What to expect
Each of these medications can cause side effects, so it’s recommended to start with a low dose and gradually increase it over time to reach the target dose.
Rx
Topiramate
26,564
Nurx Reviews
Based on all Nurx reviews, not any one product
Topiramate† is a prescription pill that can increase feelings of fullness and reduce how much you eat.*◊ Sometimes prescribed as an add-on for oral weight loss treatment plans.
Weight loss
Pill
Starts at $30/month
$90/month when prescribed with Bupropion HCL SR and Naltrexone HCL
Medication shipped and billed monthly. Medication cost may vary based on prescribed treatment and applicable insurance coverage, price not guaranteed. Not all insurance plans are accepted. Additional costs apply, including consultation, monthly provider support fee, side effect management, and appropriate treatment updates.
Topiramate:
Know the basics
- Regulates signals in the brain that affect the appetite
- This medication can impact how foods taste, which may make eating less interesting
- Originally approved for the treatment seizure disorders and migraine prevention
- May improve impulse control and prevent binge eating
Your plan may also include these medications
If appropriate, you will be prescribed a combination of medications, usually starting with Bupropion HCL SR‡ and Naltrexone HCL.Δ Studies have shown that combining these medications is more effective for weight loss than using either medication alone. Additional medications can be added, if needed, to help you reach your goals. Your provider will share instructions on how to appropriately take these medications together.
Bupropion HCL SR‡
Starts at $25 / month
Typically prescribed with Naltrexone HCL as a starter oral treatment plan (combined cost is $60/month).
Naltrexone HCLΔ
Starts at $35 / month
Typically prescribed with Bupropion HCL SR as a starter oral treatment plan (combined cost is $60/month).
Medication cost may vary based on prescribed treatment and applicable insurance coverage, price not guaranteed. Not all insurance plans are accepted. Medication shipped and billed monthly. Additional costs apply, including consultation, monthly provider support, side effect management, and applicable treatment plan updates.
How to use your treatment plan§
Your provider may even recommend adding new medications to your plan to support your progress.
Always follow your provider’s exact prescribing instructions.
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How Nurx works◊
1
Request treatment
Complete our online consultation, which asks questions about your health history, weight goals, and medication preferences.
2
Connect with a provider
After evaluating your consultation, a provider licensed in your state will prescribe a weight management treatment plan (if clinically appropriate).
3
Get it delivered
We’ll send your prescription straight to your doorstep and check in with you to see how it’s working. You can reach out to your medical provider and adjust, pause, or cancel your treatment plan anytime.
4
Receive ongoing care
You’ll get support with progress tracking, educational content around healthy diet and exercise, and appropriate treatment adjustments. We’ll also provide tips and treatment options for side effect management.
Why Nurx?
Affordable
Safe, quality treatment at an attainable price with or without insurance
Convenient
Easy refills & free shipping to your door; pause or cancel anytime
Personalized
Providers with expertise in women’s health help you find the right treatment
Supportive
Unlimited messaging for questions, treatment adjustments, and side effect support
Common questions§
- How does Topiramate work?
- How long do I need to take Topiramate before I see weight loss?
- Does Topiramate have any known side effects?
- What precautions should I take when using Topiramate?
- Can I use Topiramate with other medications?
- Who is a good candidate to use Topiramate?
- How much does the program cost?
Hayley Miller, MD
Meet your medical team
“Each individual will have a unique experience with weight loss treatment. Our team is here to support each step of your journey to make sure you have everything you need to succeed.”
Dr. Miller is the Medical Director of Nurx Weight Management, advising Nurx’s medical team to provide the highest quality of care to help patients achieve their weight loss goals.
Talk to our experts
Not sure if this medication is right for you?
