|Chemical name: Topiramate
Brand name: Topamax
Typical dosage: 50mg
Typical type: Tablet1
Topamax is a medication used to treat seizure disorders and prevent migraines. Topamax is available as a brand name drug or as a generic and comes as an oral capsule and an oral tablet.
Topamax contains the active medication Topiramate. Topamax is used to prevent migraines and is also used to treat seizure disorders, including focal onset or primary generalized tonic-clonic seizures.
Topamax is typically taken once daily.
Common side effects of Topamax include constipation, diarrhea, upset stomach, change in taste, excitability, dizziness, sleepiness, headache, flushing and signs of a common cold.
While some Medicare plans may not cover Topamax, some Medicare Advantage plans and Medicare Part D plans may cover generic Topiramate.
Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Topiramate.
Find Medicare Advantage plans with drug coverageCompare Plans
Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.
You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.
Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in and the Medicare drug plan you have.
|Deductible stage||Typical copay stage|
|Your deductible is the amount of money you must spend on covered drugs before your Medicare drug coverage starts paying its share of costs.
In the deductible stage, you’re responsible for the full cost of your prescription drugs.
Some Medicare prescription drug plans have a $0 deductible. Medicare drug plans cannot have a deductible more than $415 in 2019.
|After you meet your Part D deductible, you enter the initial coverage period.
During this phase (the typical copay stage), you pay a copayment (flat fee) or coinsurance (percentage) for your covered medications.
Do not stop taking Topamax suddenly without talking to your doctor. Stopping this medication suddenly can increase your risk of seizures. You will want to slowly stop Topamax over time with the help of your doctor.
Topamax can increase the amount of acid in the blood. This condition is called lactic acidosis. Signs of too much acid in the blood include confusion, rapid breathing, abnormal heartbeat, upset stomach, shortness of breath and fatigue.
Topamax can also increase the risk of infection while you take it. Signs of infection include fever, chills, sore throat, cough or sinus and ear pain.
Contact your doctor if you feel any of the above side effects or if you notice other abnormal adverse effects.
This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.
Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.
Written by Hayden Gharibyar, Pharm.D.