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Elderly people may be at greater risk for side effects such as drowsiness and dizziness while using this drug. The usefulness of Topamax in the acute treatment of migraine headaches. Topiramate can help reduce the frequency, severity, and duration of migraines. Topamax is an anticonvulsant that works in several ways to prevent seizures and migraines. Treatment of migraine headaches in adults. Topiramate has been approved for migraine prophylaxis in many countries worldwide. It does in adults.
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