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The FDA has approved the use of Topamax for seizures and migraine headaches. While Topamax for anxiety has not been approved by the FDA, this medication may be used off-label for this purpose. Individuals with anxiety should know more about taking this medication, such as potential side effects.

*If you experience suicidal thoughts, a symptom that may occur with this medication, seek help or call 911 immediately if you are in danger.


The amount of Topamax that should be taken for anxiety may vary from person to person. Dosages for approved uses of this medication can range from 100 mg per day for migraine prevention to 400 mg per day for seizures. Those taking Topamax for anxiety should follow their doctor’s recommended dosages.

Side Effects

Topamax may cause side effects, such as tingling in the arms and legs, weight loss, appetite loss, speech problems, dizziness, memory problems, and fatigue.


How long does it take for Topamax to work for anxiety?

Topamax may take several weeks to begin working for anxiety. However, this may vary from person to person depending on different factors, such as the dosage they are taking and the severity of their anxiety.

Can Topamax cause extreme anxiety?

Topamax may cause different effects in those who take this medication for anxiety. A 2006 case report found that an individual taking Topamax for an eating disorder developed panic attacks. Additional research is needed to understand this potential risk for those who take Topamax for anxiety.

Is topiramate a mood stabilizer?

Topamax may be used as a mood stabilizer, but this is considered an off-label use. Those who are considering taking it for anxiety should talk to their doctor about potential risks.

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.

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