How to Taper Off of Topamax

Topamax is a medication that is commonly prescribed to patients suffering from migraines and seizures. This medication is believed to alleviate symptoms by blocking chemicals in the brain that cause inflammation in the blood vessels. Many individuals experience side effects such as numbness, memory issues and fatigue. These people may want to taper off the medication.

Is This an Emergency?

If you are experiencing serious medical symptoms, seek emergency treatment immediately.

Talk with your doctor. Because each individual’s health circumstances are different, you should always talk with your doctor before discontinuing a medication. If you have additional medical issues, your doctor can provide insight into any difficulties you may experience when tapering off Topamax.

Gabapentin & Caffeine

Learn More

Discuss why you are discontinuing the medication. Like many medications, Topamax has some serious side-effects including vision problems. If you are experiencing side effects, discuss these with your doctor immediately.

Reduce your dosage consumed over the span of several weeks. When tapering off Topamax, take several weeks to taper off the medication. Some doctors will advise to reduce your dose by 25 to 50 mg. each week until you are completely off the medication.

Side Effects of Meclizine 25 mg

Learn More

Monitor your symptoms. If you are taking Topamax for migraine prevention, you may experience an increase in migraines when discontinuing the medication. Take note of your symptoms. Discuss alternative treatments with your medical provider.

Consider a replacement medication. If you are discontinuing Topamax because of side effects, ask about a medication with less side effects. Everyone responds differently to medication. It can take trying a few medications before finding the right one.


Keep a log of your migraines or seizures. Assist your doctor with finding the right medication by keeping a log of migraines or seizures. This will assist in tracking the increase or decrease when stopping Topamax and transitioning onto another medication.


Never abruptly stop taking Topamax. Stopping the medication abruptly can cause severe side effects in some individuals. Always consult your doctor to discuss a titration plan to discontinue the medication.