question: My seizures increased so I am trying to get back on topomax so i am taking 1 tab lam 150mg 2x daily + 1 50mg top 2x daily I was taking 2 150mg lamictal 2x daily I haven t gotten in to see a new neurologist yet since i am on medicaid now. I can t seem to even get an appt. I got these directions from my pcp but i feel strange and he told me to ask my pharmacist lol and then the pharmacist told me to take a lamictal and a full topamax and but i cant remember if he said to take the full once a day at 1st then twice a day but then he said to ask my dr.