This article describes Trokendi XR’s dosages and strengths and gives details on how to take it. You’ll also find information on cost savings and coupon options for Trokendi XR. If you want to know more about Trokendi XR, see this overview article. It covers details about the drug’s uses and side effects, ways to save on cost, and more.
Trokendi XR is a brand-name medication that comes as an extended-release* oral capsule. It isn’t available in a generic version. This article describes dosages of Trokendi XR.
* “Extended release” means the drug is slowly released into your body over a long period of time.
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Form and strengths of Trokendi XR
Trokendi XR comes as follows:
- Form: capsule that you swallow
- Strengths: 25 milligrams (mg), 50 mg, 100 mg, 200 mg
Dosage of Trokendi XR
This article describes the recommended dosages for Trokendi XR. The drugmaker provides these dosages.
If your doctor prescribes this medication, you should follow the dosage they prescribe. Your doctor will determine the dosage that best meets your needs. Do not change your dosage of Trokendi XR without your doctor’s recommendation.
Usual recommended dosages of Trokendi XR in adults
Trokendi XR is used to treat epilepsy and prevent migraine in adults and some children.
Dosage for epilepsy
Usually, doctors start by prescribing a low dosage of Trokendi XR. Then, they’ll adjust it over time until the right dosage is reached.
Trokendi XR dosage when used alone
For adults and children ages 10 years and older, the recommended dosage schedule for partial onset or primary generalized tonic-clonic seizures when used alone is:
- Week 1: 50 mg once per day
- Week 2: 100 mg once per day
- Week 3: 150 mg once per day
- Week 4: 200 mg once per day
- Week 5: 300 mg once per day
- Week 6: 400 mg once per day
If Trokendi XR is safe and effective for your condition, you’ll likely keep taking it at a dosage of 400 mg once per day long term.
Trokendi XR dosage, when used with another medication
If Trokendi XR is taken with another seizure medication, the dosage depends on the type of seizures you have.
Doctors will typically start you at 25–50 mg once per day and increase the dosage slowly every week until the recommended dosage is reached.
The recommended dosages of Trokendi XR for adults and children ages 17 years and older are:
- partial-onset seizures: 200–400 mg once per day
- Lennox-Gastaut syndrome: 200–400 mg once per day
- primary generalized tonic-clonic seizures: 400 mg once per day
Dosage for preventing migraine
Trokendi XR is used to prevent migraine in adults and children ages 12 years and older.
The recommended dosage schedule* is:
- Week 1: 25 mg once per day
- Week 2: 50 mg once per day
- Week 3: 75 mg once per day
- Week 4: 100 mg once per day
If Trokendi XR is safe and effective for your condition, you’ll likely keep taking it at a dosage of 100 mg once per day long term.
* Your doctor may increase your dosage slowly depending on how you respond to Trokendi XR.
Dosages of Trokendi XR in children
Trokendi XR is used to treat epilepsy in children ages 6 years and older. It’s also used to prevent migraine in children ages 12 years and older.
Children’s dosage for epilepsy
The dosage of Trokendi depends on whether your child is taking it alone or with another medication.
Children’s Trokendi XR dosage when used alone
For children ages 6–9 years, the typical dosage schedule is:
- The recommended starting dosage of Trokendi XR is 25 mg once per day at night for 1 week.
- If your child responds well to the medication, their doctor may increase the dosage to 50 mg once per day during week 2.
- Over the next 5–7 weeks, their doctor will increase their dosage by 25–50 mg per week until they reach a maintenance dosage* that’s right for your child.
Your child’s doctor will determine a maintenance dosage of Trokendi XR based on your child’s weight in kilograms (kg). The following table shows the recommended maintenance dosages of Trokendi XR for children ages 6–9 years.
| Body weight | Recommended maintenance dosage |
|---|---|
| up to 11 kg† | 150–250 mg per day |
| 12–22 kg | 200–300 mg per day |
| 23–31 kg | 200–350 mg per day |
| 32–38 kg | 250–350 mg per day |
| greater than 38 kg | 250–400 mg per day |
For children ages 10 years and older, the recommended dosages of Trokendi XR are the same as for adults. See “Trokendi XR dosage when used alone” in the “Dosage for epilepsy” section above.
