Topamax (Topiramate)

Yes, you can get a prescription for Topamax ( or its generic form, topiramate) online after a video consultation with a licensed psychiatry provider, if the provider decides that medication is an appropriate treatment for you. Simply sign up for Talkspace Psychiatry then you’ll be matched with a psychiatry provider licensed in your state. You’ll be able to schedule a video appointment with your provider usually within two weeks, often sooner. At your video appointment your psychiatry provider will ask questions about your symptoms and health history, and you can share your questions about medication and anything else. If your provider writes you a prescription for Topamax they will send it to a local pharmacy of your choice and you will pick up and pay for the medication at the pharmacy. You will have follow-up appointments with your provider every three months for ongoing medication management, to make sure Topamax is working for you and address any mental health needs.

No. Topamax (topiramate) is a prescription medication, so you cannot purchase it over-the-counter. You will need to have Topamax prescribed to you by a licensed provider who is able to prescribe medications, like a doctor or nurse practitioner. You can get a prescription for Topamax (topiramate) online through Talkspace after a video consultation with a licensed psychiatry provider, if the provider decides that Topamax is an appropriate treatment for you. 

Side effects of Topamax or its generic form, topiramate, are often mild, but can include headache, drowsiness, nervousness, weight loss, dry mouth, constipation, and more. Seek immediate medical advice and attention if you experience adverse effects including blisters, vision changes like eye pain, pain or redness in the eye, memory problems, chest pain, worsening seizures, trouble breathing, and more. It’s important that you take Topomax exactly as prescribed by your healthcare provider.

Yes, you can get a Topamax (topiramate) prescription or refill from Talkspace, after a video consultation with one of our licensed psychiatry providers (assuming the provider determines that it is an appropriate treatment for you). Simply sign up for Talkspace Psychiatry then you’ll be matched with a psychiatry provider licensed in your state. At your video appointment your psychiatry provider will ask questions about your symptoms and health history. If you are already taking Topamax and simply want to continue with a renewal of your prescription or refill, your Talkspace provider can continue your prescription if they determine it is medically appropriate. You will have follow-up appointments with your provider every three months for ongoing medication management, to make sure Topamax is working for you and address any mental health needs.

Talkspace is in-network with most major health insurance plans, which means that when you have a video appointment with a Talkspace psychiatric provider to receive a Topamax (topiramate) prescription or refill, Talkspace will bill your insurance plan directly for your online prescription appointment and you will only have to pay a copay (typically around $15, though many covered members pay $0). You will pay for the medication itself when you pick it up from a pharmacy of your choice, and you can have the pharmacy bill your insurance plan for the medication.

The price you pay for Topamax (topiramate) will depend on whether or not you’re paying with insurance and what your insurance copay is. The prices of prescription medications sometimes vary a lot by pharmacy, so to get the best price for Topamax you might want to look at websites like GoodRx and CostPlusDrugs. You should also contact your insurance company to find out the most affordable way to get your prescription for Topamax. Some insurance companies charge less when you fill your prescriptions through their mail-order pharmacies.

Topamax (topiramate) is typically taken in tablet form twice a day, but your specific dosage and frequency will depend on the treatment plan prescribed by your healthcare provider. 

‍

Topamax is not labeled a controlled substance. It is not habit forming and does not have a high probability of dependency or misuse.

Topamax is in a class of drugs known as anticonvulsants, but it can offer some mood stabilizing properties in some people. More research is still needed to understand how effective Topamax is as a mood stabilizer.

When used in addition to depression medications, Topamax can be effective in improving depressed mood and anxiety symptoms. However, it’s also been associated in some people with causing aggression, agitation, and additional neurocognitive symptoms such as psychomotor slowing language problems and confusion. How it feels can be slightly different for each person, so giving feedback and staying in contact with your healthcare provider will help you find the right medication for your symptoms.

There are several different medications your psychiatrist may prescribe for bipolar disorder.

Other medications for bipolar disorder include:

• Lithium
• Depakote (divalproex sodium)
• Lamictal (Lamotrigine)
• Abilify (Aripiprazole)
• Seroquel (Quetiapine)
• Topamax (Topiramate)
• Latuda (Lurasidone)

Topamax (or topiramate) is an anticonvulsant medication, commonly used to treat epilepsy and migraine, and also used for certain mental health conditions including bipolar disorder, borderline personality disorder, post-traumatic stress disorder (PTSD), and some eating and substance use disorders.  It works by enhancing the activity of certain neurotransmitters, like gamma-aminobutyric acid (GABA), which can produce a calming effect on the brain.