Qudexy XR Dosage
Generic name: topiramate
Brand names: Eprontia, Qudexy XR Sprinkle, Topamax, Topamax Sprinkle, Trokendi XR
Drug class: Carbonic anhydrase inhibitor anticonvulsants
Medically reviewed by A Ras MD.
Recommended Adult Dosing
Dosage forms: ER SPRINKLE CAP: 25 mg, 50 mg, 100 mg, 150 mg, 200 mg
Partial seizures
- [monotherapy]
- Dose: 400 mg PO qd; Start: 50 mg PO qd x1wk, then incr. by 50 mg/day qwk until 200 mg PO qd, then incr. by 100 mg/day qwk; Info: may open cap, but do not crush/chew contents; taper dose gradually to D/C
- [adjunct tx]
- Dose: 200-400 mg PO qd; Start: 25-50 mg PO qd x1wk, then incr. by 25-50 mg/day qwk; Info: doses >400 mg/day rarely more effective, may incr. ADR risk; may open cap, but do not crush/chew contents; taper dose gradually to D/C
Seizures, primary generalized tonic clonic
- [monotherapy]
- Dose: 400 mg PO qd; Start: 50 mg PO qd x1wk, then incr. by 50 mg/day qwk until 200 mg PO qd, then incr. by 100 mg/day qwk; Info: may open cap, but do not crush/chew contents; taper dose gradually to D/C
- [adjunct tx]
- Dose: 400 mg PO qd; Start: 25-50 mg PO qd x1wk, then incr. by 25-50 mg/day qwk; Info: may open cap, but do not crush/chew contents; taper dose gradually to D/C
Seizures, Lennox-Gastaut syndrome
- [adjunct tx]
- Dose: 200-400 mg PO qd; Start: 25-50 mg PO qd x1wk, then incr. by 25-50 mg/day qwk; Info: may open cap, but do not crush/chew contents; taper dose gradually to D/C
Migraine headache prophylaxis
- [100 mg PO qd]
- Start: 25 mg PO qd x1wk, then incr. by 25 mg/day qwk; Max: 200 mg/day; Info: may open cap, but do not crush/chew contents; taper dose gradually to D/C
Renal dosing
- [adjust dose amount]
- CrCl <70: decr. usual dose by 50%
- HD: decr. usual dose, amount not defined, on dialysis days admin. after dialysis; consider supplement if next maint. dose not due right after dialysis; PD: not defined
Hepatic dosing
- [not defined]
- hepatic impairment: caution advised
SRC: NLM .