lamictal and a full topamax and but i cant remember if he said to take the full once a day at 1st then twice a day but then he said to ask my dr.
Tue, 31 Jul 2018
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Neurologist, Surgical,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Topamax dose as adjunctive therapy is: 25-50 mg/day PO initially; increase by 25-50 mg/day at weekly intervals to 100-200 mg q12hr. Lamictal dose in combination with Topamax is: Initial: 50 mg PO qDay for 2 weeks, then 100 mg/day PO divided q12hr for 2 weeks. Maximal dose is 400 mg/daily divided q12 hours.

Hope I have answered your query.
Let me know if I can assist you further.
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What Is The Dosage Of Topomax And Lamictal?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Topamax dose as adjunctive therapy is: 25-50 mg/day PO initially; increase by 25-50 mg/day at weekly intervals to 100-200 mg q12hr. Lamictal dose in combination with Topamax is: Initial: 50 mg PO qDay for 2 weeks, then 100 mg/day PO divided q12hr for 2 weeks. Maximal dose is 400 mg/daily divided q12 hours. Hope I have answered your query. Let me know if I can assist you further.