Is Topamax Safe During Pregnancy?

Published on, 20 April, 2025. Answered by Dr. Christopher D. Phillips and Verified by Dr.Galen Team
Patient Question

Hello Doctor,

 

I recently found out that I'm pregnant, and I've been taking Topamax for migraine control. Is it safe for me to continue using this medication during my pregnancy? What should I consider in terms of my health and the baby’s development?

 

Hello,

Thank you for reaching out to Dr. Galen. Please find the below response to your query.

 

It is important that you consult with your neurologist about your medication. Topamax (topiramate) is classified as a category D drug during pregnancy, meaning there is evidence of potential risk to the fetus. Your doctor may recommend tapering off the medication or switching to a safer alternative to manage your migraines during pregnancy. Always follow your healthcare provider's advice to ensure both your health and the safety of your baby.

 

Thanks

 


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