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Elderly people may be at greater risk for side effects such as drowsiness and dizziness while using this drug. Topiramate has been approved for migraine prophylaxis in many countries worldwide. It also is used to prevent migraine headaches. Although still classified as an anticonvulsant, Topamax is mostly prescribed for the treatment of migraines and sometimes as an antidepressant. Topamax is used to help control some types of seizures in the treatment of epilepsy. Topiramate can help reduce the frequency, severity, and duration of migraines. The treatment of migraines and sometimes as an antidepressant. Both Neurontin and Topamax are prescribed off-label, which means that there is anecdotal evidence enough to prescribe them for this use.
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