Mail Order Pharmacy
- MedicationYou saveUS ONLY
- TopiramateGeneric for TopamaxRx100mg30 tablets $4.8 USD30 tablets $4.8 USD - $0.16 USD/tabletSave $19.80
- TopiramateGeneric for TopamaxRx200mg60 tablets $6 USD60 tablets $6 USD - $0.1 USD/tabletSave $43.20
- TopiramateGeneric for TopamaxRx15mg240 sprinkles capsules $19.5 USD240 sprinkles capsules $19.5 USD - $0.08 USD/sprinkles capsuleSave $177.30
- TopiramateGeneric for TopamaxRx25mg240 sprinkles capsules $20.7 USD240 sprinkles capsules $20.7 USD - $0.09 USD/sprinkles capsuleSave $176.10
- TopiramateGeneric for TopamaxRx25mg30 tablets $3.9 USD30 tablets $3.9 USD - $0.13 USD/tabletSave $20.70
- TopiramateGeneric for TopamaxRx50mg30 tablets $4.5 USD30 tablets $4.5 USD - $0.15 USD/tabletSave $20.10
Do you need a prescription for topiramate?
Yes, topiramate is only available with a valid physician Rx.
How much is topiramate without Insurance in the US?
Our website gives two competitive savings options to US customers who wish to purchase topiramate, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.
What will my out-of-pocket cost be for topiramate in the US?
There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.
Is Now Patient a topiramate savings card?
Yes. Save up to 90% on your topiramate with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.
Can you handle Rx transfers for home delivery in the US?
Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.
Is Now Patient a topiramate coupon provider in the US?
No. Now Patient does not provide topiramate coupons or FREE topiramate samples.
Do you accept commercial, Medicare or Medicaid coverage for topiramate in the US?
No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.
Does Now Patient work with Medicare?
Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.
Does Now Patient work with Commercial Insurance?
Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.
What should you do if you use too much topiramate?
Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using topiramate. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you’ve used too much topiramate. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.
If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.
What should I do if I miss my dose?
There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.
Click here to find out what to do if you forgot to take your medication
What is generic topiramate?
Generic topiramate refers to the non-brand-name version of the medication. It contains the same active ingredient as the brand-name drug but is typically less expensive.
FDA approval of topiramate
Topiramate is approved by the U.S. Food and Drug Administration (FDA) for the treatment of epilepsy and for the prevention of migraine headaches.
Active ingredient of topiramate
The active ingredient of topiramate is topiramate.
US brand name of topiramate and manufacturer
Topiramate is available in the US under various brand names, including Topamax and Qudexy XR. It is manufactured by different pharmaceutical companies.
UK brand name of topiramate and manufacturer
In the UK, topiramate is available under various brand names, including Topamax and topiramate Accord. The manufacturer may vary depending on the brand name.
Prescription requirement for topiramate
A prescription (Rx) is required for topiramate in both the US and the UK.
Availability of topiramate in the UK with NHS prescription
Topiramate is available in the UK with an NHS prescription.
Conditions treated by topiramate
Topiramate is an anticonvulsant used for the treatment of epilepsy, a neurological disorder characterized by recurrent seizures. It may be used as monotherapy or in combination with other medication for partial onset seizures and primary generalized tonic-clonic seizures. It is also used for the prevention of migraine headaches in certain individuals, and Lennox-Gastaut syndrome. Topiramate may be used off-label for various conditions such as weight loss and bipolar disorder.
How does topiramate work?
The exact mechanism of action of topiramate in the treatment of epilepsy and migraine is not fully understood. It is thought to work by enhancing the activity of a neurotransmitter called gamma-aminobutyric acid (GABA) and inhibiting certain excitatory neurotransmitters, thereby reducing abnormal electrical activity in the brain.
Forms of topiramate available
Topiramate is available in the form of oral tablets, extended-release capsules, and oral sprinkle capsules.
Dosage of topiramate
The dose of topiramate may vary depending on the individual’s condition, age, and response to the medication. It is important to follow the recommended dosage instructions provided by the healthcare provider.
Directions for topiramate use
Topiramate should be taken exactly as directed by the healthcare provider. The medication is usually taken orally, with or without food. It is important to take topiramate consistently and continue the prescribed treatment course.
Warnings and precautions for topiramate
- Topiramate may cause certain side effects, including drowsiness, dizziness, and cognitive impairment. It may also increase the risk of suicidal thoughts or behavior. Close monitoring is necessary during treatment
- Tell your doctor if you have kidney stones, metabolic acidosis, glaucoma, asthma or chronic obstructive pulmonary disease (COPD), depression, liver or kidney disease
- It may interact with certain medications, including other antiepileptic drugs (AEDs) and medications that affect kidney function. Inform your healthcare professional about all medications being taken
- Topiramate may reduce the effectiveness of contraceptives such as birth control pills, patches, implants, rings, or injections
- Speak to your doctor before making changed to your diet. Do not follow a ketogenic diet or any other high-fat, low-carb diets while taking topiramate
Use of topiramate during pregnancy
Topiramate treatment during pregnancy increases the risk of a birth defect known as cleft lip. The use of topiramate during pregnancy should be carefully considered, and the potential risks and benefits should be discussed with a healthcare provider.
Use of topiramate while breastfeeding
Topiramate passes into breast milk, and its use while breastfeeding should be discussed with a healthcare provider. The potential risks and benefits for the mother and the infant should be considered.
Possible side effects of topiramate
Common side effects of topiramate may include drowsiness, dizziness, tiredness, loss of appetite, weight loss, nausea, and changes in taste. Serious side effects are possible but less common. Promptly report any concerning symptoms such as vision loss, blurred vision, or eye pain. Get medical help right away if you have a serious side effect such as an allergic reaction. Symptoms include hives, trouble breathing, worsening shortness of breath, sore throat, chest pain, swelling of the face, tongue or throat, red skin lesions, blisters, and serious skin reactions.
Interactions with other drugs
Topiramate may interact with certain medications, including birth control pills, carbamazepine, phenytoin, and valproic acid. It is important to inform your healthcare provider about all the prescription drugs, over the counter nonprescription medications, herbal products, supplements, and vitamins you are taking to avoid potential adverse effects and drug interactions.
Similar drugs to topiramate
Other antiepileptic medications used for the treatment of epilepsy and prevention of migraine headaches include lamotrigine, phentermine, valproate, and gabapentin.
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