OverviewDosageSide EffectsInteractionsHalf-Life

Topamax may not be the right choice for every patient. In such cases, it is important to discuss with a doctor potential Topamax alternatives.

Topamax Alternatives

What are your options when it comes to alternatives for Topamax?

For Weight Loss

For those who cannot take Topamax for weight loss, other weight loss prescription medications are available. Some of these include Orlistat, Lorcaserin, Naltrexone-bupropion, and Liraglutide. Individuals should talk to their doctor about weight loss medication options in order to go over the risks of each and choose the safest one.

For more information, please see our page on Topamax for weight loss.

For Migraines

Individuals who are unable to take Topamax for migraine headaches have other migraine medications to consider. Some of these include over-the-counter and prescription pain relievers, such as ibuprofen and aspirin. Other medications that are used for treating migraines include triptans, dihydroergotamine, lasmiditan, ubrogepant, and opioid medications.

Medications used for preventing migraines may also include antidepressants, valproate and other anti-seizure medications, and blood pressure-lowering medications. Those who need to switch medications should discuss options with their doctor.

For more information, please see our page on Topamax for migraines.

For Bipolar Disorder

Individuals with bipolar disorder who cannot take Topamax have other medication options to choose from. Some of these include antidepressant-antipsychotic medications and anti-anxiety medications. Other medications that are used include antidepressants, antipsychotics, and mood stabilizers. Individuals should discuss these options with their doctor.

For more information, please see our page on Topamax for bipolar disorder.

For Anxiety

Those who need to find another medication to take for anxiety have other options to consider. Some of these include antidepressants, benzodiazepines, and buspirone. Individuals who are unable to keep taking Topamax should talk to their doctor about anxiety medication options in order to choose the right one.

For more information, please see our page on Topamax for anxiety.

For Depression

For those who have depression, there are other depression medications available besides Topamax. Those who need to choose another medication for depression have several options, such as selective serotonin reuptake inhibitors, tricyclic antidepressants, monoamine oxidase inhibitors, and serotonin-norepinephrine reuptake inhibitors. Doctors can help these individuals find the right type of medication to take for depression if they are unable to take Topamax.

For more information, please see our page on Topamax for depression.

Natural Alternatives

Those who are looking for natural alternatives to Topamax should always discuss these options with their doctor before taking any to ensure safety. Natural alternatives vary depending on what individuals normally use Topamax for. For example, natural alternatives for migraines include feverfew and other herbs, vitamins, and supplements, such as vitamin B-2 and coenzyme Q10.

For Nerve Pain

Those who are unable to take Topamax for nerve pain have other pain medications to consider. Some of these include over-the-counter and prescription pain relievers, topical treatment, and antidepressants, such as tricyclic antidepressants. Other anti-seizure medications, such as gabapentin and pregabalin, might also be used. These individuals should go over their options with their doctor.

For OCD (Obsessive-Compulsive Disorder)

Individuals who cannot take Topamax for obsessive-compulsive disorder have other OCD medications to consider. Some of these include antidepressants, such as sertraline, fluvoxamine, fluoxetine, and paroxetine. Those who are looking for another OCD medication should go over their options with their doctor.

Disclaimer: this article does not constitute or replace medical advice. If you have an emergency or a serious medical question, please contact a medical professional or call 911 immediately. To see our full medical disclaimer, visit our Terms of Use page.


More about Topamax

Written by

Fact Checked by