* A maintenance dosage is what you’ll take throughout your treatment, usually after a starting dosage.
† One kilogram (kg) is equal to 2.2 pounds (lb).
Children’s Trokendi XR dosage when used with another medication
The recommended dosage of Trokendi XR for children ages 6–16 years depends on their body weight. The typical dosage schedule is:
- The starting dosage is either: 25 mg once per day at night or 1–3 mg/kg of body weight once per day at night.
- If your child responds well to the medication, their doctor may increase the dosage gradually every 1–2 weeks. The typical increase is 1–3 mg/kg of body weight.
- Their doctor will increase the dosage until your child reaches a dosage of 5–9 mg/kg of body weight once per day.
- The maximum maintenance dosage for children ages 6–16 years is 400 mg once per day.
For children ages 17 years and older, the recommended dosages of Trokendi XR are the same as for adults. See “Trokendi XR dosage when used with another medication” under the “Dosage for epilepsy” section above.
Children’s dosage for preventing migraine
Trokendi XR is used to prevent migraine in children ages 12 years and older. The recommended dosages of Trokendi XR are the same as for adults. See the “Dosage for preventing migraine” section above.
Dosage adjustments for Trokendi XR
Your doctor will prescribe a dosage of Trokendi XR based on several factors. These include:
- the specific condition being treated and how severe it is
- your age
- your body weight
- other health conditions you may have
- other medications you may take
- the type of seizures you have
- whether you’re taking other seizure medications
Missed dose of Trokendi XR
Talk with your doctor or pharmacist right away if you realize you forgot to take a dose of Trokendi XR. They may advise you to take the missed dose or may advise you to skip it and take your next dose as scheduled.
For tips on how to plan your doses of Trokendi XR and avoid missing a dose, read this article. You could also try:
- downloading a reminder app on your phone
- setting an alarm
- putting a note where you’ll see it, such as on your calendar, bathroom mirror, or bedside table
Frequently asked questions
Below are answers to some commonly asked questions about Trokendi XR and its dosage.
How does the dosage of Trokendi XR compare with the dosage of Topamax?
Trokendi XR and Topamax are both used to treat epilepsy and prevent migraine in adults and some children. And they both contain the same active ingredient, a drug called topiramate. (An active ingredient is what makes a medication work.)
Trokendi XR is typically taken once per day, while Topamax is usually taken twice per day.
The following table shows the recommended dosage schedule for each drug for the prevention of migraine in people ages 12 years and older. Doses are expressed in milligrams (mg).
| Week | Trokendi XR dosage | Topamax dosage |
|---|---|---|
| 1 | 25 mg once per day | 25 mg in the evening |
| 2 | 50 mg once per day | 25 mg in the morning and 25 mg in the evening |
| 3 | 75 mg once per day | 25 mg in the morning and 50 mg in the evening |
| 4 and beyond | 100 mg once per day | 50 mg in the morning and 50 mg in the evening |
If you have more questions about how the dosages of Trokendi XR and Topamax compare, talk with your doctor. They can also discuss the dosages of each drug when they are prescribed for epilepsy.
Is Trokendi XR taken long term?
Yes, doctors typically prescribe Trokendi XR as a long-term treatment. If you and your doctor determine that it’s safe and effective for your condition, you’ll likely take it long term.
If you have questions about how long you should take Trokendi XR, talk with your doctor.
How Trokendi XR is taken
You swallow Trokendi XR capsule once per day. It can be taken with or without food.
Your doctor may advise that you take this medication around the same time each day. This helps keep a consistent amount of the drug in your body and can make the drug work more effectively.
If you drink alcohol do not drink alcohol 6 hours before and 6 hours after taking Trokendi XR.
Swallow Trokendi XR capsules whole. You should not chew or crush them. Do not open the capsules and sprinkle the contents on food. Doing so can change how Trokendi XR works.
If it’s hard for you to swallow capsules, view this article. It provides suggestions on how to swallow medications that come in pill form.
Also, be sure to talk with your doctor or pharmacist if you’re having difficulty taking your medication. They can offer recommendations about taking it.
Trokendi XR coupon
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