Connect with a Nurx provider for a personalized recommendation.◊
†Topiramate tablets (25mg, 50mg, & 100 mg), Rx only, has not been approved by the FDA as safe and effective to treat weight loss, however studies have shown that it can help individuals lose weight. Topiramate may also cause side effects including drowsiness difficulty concentrating, tingling sensations, dizziness, difficulty sleeping, and depression. Serious side effects are possible including acute secondary angle closure glaucoma, decreased sweating and increased boy temperature, metabolic acidosis, suicidal ideation, kidney stones, and fetal toxicity. See more information here. By providing this content, Thirty Madison, Inc. in no way supports or endorses the use of this product for such condition(s). Only a licensed clinician may prescribe this drug for this condition if in their clinical judgment use of the product is medically appropriate. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. If you’re experiencing a mental health crisis, please call 911 or go to your nearest emergency department. If you are contemplating suicide, call 911 or call/text the National Suicide and Crisis Lifeline at 988. These services are available 24/7.
*Individual results may vary.
◊Services and treatments not offered in every state, include medical treatment of overweight and obesity including lifestyle counseling (e.g., diet and exercise) and prescription medications, if clinically appropriate, based on completion of required consultation. Nurx requires regular check-ins to monitor your progress. Weight loss may be associated with other symptoms including but not limited to muscle loss, fatigue, menstrual changes, gallstones, and mood changes. Extreme/rapid weight loss may result in nutritional deficiencies that lead to hair loss, anemia, weak bones or increased risk of infection. Talk to your provider immediately about symptoms. Many people with overweight or obesity who lose weight have a tendency to regain all or some of the weight over time. Overweight and obesity medication efficacy increases with the addition of diet and exercise. Individual response to treatment may vary and is not guaranteed by Nurx.
‡Bupropion HCl SR tablets (100mg, 150mg, & 200mg), Rx only, has not been approved by the FDA as safe and effective for weight loss, however studies have shown that it can help individuals lose weight. Bupropion may also cause side effects including but not limited to nausea, constipation, headache, and dry mouth. Serious side effects may include increased risk of suicidal thoughts, hepatic dysfunction, and decreased seizure threshold. See more information here. By providing this content, Thirty Madison, Inc. in no way supports or endorses the use of this product for such condition(s). Only a licensed clinician may prescribe this drug for this condition if in their clinical judgment use of the product is medically appropriate. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. If you’re experiencing a mental health crisis, please call 911 or go to your nearest emergency department. If you are contemplating suicide, call 911 or call/text the National Suicide and Crisis Lifeline at 988. These services are available 24/7.
ΔNaltrexone HCl tablets 50mg, Rx only, has not been approved by the FDA as safe and effective for weight loss, however studies have shown that it can help individuals lose weight. Naltrexone HCl may also cause side effects including but not limited to nausea. Serious side effects are possible, including liver injury, increased risk for opioid withdrawal, and life threatening opioid intoxication. See more information here. By providing this content, Thirty Madison, Inc. in no way supports or endorses the use of this product for such condition(s). Only a licensed clinician may prescribe this drug for this condition if in their clinical judgment use of the product is medically appropriate. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. If you’re experiencing a mental health crisis, please call 911 or go to your nearest emergency department. If you are contemplating suicide, call 911 or call/text the National Suicide and Crisis Lifeline at 988. These services are available 24/7.
¶Metformin HCl ER tablets (500mg + 1000mg), Rx only, has not been approved by the FDA as safe and effective for weight loss, however studies have shown that it can help individuals lose weight. Metformin may also cause side effects including diarrhea, nausea, and vomiting. Serious side effects such as lactic acidosis may occur. See more information here. By providing this content, Thirty Madison, Inc. in no way supports or endorses the use of this product for such condition(s). Only a licensed clinician may prescribe this drug for this condition if in their clinical judgment use of the product is medically appropriate. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
§The information provided here is not a substitute for professional medical advice, diagnosis, or treatment. You should not rely upon the content provided here for specific medical advice. If you have any questions or concerns, please talk to your provider.
Exceptional care at every step
At Nurx, we make it easy to get the expert healthcare you deserve. From schedules to health history, everybody is different—so we provide treatment and care that’s personalized to you. Through life’s cycles, changes, and transitions, we’re here to help you make informed choices about your health.
