Compare Depakote vs. Topamax
Head-to-head comparisons of medication uses, side effects, ratings, and more.
Treats and prevents seizures, and stabilizes mood.
Depakote (divalproex) is good for long-term prevention of seizures, manic episodes in bipolar disorder, and migraines.
●●●●●
3.3/ 5 average rating with 97 reviewsforDepakote
Prevents seizures and migraine headaches.
Topamax (topiramate) is very effective at preventing many types of seizures and migraines, but it can cause several severe side effects that can lead to stopping the medication.
●●●●●
3.3/ 5 average rating with 56 reviewsforTopamax
Upsides
- Lowers the frequency of seizures, especially for people with absence seizures or complex partial seizures.
- Depakote (divalproex) is a first-line treatment to stabilize mood for people with bipolar disorder.
- Depakote (divalproex) is helpful for preventing frequent migraines.
- The sprinkle pill can be swallowed whole or can be opened up and mixed with applesauce if you have a hard time swallowing.
- Depakote (divalproex) is available as a generic.
- Can lower your number of seizures and also prevent migraine headaches. This medicine can be used on its own or with other antiepileptic medicines to lower the frequency of seizures.
- Doesn't need routine blood tests like similar medications.
- Available in short-acting and long-acting forms.
- Comes as a generic, so it's relatively cheap.
Downsides
- It can take 3 to 4 weeks before you feel the full effects of Depakote (divalproex).
- Depakote (divalproex) is not a good medication for people with liver problems.
- Requires regular blood tests to see how the medication is affecting your body.
- Depakote (divalproex) can make you bleed more easily.
- Can cause many severe side effects. People starting Topamax (topiramate) need to be monitored for these effects as soon as they start treatment.
- This medicine can take 4 to 6 weeks for the full effects of this medication to kick in, especially for people taking it for migraines.
- Children taking Topamax (topiramate) for long periods of time need to have their dose adjusted by their pediatrician as they grow.
- At higher doses (ie. 400 mg/day), children may experience difficulty with concentration/attention, fever, flushing, and confusion.
Used for
- Seizures
- Migraine prevention
- Alcoholism
- Essential tremors
- Eating disorder
Dosage forms
- Pill
- Extended release pill
- Delayed release pill
- Pill
- Extended release capsule
Price
Lowest price
$14.17
Find instant savings near youLowest price
$97.27
Find instant savings near youWant to save even more money?
Sign up now for a 30-day trial and save up to 95% at CVS, Kroger, Albertsons, and other pharmacies.
Learn more
Reviews
97 reviews so far
46%
saidit'sworth it
40%
saiditworked well
27%
saidit'sa big hassle
Have you used Depakote (divalproex)?
Leave a review56 reviews so far
52%
saidit'sworth it
50%
saiditworked well
36%
saidit'sa big hassle
Have you used Topamax (topiramate)?
Leave a reviewSide effects
9possible side effects
- Nausea22%
- Sleepiness19%
- Dizziness12%
- Vomiting12%
- Accidental injury11%
- Feeling weak10%
- Abdominal pain9%
- Upset stomach9%
- Rash6%
39possible side effects
- Sleepiness26%
- Loss of appetite24%
- Fatigue16%
- Injury14%
- Nervousness14%
- Personality disorder (behavior problems)11%
- Difficulty with concentration/attention10%
- Weight loss9%
- Aggressive reaction9%
- Abnormal gait8%
- Purpura8%
- Difficulty sleeping8%
- Viral infection7%
- Impaired coordination6%
- Nausea6%
- Increased saliva6%
- Muscle spasm5%
- Constipation5%
- Difficulty with memory5%
- Pneumonia5%
- Dizziness4%
- Speech disorders/ related speech problems4%
- Nose bleed4%
- Confusion4%
- Urinary incontinence4%
- Stomach flu3%
- Psychomotor slowing3%
- Skin disorder3%
- Allergic reaction2%
- Abnormal reflexes2%
- Thirst2%
- Pussing2%
- Hair loss2%
- Dermatitis2%
- Increased hair growth2%
- Red skin rash2%
- Eye abnormality2%
- Abnormal vision2%
- Leukopenia2%
Risks and risk factors
- Harm to fetus
- Liver damage
- Children under age 2
- History of metabolic disorders
- Severe seizure disorder
- Brain disease
- History of liver problems
- Pancreas problems
- Suicidal thoughts or behavior
- History of depression
- Increased bleeding
- Mental changes
- History of metabolic disorders
- People also taking Topamax
- Suicidal thoughts or behavior
- History of depression
- Fever and inability to sweat
- Children
- Mental and cognitive changes
- History of metabolic disorders
- People also taking Depakote
- Kidney stones
- Low-carb diet
- Dehydration
- Drug interactions
- Vision problems
- Withdrawal seizures
- Stopping Topamax (topiramate) suddenly