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Drink some liquid after swallowing Topiramate to make sure the entire drug is swallowed. Drink some liquid after swallowing Topiramate to make sure the entire drug is swallowed. Although there is no specific information comparing the use of Topamax in the acute treatment of migraine headaches has not been studied. Elderly people may be at greater risk for side effects such as drowsiness and dizziness while using this drug. Topiramate is prescribed for epilepsy, but it also is used to prevent migraine headaches. In the acute treatment of migraine headaches in adults. Patients with hepatic function impairment may have increased Topiramate plasma concentrations and a dosage adjustment may be needed. One of the medications that have been increasingly prescribed as a migraine preventive is the antiseizure medication Topamax.
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