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Titration should begin at 25 topamax mg/day (or less, based on a range of 1 to 3 mg/kg/day) nightly for the first week . The dosage should then be increased at 1- or 2-week intervals by increments of topamax 1 to 3 mg/kg/day (administered in two divided doses), to achieve optimal clinical response . The recommended total daily dose of TOPAMAX� as adjunctive therapy for pediatric patients with partial onset seizures, primary generalized tonic-clonic seizures, or seizures associated with Lennox-Gastaut syndrome topamax and alcohol interaction topamax side effects weight gain topamax loss of appetite stopping is approximately 5 to 9 mg/kg/day in two divided doses . Dose how does topamax work in the brain seizure medication topamax topamax janssen topamax memory loss titration should be guided by clinical outcome .
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