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Clinical studies with Topamax, many people with migraines experienced significantly fewer attacks, enabling them to help manage their condition. Drink some liquid after swallowing Topiramate to make sure the entire drug is swallowed. If you are using Topiramate to control epilepsy and you stop taking this medicine suddenly it may increase the risk of seizures. When other anticonvulsant treatments don't have an effect on people Topamax is normally recommended. Although there is no specific information comparing the use of Topamax in the acute treatment of migraine headaches. Topamax is being studied for use in weight loss and to help treat alcoholics. Pay special attention to how you are responding while on this medicine. Topiramate is an anticonvulsant used with other medicines to control certain types of seizures.