Topamax – A Medication that is Beneficial in the Treatment of Alcoholism


Topamax has been prescribed to manage mood disorders in early recovery and also has been shown to be an aid to help people manage cravings so that they can stop drinking.

Topamax is the brand name for the drug Topiramate. Topamax is an anticonvulsant medication that is also prescribed to people with mood disorders, PTSD, and eating disorders.  Our rehab centers have been helping people who are addicted to substances and also dual diagnosed with a mental or mood disorder for 25 years.  Our consulting psychiatrists know when it is safe and advisable to prescribe Topamax and we monitor our clients closely throughout each day to ensure they are responding positively to psychiatric medication such as Topamax.

Topamax has been shown to decrease craving for alcohol in people with alcoholism.

Topamax seems to be effective in some people with bipolar mood
disorders that have not responded to other
mood-stabilizers (ie. lithium). Some people who have not been able to tolerate any
antidepressant because of switches to mania or increased speed/intensity of cycling, or because of the development of mixed states,
have been able to tolerate therapeutic doses of anti- depressants when
taking topiramate.

For most people, Topamax has tolerable side effects and it can be taken twice a day.

The weight loss that accompanies Topamax therapy in some instances is
useful for those individuals who have gained weight while taking other
mood stabilizing drugs. In some studies 20-50% of people taking Topamax
lost weight.

Users of Topamax may experience confusion, and memory problems.

Topamax Dosage Information

Topamax is usually initially prescribed at an initial dose of 12.5 -25 mg once or twice a day and the total daily dose is increased by 12.5 – 25 mg every week. When prescribed in addition to other anticonvulsants being used as mood stabilizers, the final dose is often between 100 and 200 mg per day.

Some patients with Bipolar Disorder do well on as little as a total daily dose of 50 mg/day. When used for the control of the symptoms of PTSD the average final dose is about 175 mg/day (with a range of 25 – 500 mg/day).  When used as a mood-stabilizing agent the final dose of Topamax is most often between 50 and 200 mg/day. Some people require doses as high as 400 mg/day to achieve a good mood stabilizing effect . . . especially when Topamax is being used as a monotherapy . . . while others do fine on 25 mg/day.

To speak with an admissions counselor about general drug and alcohol treatment please call our center at 866-323-5609.  For a more in depth conversation with one of our clinical staff about the use of Topamax in the treatment environment, please schedule an appointment to visit our facility in Newport Beach, CA.