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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 .

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