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Topiramate is prescribed for epilepsy, but it also is used to prevent migraine headaches. In the adjunctive treatment of partial onset seizures in adults. Patients with hepatic function impairment may have increased Topiramate plasma concentrations and a dosage adjustment may be needed. Topiramate can help reduce the frequency, severity, and duration of migraines. Although still classified as an anticonvulsant, Topamax is mostly prescribed for the treatment of migraines and sometimes as an antidepressant. Treatment must be started under specialist care and continued under the supervision of a specialist. Many people with migraines experienced significantly fewer attacks, enabling them to help manage their condition. Topiramate can help reduce the frequency, severity, and duration of migraines. The frequency, severity, and duration of migraines.